Geriatric case study

NU-665C-06-23PCFA FamilyPsychiatricMent.Hlth II

ASSIGNMENT

Week 10 Assignment 1: Geriatric Case Study

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3. NU-665C-06-23PCFA
4. Week 10: Neurocognitive Disorders
5. Week 10 Assignment 1: Geriatric Case Study

Completion requirements

To do: Make a submission

Due: Sunday, 5 November 2023, 11:55 PM

Value: 100 points

Due: Day 7

Grading Category: Case Studies

Instructions

In this assignment, you will review the Geriatric Case Study and analyze the data to determine the health status of the patient. You will need a minimum of two scholarly references to support your work.

• Use the NU665C Geriatric Case Study Questions (Word) document to complete the case study assignment.
• Follow the requirements posted in the rubric.
• Interactive case studies should be five to seven pages depending on the complexity of the case. This is excluding title and references pages.

All papers must conform to the most recent APA standards.

Please refer to the Grading Rubric for details on how this activity will be graded. 

Instructions

This case study consists of one hypothetical patient situation.

Select the Patient Information tab. Within this tab, you will be able to watch a video to gain more insight regarding the patient as well as view important patient details.

For this assignment, you will address a series of questions regarding the care of the patient. Your answers should include relevant guidelines and scholarly references. The national guidelines should also be considered with treatment plans.

When you are done viewing the patient information, download the Case Study Assignment (Word) document from the assignment page in Moodle. Use this document to complete the assignment and then submit it to the assignment page.

This is the transcript video for the patient’s information

Primary Care of the Psychiatric Mental Health Client II

Geriatric Case Study Video Transcript

Midge is a 72-year-old woman who lives with her daughter in a rural community in southern Appalachia. She has been the permanent caregiver for three of her great grandchildren whose parents have lost custody. Her granddaughter is currently in jail for drug charges. Her daughter works two jobs to keep the family afloat and has little time. Midge’s daughter has been noticing a decline in Midge’s ability to care for the three children ages 4 to 9 years and Midge has been sending the kids to school unkempt without any lunch money. The school has called Midge’s daughter several times alerting her to the children’s situation. Her daughter can’t take more time off from work.

Midge was the eldest daughter in a large family of Scots-Irish decent. Her father was killed in a mine at age 45 and her mother was left to care for Midge and her five siblings. Midge left school at 15 to help her mother. Midge worked at a local Kroger store for 25 years until her retirement. Her husband died of lung cancer 10 years ago when she moved in with her daughter.

According to her daughter, Midge has been having hallucinations of a person sleeping on the woodpile in the back of the house. She is terrified that this person might come into the house to hurt the children and has been seen by neighbors walking down the dirt road with the three of them in tow. The other day when it was very warm, the youngest child left the house, wandered into a yard and jumped into an above ground pool. This neighbor found the boy when her dogs starting barking and circling the pool. Midge had lost track of him. Sometimes the person on the woodpile sings old hymns and Midge will sing with them.

Midge has no history of psychiatric illness. Her medical history includes hypertension and appendectomy in 2000. Her daughter thinks she has been missing her blood pressure medication because her BP readings have been erratic. Lately, she has been going out to the woodpile at night to shoo the person away. Midge’s daughter is at her wits end.

Regis College

NU665C Primary Care of the Psychiatric Mental Health Client II

Geriatric Case Study Assignment

After viewing the patient interactive information, address the following:

1.What important information is missing from the case study?

2.Discuss normal developmental achievements and potential vulnerabilities.

3.What precipitating factors could be contributing to the current symptoms?

4.What is the differential diagnosis?

5.Describe the etiology of the primary diagnosis.

6.How should physiologic complications be monitored and assessed?

7.What are the usual nonpharmacologic therapies that would help?

8.What medications could help and why?

9.Identify safety risks and how they should be dealt with in the treatment plan.

Include current supportive evidence in your responses to the questions above using two required resources from this week’s materials and one new resource. National guidelines should also be considered with treatment plans.

Kindly see attached word Document (Geriatic Case Study) to be rewritten. Thanks

NU-643-05-23PCSP Adv.Psychopharmacology

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2. My courses
3. NU-643-05-23PCSP
4. Week 13: Geriatric Psychiatric Care
5. Week 13 Assignment 1: Geriatric Case Study

Week 13 Assignment 1: Geriatric Case Study

Due: Sunday, 2 April 2023, 11:55 PM

To do: Make a submission

Value: 100 points

Due: Day 7

Grading Category: Assignments

Instructions

In this assignment, you will review the Geriatric Interactive Case Study patient scenario and analyze the data to determine the health status of the patient.

Select the Patient Subjective Information tab. Within this tab, you will be able to watch a video to gain more insight regarding the patient as well as view important patient details.

For this assignment, you will

1. Review the Case Study.
2. Review the Comprehensive Case Study Content Exemplar to understand what is needed within your paper.
3. Use the Comprehensive Case Study Paper Template to write the assignment in the proper format.
4. Follow the requirements on the rubric and within the Content Exemplar.
5. Interactive Comprehensive Case Studies should be 3- to 5-pages in length, excluding the title and reference pages.
6. Interactive case studies should include a minimum of three evidence-based practice guidelines or articles.
7. All papers should conform to the most recent APA standards.

Your case study write up should include specific reference to relevant guidelines and other clinical information. The national guidelines should also be considered within treatment plans.

When you have completed viewing the patient information, download the Comprehensive Case Study Paper Template (Word) from the assignment page in Moodle. Use this document to complete the assignment and then submit it to the assignment drop box. Additionally, there is an Exemplar document for review to help guide your case study write up.

Please refer to the Grading Rubric for details on how this activity will be graded. 

I will send the files needed for this assignmentI

Please see questions below and attached case study (Week 12 case study) with the information needed to answer the questions below. Please answer in the same format as seen below:

• Differentials: List the three most likely differential diagnoses based on her objective findings, with cited rationale.
• What is the etiology/pathophysiology associated with each diagnosis?
• What is the prevalence of each of these diagnoses?
• Develop a plan of care for each of the three differential diagnoses, including the following:
  • Diagnostic testing
  • Pharmacologic interventions, including dosage, route, and frequency
  • Nonpharmacologic interventions, including modality and frequency
  • Education, including health promotion, maintenance, and psychosocial needs
  • Safety plan
  • Referrals required
  • Follow-up, including return to clinic (RTC) in what time frame and reason, including any labs needed for next visit

See attache instructions.

E.L. is a 84 year-old-woman who lives in her own home with a full-time caregiver and attends a day program on weekdays. E.L. has a history of bipolar disorder and moderate dementia. At baseline she is cantankerous and opinionated. More recently her caregiver reports that behaviors are agitated and oppositional.

E.L. is refusing most cares, is paranoid that, when her caregiver is on the phone, she is talking about E.L. She has been resisting sleep, staying up late and waking in the middle of the night.

Her caregiver denies aggressive behaviors, but E.L. is arguing with other participants in her day program and is at risk of being kicked out of the program.

Current medications are depakote 1500 mg daily (last level was therapeutic), quetiapine 100 mg qhs, and bupropion 75 mg qd.

1. Write an assessment and tentative treatment plan. You may use the Assessment and Plan sections from the PMHNP SOAP note template for this, or choose to write this out in a paragraph form. However, both the Assessment and Plan sections must be clearly identified and all components in these sections, as described in the PMHNP SOAP note template, must be included.
2.  

• Assessment — Identify preliminary diagnoses, supporting information, and target symptoms.
•  
• Plan: Tentative treatment plan and rationale.
•  
• Using proper citations and APA formatting, you must include references for your statements.

Please see files attached