Treating Dementia Cases

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Treating Dementia Cases: Ms N Case

Abstract

Determining a medication strategy for a client is important since this will provide sufficient approaches on the possible treatment choices. In this case, integrating an investigative approach is essential especially when dealing with chronic long-term illnesses like senile dementia. Additionally, the investigative approach will seek to establish data on two core principles, subjective or objective data approaches. This study will investigate a seventy-four year old dementia case Ms. N. The study will examine Ms. N case and establish lucid a medication strategy based on the results of the study.

Preliminary problem list for Ms. N

According to the ascending order, the preliminary problems for Ms. N are listed as, poor ability to respond mentally to her medical condition. Ms. N not only suffers poor communication, but also suffers dementia of the Alzheimer type. As a result, Ms. N suffers benign forgetfulness and temporary confusion. In most cases, Ms. N forgets urinalysis and thyroid function. In other cases, Ms. N is paranoid, hateful and resentful against people surrounding her.

Important piece information

As identified, the most serious problem in this scenario is the dementia. Dementia, which is caused by Alzheimer, is primarily responsible for developing resentment and missed medication. A patient cognitive decline often has limited insight on what is right and what is wrong. Consequently, cognitive decline is risky to Ms. N if she is operating alone or with a group of strangers. The scenario further ascertains that Ms. N was not in a position to understand the problem. As a result, she is not capable of expressing her frustration on her private means.

Geriatric syndromes

Geriatric syndromes are being recognized as serious but preventable iatrogenic complication. The direct result of medication on Alzheimer can cause serious adverse outcomes in older patients, for example, Ms. N. Geriatric syndrome is defined as highly atypical, prevalent and single-symptoms. In Ms. N case, cognitive impairment has been identified. Geriatric syndromes and functional dependence are primarily responsible for the loss of compensatory ability through the accumulated effect of multiple impairments (Greig, 2014). In fact, falls of incontinence can also be associated with Ms. N physiologic and structural abnormality as postulated.

Subjective data

In responding to Ms. N case, I would need to gather sufficient information on the nature of the situation. Subjective data consists of a critical enquiry of client’s opinions and feelings (Awad and Voruganti 2002, pp. 185). This information relates to Ms. N past relationship and pre-dementia symptoms that Ms. N was accrued with. Additionally, I would need to gather information regarding her past medical record. Secondly, it is important to gather information on how Ms. N performed before and soon after hospitalization. Subjective data relates to symptoms, which directly affected Ms. N. Subjective impairment, for example, relates to the remembrance of personality details and people surrounding Ms. N life. These could be next of kin or friends. I would get this data from spoken and body language about Ms. N performance. This can be achieved by performing listening and conducting interviews with Ms. N.

Objective data

Awad and Voruganti (2002, pp. 185) argues that, objective data include the observable and measurable pieces of information that the client could state. For this reason, it is necessary to concur with clinical practitioners who have been diagnosing Ms. N. These could be the psychiatrist, a doctor and nurses who have been recording Ms. N condition. For instance, the nurse could have measured Ms. N vital signs, weight, and changes of in urine volumme. Additionally, objective data was vital in measurement of body structures and function that involve, rate, rhythm, amount and size of usually made instruments.

Interventions based on Subjective and Objective data

After getting subjective and objective data, it is advisable to support this data with theoretical and case studies from patients with similar case studies. This information would guide the development of a coherent data analysis of the possible outcomes of given medication choices. In relation to Ms. N case, I would proposal the proper investigation of dementia pattern. Since Alzheimer is a serious problem, I would advocate the development rapid intervention, more investigation before initiation of a medication strategy (Leuven, 2013). Investigations would schedule proper and comparable outcomes between Ms. N case and patients documented in case studies that I would construct.

References

Awad, A., & Voruganti, L. (2002). The subjective/objective dichotomy in schizophrenia-data

from Striatal Dopamine Depletion Study. European Psychiatry, 17, 185.

Greig, N., & Lahiri, D. (2014). Editorial: Advances in Understanding Alzheimer’s Disease, and

the Contributions of Current Alzheimer Research: Ten Years on and Beyond. Current

Alzheimer Research, 11(2), 107-109.

Leuven, F. V. (2013). Treating Alzheimer’s disease with an O-GlcNAcase inhibitor. Alzheimer’s

& Dementia, 9(4), P674.