Target Audience is Other Health Professionals - Medical Science Assignment Help

Assignment Task:

Task:

Answer the following (7) questions, based on the case study

•  
• Use evidence based literature to support all answers expect for Q2. For each answer you must demonstrate person centred care by including reference to Edith’s circumstances where required. The case study is designed to demonstrate the integration of various principles of managing the care of older adults
• Target Audience is other health professionals.
• PLEASE includes intext citations in all statements. APA 7th edition
• All references and evidence support MUST be peer reviewed article from these databases: CINNAHL, MEDLINE, PUBMED or COCHRANE to support OR Australian government website.
• References list – APA 7th edition minimum 10 references
• Based on Australia
• Published recently within 5 years (2017-2021)
• Provide functional hyperlink of DOI or Website.
• ***Please do NOT check similarity in any platform, especially TURNITIN.***
• Case Study Scenario
• Edith, a 77-year-old lady presented to the emergency department (ED) via ambulance after falling in her home. On assessment Edith does not have any fall related injurie other than a minor graze on her left elbow.
• Edith appears slightly confused and is asking for Margaret, her daughter. When contacted Margaret attends the ED department and informs staff that Edith’s local doctor recently identified Edith as recently been experiencing dementia, most probably due to Alzheimer’s disease. Margaret states that Edith does not appear more confused than normal. Given this the ED team do not suspect a potential alternative diagnosis of delirium.
• Social History
• Edith is a widow of five years, lives in her own home with minimal support from Margaret. Edith is relatively independent. She still drives a car, she self-regulates by not driving at night and only driving to her local shops, a friend’s house and her GP when needed. At the shops Edith pays for her groceries with larger notes as she seems unclear of how much to pass to the cashier. She became lost on the way home from the shops last week and was upset as she could not recognise where she was. After an hour she found her way home. Margaret gave her mother a mobile phone for just this type of emergency, but Edith cannot understand which buttons to push and finds using the mobile phone frustrating. NRSG266 _ Assessment Three: Case Study _ Semester Two, 2021 _ Page 3 of 5 Margaret is worried that Edith may not be eating as well as she used to and at 48kgs, has lost 10kgs over the past 2 years. Margaret brings four or five frozen home cooked meals which she leaves in Edith’s freezer. Edith used to be a very good cook. She is famous for her elaborate birthday cakes. These days she has lost interest in cooking. Margaret visited Edith last week and found five meals still in Edith’s freezer. Edith has forgotten how to use the microwave and did not want to ask for help.
• Edith has been more forgetful over recent months, misplacing her purse and car keys only to find them in the oven. Margaret says her mother is afraid someone will rob her so she sometimes puts her purse in odd paces them cannot find it. Edith arrives hours early for appointments and sometimes on the wrong date. Edith hides her inability to understand time by saying she likes to be early.
• Edith is generally a social lady, visiting her friend twice a week at 10 am on Tuesdays and Fridays. Conversations are getting more difficult as Edith is slow to find the right word. Last week she drove to her friend at four in the morning thinking she might be late.
• Medical History
• AMI - 10 years ago, currency in rate controlled AF. Bilateral cataract extraction and insertion of IOL’s – 8 years ago, required maintaining her driving licence. Skin lesion on lower leg, dressed and healing –- 4 weeks – walked into her coffee table.
• Medications
• Apixaban 5mg BD (AF) Rosuvastatin 20mg Daily (hypercholesterolaemia) Centrum Advance 50+ for adults Multivitamin and mineral. Daily (general health , in particular Thiamine supplementation) Paracetamol 1gram no more than 6hourly as needed.
• End of Scenario
• Question 1 Edith requires a physical assessment in the ED. Provide evidence based person centred (ie Edith) rationales for each assessment provided below. ECG Respiratory Ax Skin Ax Mini cognitive assessment. (150 - 200 words)
• Instruction:
• -Provide evidence-based person-centred rationales for each assessment.
• -There are comprehensive person centred rationales for each assessment. Comprehensive referencing of literature to support discussion.
• Question 2 Edith has presented with dementia, most likely in the context of Alzheimer’s Disease. List six 6 signs and symptoms of early Alzheimer’s disease which Edith is experiencing. For each sign and symptom provide detailed data from scenario to support your answer. Provide your answer in a table below. Do not apply your answer to the ED setting. (150 - 200 words)
• Six (6) signs and symptoms of early Alzheimer’s Disease Edith is experiencing. Source of each must be cited. Evidence/ data from Edith’s history to support presence of the sign and/or symptom
• 1 2 3 4 5 6 Instruction:
• -List 6 signs and symptoms (S&S) of early Alzheimer’s Disease (AD) which Edith is experiencing. For each sign or symptom provide data from the scenario to support your answer. Complete the table supplied.
• -Provides an insightful and relevant list of six (6) early S&S of AD which Edith experiences. Insightful and comprehensive analysis of Edith’s situation obtained from the scenario is demonstrated with the inclusion of detailed and or multiple data to support each S&S.
• Question 3 The medical team perform further testing to rule out any potentially reversible cause of Edith’s dementia. Edith undergoes various tests to exclude other possible contributing pathology. The medical team send Edith for a brain perfusion scan, also called a SPECT (single-photon emission computerised topography). These results confirm that a diagnosis of Alzheimer’s disease is most probably the cause of Edith’s dementia. Why is it important for Edith and her family to have a definitive diagnosis? Use literature to support your discussion. (100-150 words)
• Instruction:
• -Why is it important for Edith and her family to have a definitive diagnosis?
• -Answer demonstrates awareness of concepts of dignity and choice. An insightful, comprehensive understanding of the biological, psychological and sociocultural factors impacting Edith and her family at this time is evident in the response. Excellent use of literature to support the discussion.
• Question 4 Edith is transferred to the ward. The medical team commence Edith on an initial 4 weeks dose of 5mg BD of Donepezil (TN Aricept) with a view to monitoring Edith for effects and incrementally increasing the dose over time. Explain to mode of action of Donepezil with respect to the pathophysiology of Alzheimer’s Disease? (100-150 words)
• Instruction:
• -Explain the mode of action of Donepezil with respect to pathophysiology of Alzheimer’s Disease (AD). (100 -150 words)
• -Comprehensive information presented of mechanism of action and strong links to pathophysiology of AD. Answer is referenced
• Question 5 Alzheimer’s disease is associated with progressive memory loss. Outline why Edith is experiencing progressive memory loss. (250-300 words)
• Instruction:
• -Alzheimer’s Disease (AD) is associated with progressive memory loss. Outline why Edith is experiencing progressive memory loss.
• -Provides a comprehensive discussion of the underlying pathophysiology of AD. The discussion is well supported by literature and comprehensively linked to Edith’s case study.
• Question 6 (divided into 2 parts in the rubric - Problem 1 and Problem 2) The following nursing problems are relevant for Edith:
• 1. Potential for decreased nutritional status impacting well-being and cognitive state and
• 2. Progressive impairment of memory and ability to live in her own home.
• For each of the above nursing problems and provide five (5) relevant evidence based interventions for Edith that consider the specific clinical progression of Alzheimer’s Disease. Prioritise your interventions from 1(highest priority) to 5 (lower priority) for each problem. Justify your prioritisation with consideration of Edith situation
• Include evidence based rationales for each intervention explaining why the interventions are specifically relevant for Edith who has Alzheimer’s Disease.
• Answer may be supplied table format such as the example below. (200-250 words per problem)
• Problem 1 Write your justification of prioritisation here
• Evidence based Intervention Rationale – supported by literature
• 
  Instruction:
  -Part 1 PROBLEM ONE Provide five (5) evidence based interventions and rationales for the first nursing problems supplied. (200-250 words)
  -Nursing Problem 1. Five (5) insightful, high quality and relevant prioritized interventions are supplied. Accompanying rationales are comprehensive and clearly related to Edith’s case study. There is insightful justification of prioritization of interventions. Comprehensive referencing of literature to support discussion.
  -Part 2 PROBLEM TWO Provide five (5) evidence based interventions and rationales for the second nursing problems supplied. (200-250 words)
  -Nursing Problem 2. Five (5) insightful, high quality and relevant prioritized interventions are supplied. Accompanying rationales are comprehensive and clearly related to Edith’s case study. There is insightful justification of prioritization of interventions. Comprehensive referencing of literature to support discussion.
  Question 7 Edith is still driving a car but admits she occasionally gets lost and is losing confidence. What duty of care do the health care professionals have to Edith with respect to her driving a car now that she has a formal diagnosis of Alzheimer’s Disease? You may include reference to your State authorities eg. Police or Road authority. (150-200 words)
  Instruction:
  -What duty of care do health care professionals have to Edith with respect to driving a car now that she has a formal diagnosis of Alzheimer’s Disease? (150-200 words)
  -Provides a well-articulated, person centred response that is insightful and compassionate. Comprehensive and relevant strategies recommend by HCP to assist Edith and her family navigate the possibility of Edith becoming a non-driver. These strategies are informed by the included discussion of Edith’s situation and diagnosis. Comprehensive referencing of literature to support discussion.

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