NSG 6440 Week 3 Midweek Assignment: Aquifer Case Study 1

NSG 6440 Week 3 Midweek Assignment: Aquifer Case Study 1

NSG 6440 Week 3 Midweek Assignment: Aquifer Case Study 1

For this assignment, you will complete a Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessment and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

After you complete the Aquifer case study for the week, please print out the summary of your case session and submit as a PDF file to the Submissions Area. Note that the summary of your case session has your name on the top right hand corner. You need to submit this document as evidence that you have completed the case.

The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases will be present in the weekly quizzes, midterm, and final exam. You must have all Aquifer assignments completed in order to successfully pass the course.

Use this link for information on how to access and navigate Aquifer.

This week complete the case entitled “Case #22: 70-year-old male with new-onset unilateral weakness – Mr. Wright.”

Submission Details:

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NSG 6440 Week 6 Discussion

Discussion:

This week’s content discussed common psychiatric disorders in the Adult and Older Adult client.  Often times a secondary diagnosis is masked due to their psychiatric disorder.  Review the following case study and answer the following questions.

Mr. White is a 72-year-old man, with a history of hypertension, COPD and moderate dementia, who presents with 4 days of increased confusion, nighttime restlessness, visual hallucinations, and urinary incontinence. His physical exam is unremarkable except for tachypnea, a mildly enlarged prostate, inattentiveness, and a worsening of his MMSE score from a baseline of 18 to 12 today.

Mr. White’s presentation is most consistent with an acute delirium (acute change in cognition, perceptual derangement, waxing and waning consciousness, and inattention).

  1. What is the most likely diagnosis to frequently cause acute delirium in patients with dementia?
  2. What additional testing should you consider if any?
  3. What are treatment options to consider with this patient?

Submission Details:

  • Post your response to the Discussion Area by the due date assigned. Respond to at least two posts by the end of the week.