You are with your preceptor, Dr. Mark Parr, in clinicals. Today’s patients include Rose Lee Strom, a 73-year-old woman....
You are with your preceptor, Dr. Mark Parr, in clinicals. Today’s patients include Rose Lee Strom, a 73-year-old woman. Rose Lee was brought in for a psychological evaluation by her brother Robert Chang because of a three-year history of memory impairment. Rose Lee completed high school and then worked in a clerical position until her retirement in 1995. Since the death of her husband in 2002, she has lived alone and maintained her own home and financial affairs.
Robert has begun to notice that Rose Lee has a gradually worsening memory impairment and difficulty finding words, but Rose Lee became angry at the suggestion that she may have a progressive impairment. Robert says other family members and friends have noted a decline in housekeeping and financial affairs, but Rose Lee herself has no complaints.
Elevated arterial blood pressure was documented on several occasions, but Rose Lee never took medication. She has no children and had a hysterectomy in her thirties.
She is a well-groomed woman who is alert and friendly. General and elemental neurological exams are normal.
About five minutes after coming in, having already greeted everyone and exchanged names, your preceptor asks her to state her name and age. Watch the video of your preceptor’s conversation with Rose Lee (2:02 minutes) (Links to an external site.), paying particular attention to Rose Lee’s speech patterns. (Rose Lee transcript (Links to an external site.))
Questions
From your perspective as Rose Lee’s psychiatric nurse practitioner, answer the following questions in a paper no longer than two double-spaced pages (not including the reference page) and in APA format. Include at least three peer-reviewed, evidence-based references (not including your texts).
- According to Stahl, what neurobiological models are there for dementia? Which, if any, of these apply to Rose Lee?
- What are the stages of Alzheimer’s? What stage do you think Rose Lee is in?
- Rose Lee needs formal screening and/or testing. What screening tools and testing would you have her complete?
- What medication would you start her on, if any?
- What education would you provide Rose Lee and Robert?
- What referral(s) would you give Rose Lee? Why?
Homework Answers
dr. mark perr in clinic . today patient ROSE LEE STORM, 73 year
old woman
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