NUR 654   DQ3   1 & 2
Objectives:

1. Diagnose neurological and psychiatric conditions for geriatric patients.
2. Manage neurological and psychiatric illnesses and conditions for geriatric patients.
3. Utilize patient health history, systems, and physical examination when working with geriatric populations presenting with neurological and psychiatric illnesses and conditions.
4. Analyze diagnostic studies during the clinical reasoning stage in the diagnosis of neurological and psychiatric illnesses and conditions.

1. Assessment Description

The FNP conducts a routine follow-up on a 74-year-old female patient with depression, who reports that she is feeling like she cannot go on anymore. The FNP learns that this patient discontinued her medication 3 weeks ago because she could not afford it. What should the FNP do in this situation? Support your response. Differentiate your response based on the patient’s age vs. a 25-year-old patient. What are the potential differences in presentation, risks, and treatment plan for clinical depression in a geriatric patient vs. a younger adult? Support your answer with two or three peer-reviewed resources.

1. What should the FNP do in this situation?

1. Support your response by Utilize patient health history, systems, and physical examination when working with geriatric populations presenting with neurological and psychiatric illnesses and conditions.

1. Differentiate your response based on the patient’s age vs. a 25-year-old patient. What are the potential differences in presentation, risks, and treatment plan for clinical depression in a geriatric patient vs. a younger adult?

References :

Use –  Care on point

References :

Use book Primary Care

https://bibliu.com/app/#/view/books/9780323355216/epub/OPS/xhtml/chp00193.html#page_1019

Reference :

https://pubmed.ncbi.nlm.nih.gov/9817615/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2852580/

https://www.who.int/news-room/fact-sheets/detail/mental-health-of-older-adults

2. Assessment Description

There are differences between Alzheimer’s, Lewy body, or vascular dementia. Compare and contrast differences in etiology, presentation, evaluation, and treatment plan for two types of dementia. Include implications for patient and caregiver of the dementia diagnosis. Support your answer with two or three peer-reviewed resources.

Alzheimer’s

etiology, presentation, evaluation, and treatment plan

include implications for patient and caregiver of the dementia diagnosis.

Vascular dementia

etiology, presentation, evaluation, and treatment plan

include implications for patient and caregiver of the dementia diagnosis.

References :

Use –  Care on point

References :

Use book Primary Care

https://bibliu.com/app/#/view/books/9780323355216/epub/OPS/xhtml/chp00193.html#page_1019

Reference :

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181710/

https://neuro.psychiatryonline.org/doi/10.1176/jnp.12.3.305

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