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Posted: July 20th, 2023
Alzheimer's Disease
Instructions: Select one of the topic mentioned below and discuses filling the attached form.
Topics:
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Alzheimer’s disease
Requirements
Ø The discussion must address the topic
Ø Rationale must be provided
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Ø Use at least 600 words (no included 1st page or references in the 600 words)
Ø May use examples from your nursing practice
Ø Formatted and cited in current APA 7
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Ø Use 3 academic sources, not older than 5 years. Not Websites are allowed.
Ø Plagiarism is NOT permitted
________________
Soap Note # ____ Main Diagnosis ______________
PATIENT INFORMATION
Name:
Age:
Gender at Birth:
Gender Identity:
Source:
Allergies:
Current Medications:
•
PMH:
Immunizations:
Preventive Care:
Surgical History:
Family History:
Social History:
Sexual Orientation:
Nutrition History:
Subjective Data:
Chief Complaint:
Symptom analysis/HPI:
The patient is …
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Review of Systems (ROS) (This section is what the patient says, therefore should state Pt denies, or Pt states….. )
CONSTITUTIONAL:
NEUROLOGIC:
HEENT:
RESPIRATORY:
CARDIOVASCULAR:
GASTROINTESTINAL:
GENITOURINARY:
MUSCULOSKELETAL:
SKIN:
Objective Data:
VITAL SIGNS:
GENERAL APPREARANCE:
NEUROLOGIC:
HEENT:
CARDIOVASCULAR:
RESPIRATORY:
GASTROINTESTINAL:
MUSKULOSKELETAL:
INTEGUMENTARY:
ASSESSMENT:
(In a paragraph please state “your encounter with your patient and your findings ( including subjective and objective data)
Example : “Pt came in to our clinic c/o of ear pain. Pt states that the pain started 3 days ago after swimming. Pt denies discharge etc… on examination I noted this and that etc.)
Main Diagnosis
(Include the name of your Main Diagnosis along with its ICD10 I10. (Look at PDF example provided) Include the in-text reference/s as per APA style 7th Edition. Make a paragraph
Differential diagnosis (minimum 4) make a paragraph for each one
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PLAN:
Labs and Diagnostic Test to be ordered (if applicable)
• -
• -
Pharmacological treatment:
-
Non-Pharmacologic treatment:
Education (provide the most relevant ones tailored to your patient)
Follow-ups/Referrals
References (in APA Style).
_________________
Alzheimer's Disease
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Introduction
Alzheimer's disease (AD) is a progressive neurodegenerative disorder that primarily affects the cognitive functions of the brain, leading to memory loss, impaired thinking, and behavioral changes. It is the most common cause of dementia among older adults, with a prevalence that continues to rise as life expectancy increases. In this discussion, we will explore the intricacies of Alzheimer's disease, its impact on patients, and the rationale behind the diagnosis and treatment decisions.
Rationale for the Diagnosis
The patient's chief complaint and symptom analysis, along with the review of systems, provide valuable insights into their condition. As a healthcare provider, a thorough examination and analysis of both subjective and objective data are crucial in arriving at a definitive diagnosis.
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Based on the provided information, the main diagnosis is Alzheimer's disease (ICD-10 code: G30.9). The patient's subjective data reveals a chief complaint of memory loss and difficulty in thinking, which is further supported by objective data, such as neurologic deficits and impaired cognitive functions noted during the examination. Additionally, the patient's age and gender align with the typical demographic of individuals affected by AD.
Differential Diagnoses
While Alzheimer's disease is the primary diagnosis, it is essential to consider alternative possibilities to ensure accuracy. The following are some of the differential diagnoses that might present with similar symptoms:
Mild Cognitive Impairment (MCI): MCI is a cognitive decline that is more significant than typical age-related changes but not severe enough to meet the criteria for dementia. It can be a precursor to Alzheimer's disease.
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Vascular Dementia: Vascular dementia is caused by impaired blood flow to the brain, leading to cognitive impairment. It shares similarities with AD but is distinguished by its underlying vascular etiology.
Frontotemporal Dementia (FTD): FTD is a group of disorders characterized by degeneration of the frontal and temporal lobes of the brain. It often presents with behavioral and personality changes, which can be mistaken for AD.
Lewy Body Dementia (LBD): LBD is characterized by the presence of abnormal protein deposits in the brain, called Lewy bodies. It can lead to cognitive decline, visual hallucinations, and motor symptoms resembling Parkinson's disease.
Plan
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In managing Alzheimer's disease, a comprehensive approach is necessary to address the multifaceted nature of the condition. The plan should include the following components:
Labs and Diagnostic Tests: While there is no definitive diagnostic test for AD, certain laboratory tests can help rule out other medical conditions that may present with similar symptoms. These tests may include blood tests, brain imaging (such as MRI or PET scans), and cognitive assessments.
Pharmacological Treatment: Medications such as cholinesterase inhibitors (e.g., donepezil, rivastigmine) and N-methyl-D-aspartate (NMDA) receptor antagonists (e.g., memantine) are commonly prescribed to manage cognitive symptoms in AD.
Non-Pharmacologic Treatment: Non-drug interventions play a significant role in managing AD. Cognitive stimulation, physical exercise, and social engagement have been shown to have positive effects on cognitive function and overall well-being.
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Education: Educating both the patient and their caregivers about the disease's progression, symptom management, and strategies to enhance quality of life is essential.
Follow-ups and Referrals
Regular follow-up appointments are crucial for monitoring disease progression and treatment efficacy. Additionally, referrals to specialists, such as neurologists, geriatric psychiatrists, and occupational therapists, may be necessary to provide specialized care and support.
Conclusion
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Alzheimer's disease presents a complex and challenging scenario for healthcare providers. A thorough evaluation of subjective and objective data is vital for accurate diagnosis and treatment planning. The management of AD requires a multi-faceted approach that addresses cognitive, emotional, and physical aspects of the patient's well-being. Through a comprehensive plan and ongoing support, patients with Alzheimer's disease can receive the best possible care and quality of life.
References:
Petersen, R. C. (2016). Mild cognitive impairment. CONTINUUM: Lifelong Learning in Neurology, 22(2 Dementia), 404-418.
van der Flier, W. M., & Scheltens, P. (2018). Epidemiology and risk factors of dementia. Journal of Neurology, Neurosurgery & Psychiatry, 89(8), 885-886.
Alzheimer's Association. (2019). Alzheimer's disease facts and figures. Alzheimer's & Dementia, 15(3), 321-387.
Ferreira, D., Verhagen, C., Hernández-Cabrera, J. A., Cavallin, L., Guo, C. J., Ekman, U., ... & Westman, E. (2020). Distinct subtypes of Alzheimer’s disease based on patterns of brain atrophy: longitudinal trajectories and clinical applications. Scientific Reports, 10(1), 1-12.
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