SU NSG6340 Week 4 Discussion Latest 2019 JUNE Question # 00602180 Course Code : Nsg6340 Subject: Health Care Due on: 06/14/2019 Posted On: 06/14/2019 06:51 AM Tutorials: 1 Rating: 4.8/5
NSG6340 Adult Health Primary Care
Week 4 Discussion
You are
seeing a 79 y/o male in your clinic. Mr.
A has been a patient of yours for several years. Today his wife is with him and reports that
Mr. A has been more forgetful and she is concerned. Mr. A made several wrong turns getting home
from Church last week, today he was unable to locate the clinic when driving
today. He became quite angry when Mrs. A suggested she should drive today. There is a dent on the fender of the car that
Mr. A cannot describe how it happened.
Mr. A also had a bruise on his arm that day. Mrs. A does not like to leave Mr. A home
alone for any period of time any longer as he gets anxious then agitated. One week ago, Mr. A called 911 convinced that Mrs. A had been
abducted when she was taking the garbage to the curb. She was only out of the house for 5 minutes.
During your
exam you conduct a Folstein MMSE. Mr. A
scores 21/30. When testing for Visual
Fields, he shows deficits in bilateral peripheral vision of approximately 15
degrees. He has slowed motor movements,
and decreased rotation of his head/neck, showing limitation of rotation to 40
degrees in both directions without discomfort.
Mr. A has a slightly shuffled gait, but no instability. The remainder of your workup shows Mr. A does
not have further deficits. Your
diagnosis is Early Dementia, and you reassure Mrs. A that the limitations he
exhibits in peripheral vision and neck range of motion can be considered a
normal aging change for him.
Discuss the
concerns regarding Mr. A’s continued driving.
What assessments should be done to determine Mr. A’s driving
skills. What is the obligation of the
provider in this circumstance? Outline
a plan of care for how to proceed with Mr. and Mrs. A.

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