i human Mrs. Janet Riley (JR )Patient Encounter Linh Chau

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JR Patient Encounter 1 JR Patient Encounter Linh Chau NSG 502 Oct 1st, 2018 Professor: Danielle Patrick This study source was downloaded by 100000805030033 from CourseHero.com on 08-12-2022 19:... 27:13 GMT -05:00 https://www.coursehero.com/file/35389327/JR-encounterdocx/ JR Patient Encounter 2 Mrs. Janet Riley is a 79-year-old Caucasian female who presents today with her daughter, Ann, who is concerned about Mrs. Riley’s progressive cognitive and memory deficits, emotional lability and behavioral changes for about 3 to 4 years now, especially the last few months those symptoms have been worst. Mrs. Riley’s daughter reports that she has noticed changes in Mrs. Riley’s personality, and behavior. Mrs. Riley has been noted that she is unable to complete her activities of daily living, and lack of interest in previous activities and friends. She also mixes up words, forget names of familiar people, and gets angry when help is offered. It was difficult to assess Mrs. Riley since she is not cooperating and often time stated, “it’s time to leave. I’m not going to answer you,” and so on. Mrs. Riley presents today as unkempt and has obvious malodorous body odor. She is alert and oriented times two (person and place). Unintentional weight loss about 8 lbs. Daughter stated patient has not been able to cook for herself anymore, and this has been going on for about two three months now. She recently fell at home related to trip and fall. Had head trauma history due to the fall and ended up in the ER for observation. Mrs. Riley has history of HTN, high cholesterol, and CAD with stent placement. Her geriatric depression scale is 3/15, and her MMSE score is 19/35. Test ordered for Mrs. Riley are blood work, a brain MRI, urinalysis, EEG, CSF analysis, and a brain MRI. As the results for CBC and B12 show normal limits, patient doesn’t have sleep obstructive sleep apnea, UA is negative, and CSF is normal. However, the MRI does show generalized cortical atrophy and a reduced hippocampal volume, as well as the EEG shows cortical dysfunction. Atrophy of the cortex is indicative of Alzheimer’s disease, and per Vemuri & Jack (2010), brain atrophy is measure on MRI, and it is a helpful test to determine the intensity of neurodegenerative process of Alzheimer’s disease. The cerebral cortex plays an important part in memory, attention, This study source was downloaded by 100000805030033 from CourseHero.com on 08-12-2022 19:27:13 GMT -05:00 https://www.coursehero.com/file/35389327/JR-encounterdocx/ JR Patient Encounter 3 thought, and language. Mrs. Riley’s MRI has shown an atrophy of th [Show More]

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