NR 601 WEEK 1 DISCUSSION 1- COMPREHENSIVE DISCUSSION TO SCORE AN (A) GRADE

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Comprehensive Geriatric AssessmentDomainDimension of assessmentScreening tool related to the domain(s)PsychologicalThe dimension ofThere are several screening tools that werehealthassessment for thede... veloped to assess for the psychological health ofpsychological healththe patients, some of them include the golddomain covers thestandard to test for these disorders was the Mini-cognitive and affectivemental Status Examination (MMSE, new versionsdisorder of the patientshorter and reliable tests were develop such as the(Kennedy-Malone,Mini-Cog, Montreal Cognitive AssessmentPlank, & Duffy, 2019).(MoCA), and the Saint Louis University MentalThe cognitive andStatus Examination (SLUMS) (Kennedy-Malone,affective disorder can bePlank, & Duffy, 2019). The Confusion Assessmentseen in patients sufferingMethod (CAM) is ascreening tool developed tofrom dementia, anxiety,assess delirium and the PHQ-9 is a questionnairedepression, and deliriumthat assesses depression (Kennedy-Malone, Plank,(Jiang & Li, 2016). The& Duffy, 2019) Finally, HOPE, FICA, and SPIRITcognitive aspect ofare tools that help to determine the patient'spsychological healthspiritual beliefs and the comfort related with theseconsists of differentbeliefs (Kennedy-Malone, Plank, & Duffy, 2019).functions of the brainAs mentioned above the gold standard screeningthat can be tested such astest for psychological health is the Mini-mentalmemory, language,Status Examination (MMSE). The purpose of theattention, and thinkingMMSE is to test for cognitive function among the(Morris, Clark, &elderly patients; this test includes orientation,Shipley, 2016).attention, memory, language, and visual skillsThe affective disorder of(Morris, Clark, & Shipley, 2016). The use of thethe psychological healthMMSE is helpful in primary care because is a shortof the patient focus ontest that can be done in 10 mins and will providethe emotions, feelings,objective findings to help determine the cognitiveand moods of thefunction of the patient. The components of the testpatients (Morris, Clark,include a series of tasks performed by the patients& Shipley, 2016). Theseand each of them corresponds to a numerical score;cognitive and affectivefor example, the patient is asked to state the year,disorders in elderlydate, season, day, and month (Arevalo-Rodriguez etpatients often areal., 2015).mistaken by otherThe MMSE is composed of 11 major items; eachmedical conditions suchitem scores varies from one to five pointsas poor oxygenation,depending on the task and the difficulty with amedication, or infections.maximum score of 30; items include temporalIt is important for healthorientation, spatial orientation, immediate memory,care providers to assessattention/concentration, delayed recall, naming,geriatric patients whenverbal repetition, verbal comprehension, writing,any cognitivereading a sentence, and constructional praxis impairment is suspected(Arevalo-Rodriguez et al., 2015).to ensure the patientPatients that score thirty indicate that there is noreceived the appropriatecognitive impairment and less than fifteen indicatestreatment as soon asthat there is an impairment; the use of MMSE ispossible.used to determine if additional testing is needed inpatients where cognitive impairments are presumed(Arevalo-Rodriguez et al., 2015).References:Arevalo-Rodriguez, I., Smailagic, N., Roqué I Figuls, M., Ciapponi, A., Sanchez-Perez, E.,Giannakou, A., Pedraza, O. L., Bonfill Cosp, X., & Cullum, S. (2015). Mini-Mental StateExamination (MMSE) for the detection of Alzheimer's disease and other dementias in peoplewith mild cognitive impairment (MCI).The Cochrane database of systematic reviews,2015(3),CD010783.https://doi.org/10.1002/14651858.CD010783.pub2Jiang, S., & Li, P. (2016). Current development in elderly comprehensive assessment andresearch methods.BioMed research international,2016, 3528248.https://doi.org/10.1155/2016/3528248Kennedy-Malone, L., Plank, L. M., & Duffy, E. G. (2019).Advanced practice nursing in thecare of older adults(2nd ed.). Philadelphia: F.A. Davis Company.Morris, D., Clark, M., & Shipley, S. (2016). The mental status examination.American FamilyPhysician.94(8):635-641. Retrieved fromhttps://www.aafp.org/afp/2016/1015/p635.htm [Show More]

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