Mrs. Johnson is a 79-year-old lady who has been managed for Alzheimer’s dementia
Mrs. Johnson generally does well with her donepezil and reports only minimal side effects so far. She is mindful that the side effects may worsen over time, but at this point recognizes that the benefits of donepezil outweigh the mild side effects. She has begun using a medication diary where she documents the times of administration and doses along with any side effects experienced. She is also able to manage her behaviors better because of her increased awareness of potential negative actions that may occur as a result of progressing AD. The family is implementing some behavioral strategies in order to help decrease Mrs. Johnson’s nighttime wandering tendencies as she becomes more advanced with her disease processes and symptoms progress. In addition, a family program has also been started to provide Mrs. Johnson’s family some education about AD such as what it is, how families can get help for themselves after their loved one goes into a memory care facility, and how they can support Mrs. Johnson in having quality of life during this challenging course of illness.
Mrs. Johnson is a 79-year-old lady who has been managed for Alzheimer’s dementia with a variety of nonpharmacologic management strategies such as promoting a clear household routine, timed toileting, pet therapy, and other strategies to provide structure. However, she was finally started on donepezil 10 mg daily at bedtime to try and maximize cognitive function and memory. When following up for medication tolerance and adverse effects, the PMHNP recognizes that the most common patient complaints include: