Mrs. Maxwell is a 75-year-old patient with moderate Alzheimer’s dementia
Answer: Mrs. Maxwell is a 75-year-old patient with moderate Alzheimer’s dementia
Mrs. Maxwell, a 75-year-old Alzheimer’s patient and resident at an assisted living facility, is being evaluated by a nursing student at an assessment center. She has performed very well on her cognitive testing, falling within the average range for her age. Her skin is warm and dry to the touch, with no lesions or sores present. Examination of her oral cavity reveals intact dentition without odors or abnormal findings in the tongue and pharynx. A basic physical examination reveals regular heart rhythm, clear lungs and normal abdominal sounds, a nontender abdomen that is soft and non-tender, with no masses palpated. Once you have completed your assessment of Mrs. Maxwell, you hand off to the registered nurse who will continue to record vital signs and will assess Mrs. Maxwell’s medications, looking for safety issues or problems that may arise before discharge.
Mrs. Maxwell’s behaviors should prompt immediate depression screening. It is important to communicate with Mrs. Maxwell’s family members about her diagnosis and to develop a plan for managing her symptoms. Mrs. Maxwell’s family can help to identify situations that are more likely to trigger depression and that must be avoided, for example, constant arguing in the house, inadequate staff-to-patient ratios at the facility, or poor access to toilet facilities.Alzheimer’s dementia.
Mrs. Maxwell’s depression was missed because of her age, gender, and level of dementia. Depression is the most common untreated psychiatric disorder among the elderly and is frequently underdiagnosed.
Mrs. Maxwell has been increasingly fearful and sad for the past 3 days and has started to complain about being lonely. She no longer enjoys her favorite TV shows as much as before, is refusing to eat breakfast, and keeps telling her husband she wishes she were dead. When you ask her if anything is wrong, she responds “nothing.” Mrs. Maxwell is clinically depressed and needs immediate treatment. Please refer to the depression screening module.Alzheimer’s dementia.
Review the list below and click the checkboxes next to behaviors that typically suggest depression and warrant a depression screening. The second page of this survey offers further information on depression but is not part of your evaluation.
Mrs. Maxwell is a 75-year-old patient with moderate Alzheimer’s dementia. She lives with her son and his wife and generally does very well with her day to day activities. The family understands the importance of routine and Mrs. Maxwell maintains a regular schedule of activities including her meals, timed toileting, and recreational activities. Which of the following behaviors should prompt an immediate depression screening for Mrs. Maxwell?