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NURS 6670 R.M. is an 81-year-old male who was evaluated at his own request because of his failing memory

NURS 6670 R.M. is an 81-year-old male who was evaluated at his own request because of his failing memory

 

R.M. is an 81-year-old male who was evaluated at his own request because of his failing memory

Answer:

R.M., since the diagnosis of mild cognitive impairment, you and your family have probably had many concerns about this diagnosis. Memory and thinking changes are often not easy for individuals and their loved ones to accept, particularly if they have been active, healthy adults before the changes.

R.M., this is a common sentiment among patients. Many times family members have been watching the decline and have assumed that when all of the symptoms are put together, they are something more serious. In your case, it is our opinion that you have mild cognitive impairment (MCI), which is an important part in the very early stages of Alzheimer’s disease.

Mild cognitive impairment, or MCI, is considered a transitional stage between age-related cognitive changes and the earliest stages of Alzheimer’s disease. This term was created to identify older adults who will progress to Alzheimer’s disease or other types of dementia. It helps distinguish that some people will be able to continue with life in a manner that feels comfortable for them, while others may need more support. With regard to symptoms, the most common feature of MCI is mild memory loss that disrupts a person’s daily routine but is not severe enough interfere with independent living. Unlike patients with mild memory problems caused by depression or anxiety, those with MCI have subtle but measurable deficits in one or more areas of cognition including memory, language, learning and problem solving; they also are aware of their problems and discuss them openly.

According to the National Alzheimer’s Association, about 15% of adults 65 years and older have mild cognitive impairment (MCI). MCI is a group of symptoms including memory problems. Alzheimer’s disease is the most common form of dementia. In fact, more than 70% of people with MCI develop Alzheimer’s disease over a period of 8–10 years. The most important thing you can do is continue to visit your primary care physician on a regular basis. Be sure to tell your doctor if you think medications you are taking could be affecting your memory. For example, some commonly prescribed medicines for high blood pressure and heart conditions can affect brain function. Avoiding alcohol use and keeping your stress levels low can also help protect your memory.

Mild cognitive impairment (MCI) is a loss of memory and other mental abilities that is not as severe as dementia but serious enough to interfere with daily life. MCI and Alzheimer’s disease can interfere with how well you function on a day-to-day basis. People with MCI may continue to live independently and participate in social activities, but they require more help than people who do not have cognitive problems.

Dementia, including Alzheimer’s disease (AD), is a complex set of symptoms that cause changes in cognition. There are five stages of AD. Stage 1, which you have, causes you to experience mild cognitive problems. The symptoms may be hard to notice, but are very noticeable near the end stage when you have very hard time remembering things and may even need help with daily activities. There is no cure for dementia but medications can slow its progression. You may also try lifestyle changes as well as treatments like cognitive therapy to slow its progression[9].

The best way to manage the course of MCI is to continue to learn as much as you can about it.

Question:

R.M. is an 81-year-old male who was evaluated at his own request because of his failing memory. He is an active older adult and has enjoyed a comfortable retirement lifestyle, but over the last year he has become increasingly troubled by his forgetfulness. His wife agrees that it has extended beyond the occasional memory lapse; he forgets names of things he should know and has forgotten commitments to friends and family. After a thorough evaluation, the PMHNP diagnoses mild cognitive impairment (MCI). R.M. asks if this is really Alzheimer’s disease, if it is going to get worse, and what can he do about it? The most appropriate response would be to tell R.M. that:

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