Marthais an 84-year old lady, referred to you in the memory clinic for assessment of memory impairment and other possible mental health concerns. She…

Question -Martha is an 84-year old lady, referred to you in the memoryclinic for assessment of memory impairment and other possible mental health concerns. She comes to clinic accompanied by her son and daughter-in-law. They are particularly concerned that she is depressed or anxious and that one of those is contributing to her memory loss. -On the pre-clinic questionnaire her son has reported a severe deterioration in all aspects of her cognition over the past 12 months. -The patient herself acknowledges that there have been memory problems, but feels it is just her short term memory that is an issue.QUESTIONS TO ANSWER:1. What are the key features you will want to address in this patient’s memory loss history? Why?2. What tools might you use to assess for depression and anxiety in the geriatric client and why?  3. What medications are on your “watch list” for Martha?4. Name 4 differential (psych) diagnoses you will consider for Martha? What physiological (medical) conditions could account for the symptoms Martha is experiencing ? Assuming Martha does not have a medical condition that is responsible for symptoms, what is your working psychiatric diagnosis?QUESTION:1. What labs or diagnostics would you expect to see? What rationales are associated with ordering these labs and/or diagnostics? Why would you order them? What would expect to rule in or rule out by ordering them?) -With the exception of age-related involutional changes on the CT head (noted to have minimal white matter changes/small vessel disease), all the dementia screen bloods are reassuring. -You next decide to perform a physical examination of Martha. QUESTION:What will you consider in your physical exam of Martha and why?  -On examination Martha is alert and well, ambulating independently around the clinic waiting room area. A neurological examination was normal throughout, and there were no other major pathologies found on a general examination. -You now proceed to cognitive testing: QUESTION:What cognitive test (s) will you consider for cognitive testing for Martha and why?Martha scores 14/30 on a MOCA, losing points throughout multiple domains of cognition. Question:What is the most likely diagnosis for Martha? What is your rationale for choosing this diagnosis, including DSM 5 criteria.What will be your management strategies for Martha?What medications will you consider?What non-pharmacological interventions (if any) will you consider?What is your advise to Martha’s family? What teaching will you provide? Health Science Science Nursing NURS 3513 Share QuestionEmailCopy link Comments (0)