Question:GERIATRIC POPULATION WITH DEMENTIA. What differential…
QuestionAnswered step-by-stepQuestion:GERIATRIC POPULATION WITH DEMENTIA. What differential…Question: GERIATRIC POPULATION WITH DEMENTIA. What differential diagnosis could be considered, and why? (Include possible medical and psychiatric differentials that might be warranted). https://www.youtube.com/watch?v=_hRBPrfDQVI&feature=youtu.beScenarioLee Hyer:Doris, I just want to ask you some questions about your memory. We’ll be about 20 minutes to a half hour, okay, so I can get some idea about how you’re thinking. Have you had any trouble with your memory?Doris:No.Lee Hyer:No, it’s been pretty good, huh? Yeah. Do you know what day it is today? Monday, Tuesday, Wednesday, Thursday? I told you I was going to be annoying. Can you give me your best guess what day it is?Doris:I’d say Thursday. And you’ve not really noticed anything that’s terribly different for you over the last two or three years, huh?Doris:No.Lee Hyer:Okay. Okay. Things are pretty good at home?Doris:Mm-hmm (affirmative).Lee Hyer:Your mood is pretty good? You eat okay? You’re feeling okay?Doris:Yeah.Lee Hyer:That’s good. That’s good. Everything is pretty cool with you and your husband, huh?Doris:Mm-hmm (affirmative).Lee Hyer:Great. How many children do you have?Doris:Two. None now.Lee Hyer:None now. But, you had how many?Doris:Just the two.Lee Hyer:Two. What were their names?Doris:Beverly and Billy. They both were married.Lee Hyer:They both were married. Where are they living now?Doris:We don’t have any children right now. I did.Lee Hyer:Do you get feelings about that when you do talk about them?Doris:Mm-hmm (affirmative).Lee Hyer:You do. So right now, are you feeling a little sad?Doris:Mm-hmm (affirmative).Do you find yourself sleeping a good deal during the day?Doris:No.Lee Hyer:No. Do you sleep okay at night?Doris:Mm-hmm (affirmative).Lee Hyer:You do. Okay. Are you tired during the day?Doris:Sometimes.Lee Hyer:Sometimes. I notice you were kind of nodding off when we talked a few minutes ago. Did you notice that?Doris:Yeah.Lee Hyer:You did, huh? You’ll do that on occasion, huh? Okay. Do you do much reading or do you watch TV?Doris:Both. Both of those things, yes.Lee Hyer:You do. What’s your favorite television show?Doris:I can’t think of them.Lee Hyer:Okay.Doris:Just turn them on and watch them.Lee Hyer:You just turn them on and watch them. What’s what’s your address? Do you know your address at home?Doris:Yeah.Lee Hyer:What is it?Doris:It’s 78.Lee Hyer:78.Doris:Curtis Street.Lee Hyer:Curtis street. What town?Doris:That’s New Port.Lee Hyer:Okay, I’m going to mention three words and you say them after me when I’m done. Okay?Doris:Mm-hmm (affirmative).Lee Hyer:Apple. Penny. Table.Doris:Apple. Penny. Table.Lee Hyer:Super, super, super. Can you do me a favor? Can you pull out your mathematics hat and subtract seven from 100? It was clear that she did not need a lengthy battery that what we were into with someone in the moderate stages of dementia.Doris:93.Lee Hyer:Good. Her memory is not going to be her friend. Do you remember those three words I just asked you to remember?Doris:No.Lee Hyer:Do you remember any of them?Doris:No.Do they look alike to you?Doris:Yeah.Lee Hyer:Okay. So you did a pretty good job, huh?Doris:No.Lee Hyer:What’s the difference?Doris:Those are spread out better.Lee Hyer: Do you remember those three words I just asked you to remember?Doris:No.Lee Hyer:Do you remember any of them?Doris:No.Lee Hyer:No? I’m going to say them again. You say them after me, okay? Apple. Penny. Table. Can you say those?Doris:Apple. Penny. Table.Lee Hyer:Good.Doris:I was going to say apple before.Lee Hyer:Yeah.Doris:But, I…Lee Hyer:It was on the tip of your tongue, huh?Doris:Yeah.Lee Hyer:Okay. Okay. What’s this right here?Doris:That’s a watch.Lee Hyer:That’s a watch. What’s this right here?Doris:That’s a pencil.Lee Hyer:That’s a pencil. Is it a pencil or is it a pen? We have a moral obligation to sort of better understand that group-Doris:Can be a combination.Lee Hyer: What’s this right here? Doris:I forget.Speaker 3:I think it’s important to look at the big picture and to see what the strengths and the weakness. The rehab works on the strengths to see if they can pull up the weaknesses and then you’re doing exactly the right thing.Lee Hyer:You’ve done this all your life and talk to John about it. What’s that called? No? That is a weapon.Doris:Yeah, it was a weapon.Lee Hyer:What kind of a weapon?Doris:Cannon.Lee Hyer:Cannon. Good job. Good job. What about this one?Doris:It’s a sailboat.Lee Hyer:How about this one? What’s that called? Doris:That’s a camel I think.Lee Hyer: We’re almost done here. I just want to ask you: what’s my name?Doris:I forgot.Lee Hyer:Okay. I want you to remember my name. It’s Dr.Hyer. Can you say it for me?Doris:Dr.Hyer.Lee Hyer:Yes. Now, tell me again where you were born.Doris:I was born at Somerville, Mass.Lee Hyer:Somerville Mass. What’s my name?Doris:I forgot.Lee Hyer:Okay. What’s my name?Doris:William.Lee Hyer:My name is Hyer or lower?Doris:William Hyer.Lee Hyer:William Hyer. Dr. Hyer. Yes. Okay. So, what’s my name?Doris:Dr. Hyer. William Hyer.Lee Hyer:Okay. Just Dr. Hyer. Thank you. Social SciencePsychologyPSY NUR 5112Share Question
