Dementia and Diarrhea Essay - 2103 Words

Clinical History Comprehensive: Nursing Home, dementia, diarrhea DOB: 3-17-13 March 14, 1995 ANNUAL HP DICTATION – Completed/Dictated 3-9-95 CODE STATUS: DNR/DNI This resident is an 81-year-old gentleman who is pleasant and cooperative but not a good historian due to his dementia. Chief complaint: Resident has been having diarrhea according to his records for the past week, since the 24th of February. He has been having two to three large loose brown stools per day primarily in the evening and at night. He has no nausea, no vomiting, no decrease in appetite, no abdominal pain and no fever. He has some vague complaints of heart burn from time to time, pain in both groins and in both legs. These complaints are†¦show more content†¦He has no siblings and no known relatives. He has never married and has no children. He lived alone all of his life. He served in World War II. He did farm work and worked at a Meat Packing factory. He had a good friend who was quite close to him and looked after him the later years of his life. Resident has a positive outlook on life. REVIEW OF SYSTEMS: A review of systems was attempted but not completed because the resident was unable to concentrate and his answers were not reliable. PHYSICAL EXAM: Height 5’6†. Weight 221 pounds. Weight 1 year ago: 205 pounds. Blood pressure: 130/70. Pulse: 78. (What is the temperature? What is the respiration rate?) Skin: Warm and dry, no rashes, bruises or suspicious lesions, numerous seborrheic keratoses over the back, neck and head. (No skin turgor evaluated due to diarrhea?) Head: Hair thinning, scalp and skull normal. Eyes: Vision good in right eye but very poor in left eye; has corrective lenses but does not wear them. Unable to test EOMs or fields because resident does not cooperate. Red reflex seen in both eyes and vessels appear normal. Discs not visualized. PERRLA, conjunctiva pink, sclera clear. Ears: Drums obscured by wax bilaterally, acuity good to whispered voice. Nose: Mucosa pink, no sinus tenderness. Mouth: Mucosa pink, poor dentition, tongue midline, no lesions on tongue or under tongue or on buccal surfaces, pharynx pink. Neck: tracheaShow MoreRelated Dementia and Alzheimers Disease Essay examples638 Words   |  3 PagesDementia and Alzheimers During an average lifetime, one can expect to have at least occasional memory lapses from time to time. Usually its something as simple as forgetting what you just did a few minutes ago, forgetting if you turned the stove off, or if you left your keys on the table or in the bathroom counter. Such lapses are relatively normal, but when they become a recurring theme, its a more serious problem. As people age, it is natural for them to experience a mild degree of memoryRead MoreDifferentiate Between Delirium And Dementia938 Words   |  4 Pages ABNORMAL PSYCHOLOGY Student’s name Prof’s name Course title Date Qsn. 1 Differentiate between delirium and dementia Delirium is also referred to acute state of confusion that presents in three forms. Its symptoms are severe confusion and bewilderment in the hyperactive form it is also characterized by an equally sudden pulling out from dealings with friends and the rest of the outside world. In the third form that is mixed delirium all these symptoms occur in an individualRead MoreIdiopathic Parkisons Disease779 Words   |  3 Pagesdifficult to identify 4. DEMENTIA WITH LEWY BODIES: Dementia with Lewy bodies is similar, in some ways, to Parkinsons and Alzheimers. Symptoms differ slightly from Parkinsons and include problems with memory and concentration, attention, language and the ability to carry out simple actions. People who have dementia with Lewy bodies commonly experience visual hallucinations and some Parkinsons-type symptoms, such as slowness of movement, stiffness and tremor. Dementia with Lewy bodies is alsoRead MorePlay Therapy Is Used As A Modality1398 Words   |  6 Pagesthemselves and they constantly will need someone around just in case they need something. Dementia is a symptom that affects a person’s memory as well as their thinking and their social abilities. This disorder interferes with a person’s daily functions of life, and it affects their function on the day-to-day activities. Many treatments can be used to treat dementia. According to the mayo clinic most dementia cannot be cure but there are ways to manage disorder so that a person can live a somewhatRead MoreA Look At Non Alzheimer s Disease1684 Words   |  7 PagesA Look At Non-Alzheimer’s Disease Dementias By Katie Bergstrom, PA-S ABSTRACT: The most common tendency in assessing patients who display signs of dementia is to evaluate them for Alzheimer’s Disease. This means that Vascular Dementia, Dementia with Lewy Bodies, and Parkinson’s Disease Dementia are conversely overlooked as possible diagnoses. Special attention to clinical presentation and the use of diagnostic tests (such as the MRI) and assessment scales (like the Mini Mental State Exam) aid inRead MoreThe Decline Of The 21st Century1527 Words   |  7 Pagesconversations; on the contrary, our healthcare system has numerous issues to address. Among of them, dementia may be one of the most important. Why, you may ask? Let us begin with the fact that dementia is the sixth leading cause of death in America. According to the RAND Corporation, backed by the federal administration, â€Å"15 percent of people aged 71 or older, about 3.8 million people, have dementia†5. That information might sound irrelevant to some but it is vital in understanding the future. InRead MoreThe Medical Management Of Alzheimer s Disease2536 Words   |  11 PagesDementia is a syndrome of gradual onset and continuing decline of higher cognitive functioning (Alderman and Daly, 2005, p.1745). The term dementia is derived from Latin word demens (meaning without mind). Alzheimer’s disease (AD) is a most common form of dementia and a neurodegenerative disease with more than 25 million cases worldwide. The disease was first described by Alios Alzheimer a German physician in 1906 and published it in 1907 under the title â€Å"A characteri stic serious disease of the cerebralRead MoreThe Origins Of Hiv ( Immunodeficiency Syndrome )1031 Words   |  5 Pagesexperience only generalized flu-like symptoms such as malaise, nausea and vomiting, decreased appetite, rash and diarrhea. In the latent stage of the disease the patients may begin to experience frequent and persistent infections. Complaining of fever, night sweats, swollen lymph nodes, headache, skin lesions that do not heal, sore throat, difficulty breathing, burning with urination or diarrhea. Patients also may report extreme fatigue and weight loss. Any of these symptoms coupled with a history of unprotectedRead MoreGluten Food And Gluten Free Diet1097 Words   |  5 Pagesaccidentally eats gluten they may have abdominal pain, diarrhea, headache, trouble concentrating, fatigue, weight loss, or malnutrition. Some may not have symptoms, however, the gluten may still be damaging to their intestines. Overtime it may lead to serious complications such as small inte stinal cancer (Nutrition and Healthy Eating, 2014). According to the Harvard Health Letter, even a crumb of food with the gluten protein can cause sever indigestion and diarrhea, which may be so severe it can cause life-threateningRead MoreGathering Cues And Coming For Know The Patient1266 Words   |  6 PagesSynopsis of Patient My patient was a 68 year old female that was brought to ER via EMS on Feb 15 with nausea, vomiting, and diarrhea x2 days. The pt had not been able to eat or drink for the last 1.5 days, and felt weak and dizzy for the past 2 days. The patient lives at home alone in Kitchener, her spouse resides in a long term care home as he suffers from advanced dementia, they have no children. For IADL’s the client is able to cook her own meals, drive, and do her own shopping. However she receives