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Alzheimer’s Disease
76-year-old Iranian Male

76-year-old Iranian Male

Decision Point One

Begin Razadyne (galantamine) 4 mg orally BID

RESULTS OF DECISION POINT ONE

  • Client allotment to dispensary in four weeks
  • The applicant is accompanied by his son who letters that his ancestor is “no better” from this medication
  • He letters that his ancestor is still aloof in accessory religious services/activities, and continues to display disinhibited behaviors
  • You abide to agenda confabulation and adjudge to administrate the MMSE again. Mr. Akkad afresh array 18 out of 30 with primary deficits in orientation, registration, absorption & calculation, and recall

Decision Point Two

Select what the PMHNP should do next:

Increase Razadyne to 24 mg continued absolution dailyDiscontinue Razadyne and activate Aricept (donepezil) 10 mg orally dailyDiscontinue Razadyne and activate Exelon (rivastigmine) 1.5 mg orally BID

The Assignment

Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease. You will be asked to accomplish three decisions apropos the medication to appoint to this client. Be abiding to accede factors that ability appulse the client’s pharmacokinetic and pharmacodynamic processes.

  • At anniversary accommodation point stop to complete the following:
    • Decision #1
      • Which accommodation did you select?
      • Why did you baddest this decision? Abutment your acknowledgment with affirmation and references to the Learning Resources.
      • What were you acquisitive to accomplish by authoritative this decision? Abutment your acknowledgment with affirmation and references to the Learning Resources.
      • Explain any aberration amid what you accepted to accomplish with Accommodation #1 and the after-effects of the decision. Why were they different?
    • Decision #2
      • Why did you baddest this decision? Abutment your acknowledgment with affirmation and references to the Learning Resources.
      • What were you acquisitive to accomplish by authoritative this decision? Abutment your acknowledgment with affirmation and references to the Learning Resources.
      • Explain any aberration amid what you accepted to accomplish with Accommodation #2 and the after-effects of the decision. Why were they different?
    • Decision #3
      • Why did you baddest this decision? Abutment your acknowledgment with affirmation and references to the Learning Resources.
      • What were you acquisitive to accomplish by authoritative this decision? Abutment your acknowledgment with affirmation and references to the Learning Resources.
      • Explain any aberration amid what you accepted to accomplish with Accommodation #3 and the after-effects of the decision. Why were they different?
  • Also accommodate how ethical considerations ability appulse your analysis plan and advice with clients.

Note: Abutment your account with a minimum of three bookish resources. While you may use the advance argument to abutment your rationale, it will not calculation against the ability requirement.

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