NURS 6630 Assessing and Treating Clients With Dementia

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NURS 6630 Assessing and Treating Clients With Dementia

NURS 6630 Assessing and Treating Clients With Dementia

 

The Alzheimer’s Association defines dementia as “a general term for a decline in mental
ability severe enough to interfere with daily life” (Alzheimer’s Association, 2016). This
term encompasses dozens of cognitive disorders of impaired memory formation, recall,
and communication. The care and treatment of clients with dementia is dependent on
multiple factors, including the stage of dementia, comorbidities, family support, and
even the care setting. In your role, as the psychiatric mental health nurse practitioner,
you must be prepared to not only treat clients with these various cognitive disorders, but
also the multiple behavioral issues that often accompany them. For this Assignment, as
you examine the client case study in this week’s Learning Resources, consider how you
might assess and treat clients presenting with dementia.
Learning Objectives
Students will:
 Assess client factors and history to develop personalized therapy plans for clients with dementia
 Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring therapy for dementia
 Evaluate efficacy of treatment plans
 Analyze ethical and legal implications related to prescribing therapy for clients with dementia
Learning Resources

Note: To access this week’s required library resources, please click on the link to the
Course Readings List, found in the Course Materials section of your Syllabus.
Required Readings
Note: All Stahl resources can be accessed through this link provided.
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and
practical applications (4th ed.). New York, NY: Cambridge University Press.

To access the following chapter, click on the Essential Psychopharmacology, 4th ed
tab on the Stahl Online website and select the appropriate chapter. Be sure to read all
sections on the left navigation bar for each chapter.

 Chapter 13, “Dementia and Its Treatment”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge
University Press.

To access information on the following medications, click on The Prescriber’s Guide,
5th ed tab on the Stahl Online website and select the appropriate medication.

Review the following medications:
For insomnia
 donepezil
 galantamine
 memantine
 rivastigmine

Bui, Q. (2012). Antidepressants for agitation and psychosis in patients with dementia.
American Family Physician, 85(1), 20–22. Retrieved from
http://www.aafp.org/journals/afp.html
Note: Retrieved from from the Walden Library databases.
Meltzer, H. Y., Mills, R., Revell, S., Williams, H., Johnson, A., Bahr, D., & Friedman, J.
H. (2010). Pimavanserin, a serotonin receptor inverse agonist for the treatment of
Parkinson's disease psychosis. Neuropsychopharmacology, 35, 881–891. Retrieved
from http://www.nature.com/npp/journal/v35/n4/pdf/npp2009176a.pdf
Required Media
Laureate Education. (2016h). Case study: An elderly Iranian man with Alzheimer’s
disease [Interactive media file]. Baltimore, MD: Author.
Note: This case study will serve as the foundation for this week’s Assignment.
To prepare for this Assignment:
 Review this week’s Learning Resources. Consider how to assess and treat clients requiring
therapy for dementia.
The Assignment
Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease. You will be
asked to make three decisions concerning the medication to prescribe to this client. Be
sure to consider factors that might impact the client’s pharmacokinetic and
pharmacodynamic processes.

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 At each decision point stop to complete the following:
o Decision #1
 Which decision did you select?
 Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
 What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
 Explain any difference between what you expected to achieve with Decision #1 and the results
of the decision. Why were they different?
o Decision #2
 Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
 What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
 Explain any difference between what you expected to achieve with Decision #2 and the results
of the decision. Why were they different?
o Decision #3
 Why did you select this decision? Support your response with evidence and references to the
Learning Resources.
 What were you hoping to achieve by making this decision? Support your response with
evidence and references to the Learning Resources.
 Explain any difference between what you expected to achieve with Decision #3 and the results
of the decision. Why were they different?
 Also include how ethical considerations might impact your treatment plan and communication
with clients.
Note: Support your rationale with a minimum of three academic resources. While you
may use the course text to support your rationale, it will not count toward the resource
requirement.
By Day 7
Submit your assignment
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
 Please save your Assignment using the naming convention “WK10Assgn+last name+first
initial.(extension)” as the name.
 Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.
 Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria
from this area.
 Next, from the Attach File area, click on the Browse My Computer button. Find the document
you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.

 If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my
paper(s) to the Global Reference Database.
 Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 10 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 10 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 10 Assignment

Making Connections

Now that you have:
 Assessed clients presenting with dementia
 Developed personalized plans of therapy for clients with dementia
 Examined factors that influence pharmacokinetic and pharmacodynamic processes in clients
requiring therapy for dementia
 Explored ethical and legal implications of prescribing therapy to clients with dementia
Next week, you will build on your assessment and treatment skills as you examine
clients presenting for therapy for comorbid conditions.
To go to the next week:
Week 11

Week 11: Therapy for Clients With

Comorbid Conditions

As a psychiatric mental health nurse practitioner,

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