Alzheimers Disease 76-year-old Iranian Male BACKGROUND Mr. Akkad is a 76 year old Iranian male who is brought to your office by his eldest son for strange behavior. Mr. Akkad was seen by his family physician who ruled out any organic basis for Mr. Akkads behavior. All laboratory and diagnostic imaging tests (including CT-scan of the head) were normal. According to his son, he has been demonstrating some strange thoughts and behaviors for the past two years, but things seem to be getting worse. Per the clients son, the family noticed that Mr. Akkads personality began to change a few years ago. He began to lose interest in religious activities with the family and became more critical of everyone. They also noticed that things he used to take seriously had become a source of amusement and ridicule. Over the course of the past two years, the family has noticed that Mr. Akkad has been forgetting things. His son also reports that sometimes he has difficult finding the right words in a conversation and then will shift to an entirely different line of conversation. SUBJECTIVE During the clinical interview, Mr. Akkad is pleasant, cooperative and seems to enjoy speaking with you. You notice some confabulation during various aspects of memory testing, so the PMHNP performs a Mini-Mental State Exam. Mr. Akkad scores 18 out of 30 with primary deficits in orientation, registration, attention & calculation, and recall. The score suggests moderate dementia. MENTAL STATUS EXAM Mr. Akkad is 76 year old Iranian male who is cooperative with todays clinical interview. His eye contact is poor. Speech is clear, coherent, but tangential at times. He makes no unusual motor movements and demonstrates no tic. Self-reported mood is euthymic. Affect however is restricted. He denies visual or auditory hallucinations. No delusional or paranoid thought processes noted. He is alert and oriented to person, partially oriented to place, but is disoriented to time and event [he reports that he thought he was coming to lunch but wound up here- referring to your office, at which point he begins to laugh]. Insight and judgment are impaired. Impulse control is also impaired as evidenced by Mr. Akkads standing up during the clinical interview and walking towards the door. When the PMHNP asked where he was going, he stated that he did not know. Mr. Akkad denies suicidal or homicidal ideation. Diagnosis: Major neurocognitive disorder due to Alzheimers disease (presumptive) RESOURCES § Folstein, M. F., Folstein, S. E., & McHugh, P. R. (2002). Mini-Mental State Examination (MMSE). Lutz, FL: Psychological Assessment Resources. Decision Point One Select what the PMHNP should do: Begin Exelon (rivastigmine) 1.5 mg orally BID with an increase to 3 mg orally BID in 2 weeks: Begin Aricept (donepezil) 5 mg orally at BEDTIMEBegin Razadyne (galantamine) 4 mg orally BID Examine Case Study: An Elderly Iranian Man With Alzheimers 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 clients pharmacokinetic and pharmacodynamic processes. At each decision point stop to complete the following: 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? 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? 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.
Why Choose Us
Do you need to ace that test? We are here to help you. We have qualified writers to present you with a 100% error-free paper. Toptutor4me offers you a unique and personalized custom paper that will assist you in getting that good grade.
Your paper will go through high editorial standards to meet your satisfaction. We have qualified writers to assist you to reach your academic goal without going through academic stress. We put into consideration the paper formatting, the pages required, valid citations, and included files to present you with an acceptable paper.
Our writers have a comprehensive experience and have perfected the art of crafting your paper. Regardless of the academic level or topic, we are prepared to provide a quality custom paper upon your order request.
Professional Academic Writers
A student needs professional assistance outside class time. Our writers possess Ph.D. in different fields and hold several years’ experience. Before hiring our writers, we give them tests and strictly consider their educational backgrounds.
After the sieving process, they are trained to ensure they deliver well-structured papers to our customers. Our experts work around the clock to provide correct answers and give any educational help. They not only deliver on time but also follow the customers’ instructions.
Every writer is a fluent native speaker of English and is from the USA, Canada, UK, or Australia. Our experts approach tasks effectively depending on their specialization.
Is the deal too good to be true? Toptutor4me is a reliable assignment help website on the market that considers students’ daily needs for academic help. Our assignment help is reasonably priced to approximately 90% of students around the world.
Our objective is to help students achieve academic excellence and we believe that inconsiderable charges should not hinder a student from getting the desired help.
In case the customer is not satisfied, we offer revisions and rewrites without extra charges. There are no unpleasant surprise charges at the checkout. We ensure maximum privacy and safe payment services.
Tight deadline? Paper due tomorrow? Do not worry our writers are ready to help. Students have difficulties balancing their social and academic life, therefore, getting caught up with academic deadlines.
Tackling your assignment at the last minute does not give you the advantage of carrying out extensive research and coming up with correct answers. Our experienced writers are knowledgeable and always available to work on your paper.
We guarantee you that outstanding papers are delivered on time at the customer's convenience. All you have to do is place an order giving a specific time delivery that works in your favor.
The ultimate deal-breaker in achieving a good grade is submitting an imitative paper. Plagiarism is a breach of examination standards and has serious consequences. Lecturers test the students' understanding of the taught topic by checking for originality.
Our experts' main consideration is providing a free plagiarized paper that will meet the teachers' requirements. They have perfected the skill of presenting unique personalized papers with relevant citations and references if needed. We ensure extreme originality and in case of any customer concerns, we offer a plagiarism report.
We want to work under customer's trust that their paper is unique and will support them in accomplishing the best grade.
Customer Support 24/7
Our website is user-friendly and super useful! Mycoursewriter is an online writing service that is always available to provide you with academic assistance you need.
Customers’ concerns are considered by our friendly customer support team that is available at all times.
Over ten years’ experience in the writing market has enabled us to grow and learn how to give our customers the golden experience.
We have diligently satisfied hundreds of students and you can witness this at the toptutor4me review page. Do not hesitate to contact us at our website email: firstname.lastname@example.org
Try it now!
How it works?
Follow these simple steps to get your paper done
Place your order
Fill in the order form and provide all details of your assignment.
Proceed with the payment
Choose the payment system that suits you most.
Receive the final file
Once your paper is ready, we will email it to you.
Are you searching for a satisfactory legitimate writing website? Look no further. Toptutor4me is the best writing service ready to offer you long-term support in your academic needs. We have been providing homework help for years that has gained our customers’ trust. Our writers are ready to work on any assignment type from undergrad to Ph.D. level.
We guarantee you quality papers, timely delivery, and 24/7 response. Our website is not only the cheapest but also authentic and the most unfailing with an assurance team that manages our orders. We offer assignment help in every subject and topic despite the difficulty, let us ease your assignment burden.
Essay writing is a commonly assigned college homework. Sitting down for an hour or so crafting a perfect essay is a tedious time-consuming task. You might find yourself staring at a blank paper surfing through different websites trying to devise answers for your essay.
Toptutor4me is a legit service that offers to write your essay at a pocket-friendly price. Your essay is given maximum attention by the assigned professional writer who includes fresh ideas and personalizes your paper to your preference. Order essay help by including the question, the page number, preferred format, and any files related to your essay.
Our essays are unique and go through a strict protocol that includes anti-plagiarism and rigorous proofreading. You do not have to struggle with finding ideas for your essay as our writers are not only skilled but also have the correct answers for your paper. Let our scholars work on your essay and you can take care of other responsibilities besides your student tasks.
Admission and Business Papers
Writing an admission paper is not everyone’s inclination but this should not be a hindrance to fulfilling your goal. Writing a perfect paper to get you to that school or company imposes mind stress as there are certain expectations you must meet.
Failure to meet these expectations might make your dream unfulfilled. Admission papers require you to be unique, open, and display confidence but not seem aggressive. A business paper necessitates the student to be aware of current happenings in the world and have a wide knowledge of the business history and trends.
These needs research and skills and we have the qualified writers to meet all these prospects that will satisfy your assessor or lecturer. Our team will help you conquer that milestone in your academic life or your career all you need to do is provide the necessary information for our writers to craft your paper.
Editing and Proofreading
An error-free paper is a must in achieving that desired grade. We have an assurance team to ensure your paper has no grammar or formatting mistakes.
After our writers have given correct answers to your question in the necessary pages, our editorial team proofreads the paper to ensure quality work. They check for grammar mistakes, plagiarism and ensure proper paper formatting.
Issues such as the specified fonts, spacing, and educational formats are considered. We can also provide the plagiarism reports if needed. Our team has skills in formatting any paper type be it MLA, APA, Harvard, or Chicago. Under no circumstances will a poorly formatted paper be forwarded to you as we ensure careful proofreading.
Assignments are part of the learning process and one may not have the knowledge of the correct answers, this should not stress you as we have qualified scholars to help you.
A challenging topic does not imply that you should fail. Our qualified writers hold PhDs in different subjects therefore they are intelligent and no task is complex to them. Despite the complexity, a competent scholar will be assigned to meet your academic needs.
Different assignments are confusing as they may involve different skills that you are not familiar with. This is not an issue to our skilled professional writers as they provide the correct answers for any essay type despite the intricacy. Stop stressing about your homework by ordering assignment help at Mycoursewriter and go have fun!