6670-w8-D13.docx - Neurocognitive Disorder due to another...

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Neurocognitive Disorder due to another medical condition; Endocrine Disorders Introduction The purpose of this discussion, the PMHNP must be thoroughly well-informed concerning different neurocognitive disorders that are common in older adults. Also, the PMHNP must be able to evaluate and order necessary laboratory tests, diagnose, and manage a patient with a neurocognitive disorder with pharmacotherapy and psychotherapy (Pramod, 2018). It is also crucial that the PMHNP carefully assess the history and context of the presentation of the neurocognitive disorder before arriving at a diagnosis and treatment plan (Sadock, Sadock, & Ruiz, 2014). Neurocognitive disorders are a group of conditions that regularly lead to diminished mental function. The diminished mental functioning includes changes in behavior, trouble performing daily activities, confusion, a problem with memory, and difficulty understanding language (Krause, 2016). The causes of the neurocognitive disorder can be due to neurodegenerative disease, e.g., Alzheimer’s disease, dementia, Parkinson’s disease. Other reasons can be due to medical condition e.g., Endocrine Disorder (Krause, 2016). Treatment of neurocognitive disorders differs depending on the primary cause. Certain conditions may only need good rest and drug therapy. Neurodegenerative diseases may require different types of therapy (Krause, 2016). Neurocognitive Disorder due to Endocrine Disorders The first step, a PHMNP should take towards the correct diagnosis is to separate the nondegenerative neurocognitive disorder from degenerative neurocognitive disorders. The nondegenerative neurocognitive disorder could be due to medical conditions e.g., endocrine disease (Ghosh,2010). Diagnostic Criteria for Neurocognitive Disorder due to Endocrine Disorders The diagnostic category used to stipulate these conditions is a major or mild neurocognitive disorder due to another medical condition. The criteria to diagnose this are: 1. The patient must first meet the criteria for a mild or major neurocognitive disorder.

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