Therapy for Clients with Alzheimer.docx - Running head...

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Running head: Decision Tree for Neurological and Musculoskeletal Disorders 1Decision Tree for Neurological and Musculoskeletal DisordersStudent’s nameInstructorCourseDate
Decision Tree for Neurological and Musculoskeletal Disorders2My ClientToday in the morning a son got into the facility with his 76-year-old Iranian fatherwith complaints of having strange behavior following a referral from a family doctor. The sonreported that his father’s symptoms started two years ago and has continued to worsen. Fromthe look, the client seems to enjoy the conversation with the nurse though the nurse realizedsome confabulation and the mini-mental exam showed a score of 18 out of 30 from the client,which in other words, the score suggested dementia. The client looks organized and alert butwith time and event, he becomes disoriented. The nurse realized the client is having poorsight cognition, impulse control, and impaired judgment. There was a presumptive conclusionthat the diagnosis is of a major neurocognitive disorder as a result of Alzheimer’s disease. Medication DecisionFor this decision tree, three medications are offered:1) Begin Exelon (rivastigmine) 1.5 mg orally BID with an increase to 3 mg orallyBID in 2 weeks.

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