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Neurological and Musculoskeletal Disorders Decision Tree 1 Neurological and Musculoskeletal Disorders Decision Tree Sarah Ilesanmi Walden University NURS 6521: Advanced Pharmacology 1/20/2021 Introduction
Neurological and Musculoskeletal Disorders Decision Tree 2 According to Arcangelo, V. P., Peterson, A. M., Wilbur, V., & Reinhold, J. (2017) Alzheimer’ disease is a deteriorating brain illness resulting from multipart brain fluctuations, which result in damage to brain cell. The deterioration of brain cells usually results in symptoms of dementia. Difficulty remembering new information is the most common initial indicators of Alzheimer's disease(Arcangelo et al., 2017). Symptoms such as disorientation, increase confusion, difficulty to swallow, walking, and behaviours changes are manifested by a patient when the disease becomes more severe(Arcangelo et al., 2017). For a patient to be diagnosed with dementia, they must exhibit a cognitive deficit in two functional areas that restrict daily living activity (Arcangelo et al., 2017). These deficits have to include short term memory, problem-solving and reasoning skills. There is no cure for Alzheimer, medications are only for symptoms management. Along with the cognitive exam, Providers also used a CT scan to determine the brain activities and assess the presence of amyloid proteins usually present in the patient with Alzheimer's. This disease is the sixth leading cause of death in the United States, and women are less affected than men (Arcangelo et al., 2017). Summary of Scenario
Neurological and Musculoskeletal Disorders Decision Tree 3 The scenario that was assigned, Mr Akkad is a 76-year-old man from Iranian that was brought into the clinic because his family has concerns about his behaviour. The scenario also stated all Mr Akkad's lab result was normal ; however, the patient's son said his father's behaviour has been strange in the past two years. Mr Akkad has lost pleasure in religious activities and " acting out towards his children." Mr Akkad also has difficulty founding the correct words when he's communicating with his family. Patient Mini-Mental Status exam score is 18/30 which revealed: "deficits with orientation, registration, attention & calculation, and recall ( Folstein, M. F., Folstein, S. E., & McHugh, P. R, 2002)”. The Mini-mental score revealed the patient has mild to moderate dementia ( Folstein, M. F., Folstein, S. E., & McHugh, P. R, 2002). The scenario also addresses Mr Akkad has minimal eye contact during the assessment and denied hallucination.

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