Physical Aggression/Dementia UNFOLDING Reasoning; Ron Jackson is an 87-year-old Caucasian male (Best suited for all Med/Surg students) Latest 2021/22

Question Dementia/Physical Aggression Ron Jackson, 87 years old Primary Concept COGNITION Interrelated Concepts (In order of emphasis) · Psychosis · Mood and Affect · Coping · Clinical Judgment Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Ron Jackson is an 87-year-old Caucasian male with a medical history of hypertension and Alzheimer's disease who was brought to the emergency department (ED) by paramedics for evaluation of hallucinations, increased agitation, and aggressive behavior toward Shirley, his elderly wife. His daughter was visiting and witnessed Ron becoming angry for no apparent reason, telling Shirley she had to leave the house. He then pushed her, causing her to fall to the ground. Ron has become progressively more agitated the past year and was started on quetiapine. Shirley confirms that Ron has been more verbally abusive the past week, believing that she divorced him and that she needs to get out of the house, but no physical aggression took place until today. Ron currently complains of a headache and insists that he got this because "the Koreans beat me up real good in the ambulance!" Personal/Social History: Ron lives at home with Shirley, his wife of 62 years and has three children. Ron is a Korean War veteran who saw active duty and is a retired salesman. Because his wife has been struggling to care for him, his family is in the process of making arrangements for him to reside at a local memory care unit. What data from the histories are RELEVANT and must be interpreted as clinically significant by the nurse? (Reduction of Risk Potential) RELEVANT Data from Present Problem: S - The Marketplace to Buy and Sell your Study Material Clinical Significance: RELEVANT Data from Social History: Clinical Significance: 1. Identify the relationship between the PMH and home medications. Which medication treats which condition? Draw a line to connect the PMH to the correct medication. Past Medical History (PMH): Home Meds: Hyperlipidemia Donepezil 10 mg PO at HS Hypertension Aspirin 325 mg PO daily Alzheimer's disease Memantine 10 mg PO BID Agitation/Delusions Simvastatin 20 mg PO HS Triamterene-HCTZ 75-50 mg PO daily Quetiapine 50 mg PO BID 2. Is there a relationship between any problem in his past medical history and the present problem? If so, describe. Patient Care Begins: Current VS: P-Q-R-S-T Pain Assessment: T: 98.0 F/36.7 C (oral) Provoking/Palliative: "Those Koreans banged my head in the ambulance." P: 78 (regular) Quality: "That's a stupid question!" R: 18 (regular) Region/Radiation: "My head hurts all over!" BP: 148/90 Severity: "It just hurts!" O2 sat: 98% room air Timing: "All the time.