OMS Scenario: Wilfred Price
Alesia Brown
Nursing, Southern New Hampshire University
NUR 302: Clinical Judgment and Assessment
Rochelle Davis
June 15, 2025
, Clinical Scenario
In this scenario we had Wilfred Price, 78-year-old male with history of dementia. Wilfred
presented to the ED via EMS after he was found wandering. Wilfred presented as agitated with
confusion and occasional combativeness. Wilfred’s assessment was normal, except for
tachycardia. His medical record confirmed history of HTN with daily medication regiment.
Wilfred lived with his daughter Janice who was contacted and notified about Wilfred’s status.
The scenario focused on managing agitated patient and providing patient’s safety with
appropriate nursing skills including focused assessment and communication.
Background
World Health Organization defined dementia as “a syndrome that can be caused by a number of
diseases which over time destroy nerve cells and damage the brain, typically leading to
deterioration in cognitive function effecting ability to process thought beyond what might be
expected from the usual consequences of biological ageing; while consciousness is not affected,
the impairment in cognitive function is commonly accompanied, and occasionally preceded, by
changes in mood, emotional control, behavior, or motivation” (World Health Organization, 2025).
Kennedy and colleagues pointed out that “behavioral and psychiatric symptoms in dementias are
more common in individuals with more advanced dementia and are associated with decline in
functional abilities, increased caregiver burden, and risk for abuse and neglect” (Kennedy et al,
2020).
Managing behavioral and psychological symptoms of dementia is a crucial aspect in nursing
practice. Understanding the condition and recognizing potential triggers of agitation can provide
Alesia Brown
Nursing, Southern New Hampshire University
NUR 302: Clinical Judgment and Assessment
Rochelle Davis
June 15, 2025
, Clinical Scenario
In this scenario we had Wilfred Price, 78-year-old male with history of dementia. Wilfred
presented to the ED via EMS after he was found wandering. Wilfred presented as agitated with
confusion and occasional combativeness. Wilfred’s assessment was normal, except for
tachycardia. His medical record confirmed history of HTN with daily medication regiment.
Wilfred lived with his daughter Janice who was contacted and notified about Wilfred’s status.
The scenario focused on managing agitated patient and providing patient’s safety with
appropriate nursing skills including focused assessment and communication.
Background
World Health Organization defined dementia as “a syndrome that can be caused by a number of
diseases which over time destroy nerve cells and damage the brain, typically leading to
deterioration in cognitive function effecting ability to process thought beyond what might be
expected from the usual consequences of biological ageing; while consciousness is not affected,
the impairment in cognitive function is commonly accompanied, and occasionally preceded, by
changes in mood, emotional control, behavior, or motivation” (World Health Organization, 2025).
Kennedy and colleagues pointed out that “behavioral and psychiatric symptoms in dementias are
more common in individuals with more advanced dementia and are associated with decline in
functional abilities, increased caregiver burden, and risk for abuse and neglect” (Kennedy et al,
2020).
Managing behavioral and psychological symptoms of dementia is a crucial aspect in nursing
practice. Understanding the condition and recognizing potential triggers of agitation can provide
