NURSE 2253

Dementia SKINNY Reasoning William “Butch” Welka, 72 years old Primary Concept Cognition Interrelated Concepts (In order of emphasis) • Pain • Mood and Affect • Psychosis • Clinical Judgment • Patient Education NCLEX Client Need Categories Percentage of Items from Each Category/Subcategory Covered in Case Study Safe and Effective Care Environment • Management of Care 17-23%  • Safety and Infection Control 9-15% Hea...

Part I: Recognizing RELEVANT Clinical Data History of Present Problem: William “Butch” Welka is a 72-year-old male with a history of heart failure, COPD, hypertension, diabetes type II and dementia who has been hospitalized for exacerbation of heart failure three times the past six months. He is now a resident of Pineville Estates, a local long-term care facility the past four months because his dementia progressed and his wife Rita was unable to care for him. When Rita visited Butch th...