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Case study: The patient is an 84-year-old Caucasian female currently residing in Oakwood Assisted Li

Case study: The patient is an 84-year-old Caucasian female currently residing in Oakwood Assisted Li. Question
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Asked by ericabarbo

Case study: The patient is an 84-year-old Caucasian female currently residing in Oakwood Assisted Living. 

The social worker was asked to evaluate Mrs. Johnson and provide suggestions in order to help the facility staff decrease and effectively manage Mrs. Johnson’s disruptive behavior. This behavior includes: constantly yelling out “help me, help me,” agitation as evidenced by attempting to get out of bed at all hours, her confusion between day and night evidenced by sleeping in the day and staying up at night, and hitting the staff. Mrs. Johnson has previously been diagnosed with non-specific dementia and is currently taking Aricept, Namenda, and Celexa.

 

1- Make a SOAP Note on the patient. 

 

2- Include prescription details as well as instructions for staff to give medication and monitor patient.

3- design a treatment plan that includes PRN medications in case the patient continues to be agitated.

Answer the questions listed below:

4- What medications would you prescribe? Why?

5- What doses?

6- Would you have these listed as standing orders for the nursing home staff or would you want to be notified before given to verify and determine need?

7- Would you want to visually see the patient before having the medications given?

8- What monitoring would need to be provided after medication is given?

9- What documentation would need to be provided and how often for the medication to be continued?

10- Would the medication be considered chemical restraints? Why or Why not?

SCIENCE
HEALTH SCIENCE
NURSING
MN 605

Case study: The patient is an 84-year-old Caucasian female currently residing in Oakwood Assisted Li

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