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Posted: October 27th, 2022
A 73-year-old woman. Rose Lee
Case Research
You’re along with your preceptor, Dr. Mark Parr, in clinicals. One of many folks you see immediately is Rose Lee Strom, a 73-year-old lady. Rose Lee was introduced in for a psychological analysis by her brother Robert Chang due to a three-year historical past of reminiscence impairment. Rose Lee accomplished highschool after which labored in a clerical place till her retirement in 1997. For the reason that dying of her husband in 2005, she has lived alone and maintained her own residence and monetary affairs.
Robert has seen that Rose Lee has a step by step worsening reminiscence impairment and has issue discovering phrases, however Rose Lee turned offended on the suggestion that she might have a progressive impairment. Robert says that different relations and mates have famous a decline in her housekeeping and monetary affairs, however Rose Lee herself has no complaints.
Elevated arterial blood strain was documented on a number of events, however Rose Lee by no means took medicine. She has no kids and had a hysterectomy in her thirties. She is a well-groomed lady who’s alert and pleasant. Common and elemental neurological exams are regular.
About 5 minutes after coming in, having already greeted everybody and exchanged names, your preceptor asks Rose Lee to state her identify and age.
Watch the video of your preceptor’s dialog with Rose Lee (2:02 minutes), paying shut consideration to Rose Lee’s speech patterns.
Rose Lee Transcript
Questions
Out of your perspective as Rose Lee’s , reply the next questions in a two- to three-page double-spaced paper (not together with the reference web page) in APA (seventh version) format. Embody at the very least three peer-reviewed, evidence-based references.
Determine three differential diagnoses (one medical and two psychiatric) for Rose Lee. What’s your provisional analysis for her?
How will you differentiate regular age-related decline from pathological indicators and signs related to neurocognitive problems?
Rose Lee wants formal screening and/or testing. What screening instruments and testing would you may have her full?
What medicine(s) would you begin her on, if any? Why? Embody the identify (generic and model), dose, route, and frequency/timing for all medicines.
What training would you present Rose Lee and Robert?
What referral(s) would you give Rose Lee? Why?
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