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i-Human Janet Riley, Alzheimer’s Dementia Case Study 2023 LATEST UPDATE correct verified Answers
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i-Human Janet Riley, Alzheimer’s Dementia Case Study 2023 LATEST UPDATE correct verified Answers
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new latestupdatei-Human Janet
Riley, Alzheimer’s Dementia Case Study
2023 LATEST UPDATE correct verified
Answers
Assessment
1. Alzheimer’s Dementia. Mrs. Riley has been experiencing symptoms of dementia such as memory
problems, difficulty concentrating, and forgetfulness that have progressively worsened over the past
2 to 3 years (U.S. Department of Health and Human Services, National Institute on Aging, 2019). Her
daughter now reports symptoms of impaired memory, judgment, and orientation; sundowning;
, new latestupdate
decline in ability to perform activities of daily living (ADLs); mood and personality changes; and
symptoms of depression (U.S. Department of Health and Human Services, National Institute on
Aging, 2019). The physical examination findings of generalized cortical atrophy and reduced
hippocampal volume on brain MRI coupled with her scoring on neurological exams (mini-mental
state, geriatric depression, mini-cog, clock-draw) indicating moderate cognitive impairment make this
diagnosis the most plausible (U.S.
Department of Health and Human Services, National Institute on Aging, 2019).
2. Vascular Dementia. Mrs. Riley possesses various risk factors for vascular dementia including coronary
artery disease (CAD) status-post stent placement, hypertension, and hyperlipidemia. Her history and
physical examination findings indicate a progressive worsening of her dementia symptoms as
opposed to a stepwise progression such as in vascular dementia (Mayo Clinic, 2018). Additionally, the
lack of evidence of previous infarction on brain MRI makes this diagnosis less likely (Mayo Clinic,
2018).
3. Occult Infection (Urinary Tract Infection). Mrs. Riley’s undergarments are noted to smell of urine
raising the suspicion of incontinence which may be a sign of a urinary tract infection (UTI).
Additionally, her daughter reports a decline in Mrs. Riley’s personal hygiene and excessive body odor
is noted on exam. Mrs. Riley’s mental status changes may represent nonspecific symptoms
3
associated with UTI in older adults (Moody, 2020). The urinalysis and complete blood count (CBC)
findings are within normal limits thereby ruling this diagnosis out.
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