SearchntsSim Standalonem.thepoint.lww.com/titles/9781975198183/classes/687f62f6-68e7-4b65-aba0-460a00fb0baf/assignmentsLocation: Apartment in a retirement community (independent living)onsTime: 1400x +Report given by a nurse employed at the retirement community:Situation: George Palo is a 90-year-old male who has been living independently in one of our apartments since shortly after the death of his wife of 65 years, Anna, 3 yearsago. He was diagnosed with minor neurocognitive decline, likely Alzheimer's type, 6 months ago and was prescribed donepezil. He also has mild hypertension and is beingmedicated for that as well. The patient was managing well until 2 months ago when Max, his 13-year-old golden retriever, died. Maggie, his daughter, recently contacted us andasked for a visit because she is concerned that he seems to have become more forgetful and weaker, and she thinks his clothes look bigger, so he may have lost weightrecently.Mental Health AssessmentBackground: One of the nurses from your agency made a visit to George Palo 7 months ago at the request of his daughter, who was concerned at that time about his memoryYour agency nurse did a physical and cognitive assessment using the Confusion Assessment Method (CAM) and Mini-Cog tools. The CAM was negative for delirium, but someimpairment in executive functioning was evident. You can review the result of the Mini- Cog tool in the chart. The nurse suggested some memory aids and resources to help himmaintain independence and recommended that he see his physician, who later diagnosed him with Alzheimer's disease and prescribed donepezil Since then, he has beenmanaging very well with his new medication-that is, until Max died.Assessment: George Palo's blood pressure has been well controlled these past few months. We have been visiting him on a weekly basis to check it. He had lab work drawnlast week, and the results were normal and are in his chart. Previously, we frequently saw him out walking with Max-daily or sometimes even more often. He worked as avolunteer at the Humane Society. But since Max died, we rarely see him, and when we do, he looks sad and disheveled.Alzheimer's DiseaseRecommendation: I administered the Geriatric Depression Scale (GDS) assessment yesterday when I visited George Palo to take his blood pressure. His score was 10. I alsoadministered the Columbia-Suicide Severity Rating Scale (C-SSRS) and his score was 0. The results are in the health record for your review. In addition, I recommend that youdo a focused physical assessment to address his family's concerns about his physical condition. Please also reassess his cognition with the Mini-Cogo tool and compare withthe previous result. A family member will be there during your visit. Communicate your findings to me or one of the other retirement community resource nurses and to hisphysician if you think he needs to be seen again before his next scheduled visitAVidebeck, S. (2023). Psychiatric-Mental Health Nursing, 9th Edition.Content of the Assessment, Chapter 8, pp. 132-137301Videbeck, S. (2023). Psychiatric-Mental Health Nursing, 9th Edition.Dementia, Chapter 24, pp. 458-471Videbeck, S. (2023). Psychiatric-Mental Health Nursing, 9th Edition.M80X08:30 PM12/17/2023CQuesCENTAUSParve 1TestREPA iew Saved vHelpto edit, it's safer to stay in Protected View.ReactivateSearchMental Health Case: George PaloGuided Reflection QuestionsOpening QuestionsHow did the simulated experience of George Palo's case make you feel?Talk about what went well in the scenario.Reflecting on George Palo's case, were there any actions you would do differently? If so, what werethese actions and why?Enable EditingScenario Analysis Questions*PCC/S What priority problem(s) did you identify for George Palo?PCC/1 Discuss the benefits of pet therapy for individuals with minor neurocognitive decline and how itcould benefit George Palo.T&CWhat other individuals in addition to the primary care team should be involved in George Palo'scase?PCC What support is available for George Palo's daughter?Concluding QuestionsDescribe how you would apply the knowledge and skills that you obtained in George Palo's case to anactual patient care situation.Q Search

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This scenario involves George Palo, a 90-year-old male living independently in a retirement…