i-Human Janet Riley, Alzheimer’s Dementia Case Study (A Graded)

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i-Human: Janet RileyAssessment1. Alzheimers Dementia. Mrs. Riley has been experiencing symptoms of dementia such asmemory problems, difficulty concentrating, and forgetfulness that have progressively ... worsenedover the past 2 to 3 years (U.S. Department of Health and Human Services, National Institute onAging, 2019). Her daughter now reports symptoms of impaired memory, judgment, andorientation; sundowning; decline in ability to perform activities of daily living (ADLs); mood andpersonality changes; and symptoms of depression (U.S. Department of Health and HumanServices, National Institute on Aging, 2019). The physical examination findings of generalizedcortical atrophy and reduced hippocampal volume on brain MRI coupled with her scoring onneurological exams (mini-mental state, geriatric depression, mini-cog, clock-draw) indicatingmoderate cognitive impairment make this diagnosis the most plausible (U.S. Department ofHealth and Human Services, National Institute on Aging, 2019).2. Vascular Dementia. Mrs. Riley possesses various risk factors for vascular dementia includingcoronary artery disease (CAD) status-post stent placement, hypertension, and hyperlipidemia.Her history and physical examination findings indicate a progressive worsening of her dementia3. 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. [Show More]

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