Mrs. Ellyn Townsend is an 87-year-old widow who lives alone with her cat in a modest apartment in the center of a large city. She has lived alone for 20 years, following the death of her husband of 40 years from a fatal stroke.
The following table provides a summary outlining the distinctions between dementia and delirium. Please review the cases of two older adults and share your insights on these instances.
Case #1: Mrs. Ellyn Diagnosis:
Please describe your observations in three aspects (symptoms, onset, and medical factors) and base your diagnosis on all three factors.
Case #2: Mrs. Mateo Diagnosis:
Kindly provide your diagnosis for Mrs. Mateo, outlining your observations in terms of symptoms, onset, and medical factors. Ensure that your diagnosis is supported by all three factors.
answer the questions at the end of the document also
Requirements: Just answer
Case #1 Mrs. Ellyn
Mrs. Ellyn Townsend is an 87-year-old widow who lives alone with her cat in a modest apartment in the center of a large city. She has lived alone for 20 years, following the death of her husband of 40 years from a fatal stroke. She has lived in this neighborhood since she and Mr. Townsend first married. They raised four children in the apartment Mrs. Townsend still occupies. The neighborhood is not as safe as it once was, but many older people have stayed in the area because of its convenient proximity to the downtown shopping area. Recently, the neighbors called Mrs. Townsend’s daughter, Theresa, to tell her that Mrs. Townsend was wandering around the neighborhood looking for her husband. Mrs. Townsend expressed concern that he was late getting home from work. When reminded that Mr. Townsend died 20 years ago, she became very agitated and argumentative. She accused the neighbors of misunderstanding her and trying to make fun of her. Although her concern about the rising crime rate in her neighborhood is warranted, she has become hypervigilant about locking doors and windows. Mrs. Townsend has various health problems, including heart disease and circulation problems attributed to her late-onset diabetes. She is on almost a dozen different prescription medicines, although it is obvious to Theresa that she does not understand when and how to take them. She becomes irritated when Theresa asks her about her medications, insisting she is taking them as required and can prove it. Mrs. Townsend is a retired nurse and until recently was very skilled in monitoring her blood sugar and giving herself insulin. She needs to be reminded how to do this now.
Theresa has noticed recently that the house smells of urine and feces, and she has found soiled clothes stuffed in drawers and under the bed. Her mother denies there is a problem, refusing to consider she might need an adult hygiene product. The cat runs away frequently, and Theresa suspects that this is because her mother is either not feeding the cat or has become abusive.
Case #2 Ms. Rosa Mateo
Karen Kline works for Elder Services in a midsize city in the southwestern part of the United States. She has been working with Rosa Mateo, age 80, for 5 years, helping her to obtain light housekeeping assistance and secure a visiting nurse to monitor blood pressure and medications, as well as providing other components of general case management. Karen has not seen Rosa in 2 weeks, but when she comes to her apartment, Rosa refuses to let her in, accusing her of trying to steal her Social Security check. Karen soothes her fears, reminding Rosa that she is her case manager and not the person who has been victimizing older adults in the neighborhood. Rosa appears to settle down and lets her in. For almost an hour, they discuss Rosa’s concern about a recent respiratory ailment and the spiraling cost of antibiotics. Karen suspects that Rosa supplements her medication with a healthy dose of vodka on a regular basis and perhaps chooses to purchase alcohol rather than food with her limited income. Today, Karen notices Rosa seems unusually distracted and agitated. She gets up and walks around, glancing furtively out the window every time she passes it. When Karen asks her what she is looking at, Rosa begins to cry and expresses concerns about some man who has been looking in her window. She begs Karen to take her out of the apartment and place her somewhere where the man cannot find her. When Karen goes to comfort Rosa, she becomes verbally and physically abusive.
What is your diagnosis for Mrs. Ellyn? Why?
What are your suggestions for treatment of Mrs. Ellyn?
What is your diagnosis for Rosa Mateo? Why?
What are your suggestions for treatment of Ms. Mateo?
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