Week 6 Discussion Questions

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Question Description

FIRST ASSIGNMENT

PICOT: In hospitalized geriatric patients (P), does incorporating educational strategies into the patient’s plan of care and use of medicated urinary catheter (I), compared to use of a medicated urinary catheter alone (C), decrease incidence of inpatient catheter associated urinary tract infections (CAUTI’s) (O) over a three-month period (T).

On the discussion board, using a minimum of two articles that are supporting your PICOT question, submit one paragraph synthesizing the research into clear, concise statements without separately reviewing each of the studies in the paragraph—but by paraphrasing and synthesizing the work that was done.

All references and in-text citations should be in APA format. References must have a DOI or weblink showing where it was gotten from. References must be between 2014-2019. Please use proper grammer, avoid run-on, and incomplete sentences. Be mindful of punctuation.



SECOND ASSIGNMENT

This week's content discussed common psychiatric disorders in the Adult and Older Adult client. Often times a secondary diagnosis is masked due to their psychiatric disorder. Review the following case study and answer the following questions.

Mr. White is a 72-year-old man, with a history of hypertension, COPD and moderate dementia, who presents with 4 days of increased confusion, nighttime restlessness, visual hallucinations, and urinary incontinence. His physical exam is unremarkable except for tachypnea, a mildly enlarged prostate, inattentiveness, and a worsening of his MMSE score from a baseline of 18 to 12 today.

Mr. White's presentation is most consistent with an acute delirium (acute change in cognition, perceptual derangement, waxing and waning consciousness, and inattention).

  1. What is the most likely diagnosis to frequently cause acute delirium in patients with dementia?
  2. What additional testing should you consider if any?
  3. What are treatment options to consider with this patient?

*To get you started on the second assignment, the answer to the first question is urinary tract infection. So take that and elaborate more on that diagnosis for the answer to to the first question*

All references and in-text citations should be in APA format. References must have a DOI or weblink showing where it was gotten from. References must be between 2014-2019. Please use proper grammer, avoid run-on, and incomplete sentences. Be mindful of punctuation.



Tutor Answer

Tutor_Booth
School: University of Virginia

Hey! Kindly find the attached answer and in case of any issue, let me know. Thank you and all the best

Running head: WEEK 6 DISCUSSION QUESTIONS

Week 6 Discussion Questions: Second Assignment
Student’s Name
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WEEK 6 DISCUSSION QUESTIONS

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What is the most likely diagnosis to frequently cause acute delirium in patients with
dementia?
Urinary Tract Infection (UTI). Delirium is a neuropsychiatric syndrome that is
common in the elderly. It is characterized by concurrent impairment in behavior and cognition.
Infection is a key risk factor for delirium, and in the case of Mr. White, it is urinary tract
infection. When a young person gets UTI, the physical symptoms become very distinct
compared in geriatrics (Balogun & Philbrick, 2014). The symptoms include an increased need
for urination, pain while urinating, fever, chills, and lower back pains. The symptoms are likely
not to be present in the older patients since the immune system change with age and thus
responds in a different way when UTI is present. In elderly patients, the symptoms of UTI are
behavioral which include increased signs of confusion, withdrawal or agitation. In elderly
patients with dementia, the changes in behavior may be part of UTI or may be signs of aging
(Kuswardhani & Sugi, 2017...

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Review

Anonymous
Tutor went the extra mile to help me with this essay. Citations were a bit shaky but I appreciated how well he handled APA styles and how ok he was to change them even though I didnt specify. Got a B+ which is believable and acceptable.

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