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Pathophysiology, Assessment Variables and Pharmacology II

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JANET RILEY 2 Janet Riley Janet Riley presents to the office with her daughter for increased concern over confusion, agitation, and memory problems. Mrs. Riley is not cooperative in the exam and as ... sessment and does not feel she has any problems. Per her daughter, the problems started approximately two to three years ago with increased progression noted over the past year. Mrs. Riley presents with significant body odor and indifference to the situation. She has not been caring for herself, cooking meals, nor interacting with others. The initial assessment was performed asking Mrs. Riley’s daughter most of the questions with answers indicative of cognitive impairment. Mrs. Riley once again stated she does not have any problems and wishes her family would stop meddling in her business. Pertinent questions asked where when did the memory problem start; two to three years ago with an increase in the past year. Is her confusion better or worse at specific times; more at night. Has she lost interest in things; she stopped playing tennis and interacting with others. During the interview it was also noted that she has difficulty remember things or finding the right words or names. Personal care; inability to care for herself. Mood; irritable. Mrs. Riley is only A&Ox2 when asked year/time, what happened. When asked about weight loss, it was noted that she has stopped cooking for herself. Her irritability has increased and has progressed over the past year. She has paranoid delusions of people stealing from her. Examination reveals impaired memory, personality change, increasing confusion, poor concentration, impaired judgement, paranoid ideation, and impaired performance of ADLs. Mrs. Riley is A&Ox2 upon examination. [Show More]

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