Health Care > ESSAY > i human Mrs. Janet Riley (JR )Patient Encounter Linh Chau (All)

i human Mrs. Janet Riley (JR )Patient Encounter Linh Chau

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JR Patient Encounter 2 Mrs. Janet Riley is a 79-year-old Caucasian female who presents today with her daughter, Ann, who is concerned about Mrs. Riley’s progressive cognitive and memory deficits, ... emotional lability and behavioral changes for about 3 to 4 years now, especially the last few months those symptoms have been worst. Mrs. Riley’s daughter reports that she has noticed changes in Mrs. Riley’s personality, and behavior. Mrs. Riley has been noted that she is unable to complete her activities of daily living, and lack of interest in previous activities and friends. She also mixes up words, forget names of familiar people, and gets angry when help is offered. It was difficult to assess Mrs. Riley since she is not cooperating and often time stated, “it’s time to leave. I’m not going to answer you,” and so on. Mrs. Riley presents today as unkempt and has obvious malodorous body odor. She is alert and oriented times two (person and place). Unintentional weight loss about 8 lbs. Daughter stated patient has not been able to cook for herself anymore, and this has been going on for about two three months now. She recently fell at home related to trip and fall. Had head trauma history due to the fall and ended up in the ER for observation. Mrs. Riley has history of HTN, high cholesterol, and CAD with stent placement. [Show More]

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