week 11 reply 2 Psychopharmacology


Having Trouble Meeting Your Deadline?

Get your assignment on week 11 reply 2 Psychopharmacology  completed on time. avoid delay and – ORDER NOW

Hello, please create a reply for the discussion of another student. Minimum 150 words and 2 reference. Thank you!

Other student discussion:

Title: Clinical Case Discussion – Evaluating Eleanor’s Cognitive and Behavioral Changes


In this case, we are presented with Eleanor, a 77-year-old white female residing in a skilled nursing facility. Eleanor’s daughter has recently requested an evaluation of her mother’s worsening Alzheimer’s symptoms. Eleanor was admitted to the facility six months ago due to moderately severe cognitive and physical decline, along with her inability to manage herself at home. Her daughter, a single mother of four teenagers, faced challenges in providing the necessary care for Eleanor after a kitchen fire incident. Eleanor’s cognitive decline started in her late fifties and worsened significantly following her husband’s death five years ago.

Clinical Summary:

Eleanor’s recent behavior in the skilled nursing facility is causing concern. She has become restless, frequently wandering the halls and attempting to open fire doors when confused about her surroundings. Moreover, she exhibits combative behavior, including verbal aggression and physical aggression towards the nursing staff. Her primary care physician authorized the use of restraints after Eleanor wandered out of the facility and was found trying to take a dog from a woman, all while expressing paranoia about people stealing her clothing in the nursing home.

List of Patient’s Problems and Prioritization:

1. Cognitive Decline: Eleanor’s worsening cognitive decline is the primary issue, impacting her daily functioning and safety.

2. Behavioral Disturbance: Her combative and restless behavior poses risks to both herself and the nursing staff.

3. Paranoid Delusions: Eleanor’s belief that people are stealing her clothing is indicative of paranoid delusions.


Eleanor’s primary diagnosis should be Alzheimer’s Disease. The rationale for this diagnosis is based on her age, cognitive decline, and memory impairment, which are characteristic features of Alzheimer’s disease. Her family history of cognitive decline and the progressive nature of her symptoms align with this diagnosis.

Differential Diagnosis:

Differential diagnoses should include other dementias such as Vascular Dementia and Dementia with Lewy Bodies, which can present with overlapping symptoms. Additionally, a delirium assessment is warranted due to her acute behavioral changes. Depressive disorders may also contribute to her cognitive and behavioral symptoms.

Tests and Screening Tools:

1. Mini-Mental State Examination (MMSE) to assess cognitive impairment.

2. Brain imaging (MRI or CT scan) to identify structural brain abnormalities.

3. Delirium screening tools to rule out acute cognitive changes.

4. Evaluation for depression, including the Geriatric Depression Scale (GDS).

Treatment Plan:

1. Psychopharmacology: Consider cholinesterase inhibitors (e.g., Donepezil) to slow cognitive decline associated with Alzheimer’s.

2. Diagnostic Tests: Brain imaging to confirm structural abnormalities.

3. Referrals: Consultation with a geriatric psychiatrist for medication management.

4. Psychotherapy: Cognitive-behavioral therapy for managing behavioral symptoms.

5. Psychoeducation: Provide education and support to Eleanor’s daughter and family members on managing Alzheimer’s disease.

Standard Guidelines:

The assessment and treatment should adhere to guidelines from organizations like the Alzheimer’s Association and the American Psychiatric Association. These guidelines emphasize the importance of accurate diagnosis, patient and caregiver support, and evidence-based interventions for Alzheimer’s Disease.

In conclusion, Eleanor’s case presents a complex situation that warrants a thorough evaluation, considering the potential diagnosis of Alzheimer’s Disease and differential diagnoses. A multidisciplinary approach, in alignment with standard guidelines, is crucial to assess and treat her cognitive and behavioral changes effectively.

De la Rosa, A., Olaso-Gonzalez, G., Arc-Chagnaud, C., Millan, F., Salvador-Pascual, A., García-Lucerga, C., & Gomez-Cabrera, M. C. (2020). Physical exercise in the prevention and treatment of Alzheimer’s disease. Journal of Sport and Health Science, 9(5), 394-404.

Oliveira, F. F., Miraldo, M. C., de Castro-Neto, E. F., de Almeida, S. S., Matas, S. L. D. A., Bertolucci, P. H. F., & Naffah-Mazzacoratti, M. D. G. (2023). Differential associations of clinical features with cerebrospinal fluid biomarkers in dementia with Lewy bodies and Alzheimer’s disease. Aging Clinical and Experimental Research, 1-12.

Explanation & Answer

Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Order Now and we will direct you to our Order Page at Litessays. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.

Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.

Do you need an answer to this or any other questions?

Similar Posts