week 6

Running head: WEEK 2 – DISCUSSION: INITIAL ASSESSMENT

WEEK 2 – DISCUSSION: INITIAL ASSESSMENT

WEEK 2 – DISCUSSION: INITIAL ASSESSMENT

Student’s name

Instructor

Course

Date

Case study title: Margaret “My Husband’s Brain Stopped Working Properly”

Initial session (patient-doctor assessment)

Doctor: Does dementia run in your family?

Patient: Yes

Doctor: When did the symptoms start?

Patient: 8 years ago.

Doctor: Are you taking any medications?

Patient: No

Questions analysis

Asking the patient about the relationship of his condition with the family lineage is to assist me to identify whether the disease is hereditary. I wanted to know whether the patient possesses either risk genes or deterministic genes that are involved in identifying the type of dementia. Also, I did not want to carry out a genetic test since it is not recommended. In order to establish an effective therapeutic plan, understanding underlying treatable condition such as abnormal thyroid function, normal pressure hydrocephalus, or vitamin deficiencies that may relate to cognitive difficulties, may help me to identify the cause of the disease.

On to the next question “when did the first symptom start?” helps me to acquire key history events because they serve as key drivers to the conducting diagnosis and planning treatment program though it may require several consultations. Also, understanding the stage my client is in with the condition will open up the door to future care and treatment. It will assist the patient to plan ahead while he is still able to make important decisions about his care. Families also will be able to receive practical information, advice, and guidance as they face new challenges.

Finally, asking whether the patient is under any medication allows for prompt access to medications and medical attention. Since the patient is under no medication, my new medication plan will help him maintain daily function and quality as well as stabilize cognitive decline. Additionally, the client will be able to manage symptoms such as depression.

References

Gorenstein, E. E., & Comer, R. J. (2002). Case studies for abnormal psychology. New York: Worth Publ.