Atypical Presentation Case Study. (Developed by Deanna Gray-Miceli DNSc, APRN, FAANP)
In this Assignment, you will review the Atypical Presentation PowerPoint, the Urinary Incontinence PowerPoint, and the screening tools from https://consultgerirn.org/resources/. Read the case study and compose an expository paper in which you respond to the questions below.
Case Study:
Ms. N is a 74 year-old female who is accompanied for admission to the nursing home by her daughter Doris. Ms. N appears distracted and confused repeatedly saying “I want to go home, why am I here?” Doris reports for over the past 3 weeks her mother, who has lived with her for over 10 years, has gone downhill quickly and she can no longer manage her falling and urinary incontinence (UI) at home. Doris has sought nursing home admission for respite for the next few weeks, but plans to admit her mother permanently due to her inability to care for herself.
During your focused interview you learn that Ms. N is actually paranoid, saying, “that lady over there, brought me here to get rid of me, I think she’s trying to kill me.” You quickly integrate questions from the Mini-Mental State Examination into your causal, but focused interview. Ms. N scores a 20/30. You conclude she is probably suffering from Dementia of the Alzheimer’s type. A review of her medical records shows mild benign forgetfulness and recent confusion which was treated with Haldol 0.5 mg BID. Ms. N was independent in activities of daily living (ADL) up until 1 month ago. A typical day was spent driving herself to a part-time job at the local library.
A review of the medical record accompanying Ms. N reveals a recent CAT Scan of the head performed 1 week ago that was normal with no masses or atrophy. All other laboratory data is normal (CBC, B12, folate, and SMA-24). Missing are a routine urinalysis and thyroid function studies.
Questions:
• What would be a preliminary problem list for Ms. N?
• What is the most important piece of information given in this scenario? Why?
• Identify the atypical presentations and/or geriatric syndromes in this case study.
• What other subjective data do you need to gather? Why?
• What objective data do you need to gather about Ms. N? Why? Which screening tools would be helpful? (review the resources in https://consultgerirn.org/resources/)
• Finish this case study scenario to include the further subjective and objective data you might receive. What interventions would you propose? What would be some realistic and measureable projected outcomes?
• Assignment Requirements
• The finished Assignment should be 3–4 pages in length, excluding the title page and references. The viewpoint and purpose of this Assignment should be clearly established and sustained.
Assignment Requirements (p 2)
Before you finalize your work, you should:
• be sure to read the Assignment description carefully (as displayed above)
• consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary;
• utilize spelling and grammar check to minimize errors; and
• access information regarding APA citation information, such as the KU Writing Center.
Please be aware that quoting is not to be used. Please be sure your paper is paraphrased in your own words.

Please check this file “Case_Study-Care_of_A_Patient_With_Stroke__Final_.doc” you need to use this as a format, the sample, needs to be exact format.
This is the data “Case_presentation_on_TBI_part_2.pptx” to be provided on the first file, this should be the content. But on the tabular form, we need you to completely paraphrase it.
Msg me for clarification.
Part 1 Care Study
Kindly use the matter related to the patient chosen for case study. and please discuss the care given demonstrating evidence of the nursing process (assessment and nursing diagnosis, plan of care, delivery of care and evaluation). the care plan (in tabular form in the powerpoint presentation) has to be rephrased
Part 2 Essay
Discussion of how social and healthcare policies impacted on the care plan submitted for the chosen patient care study.
This assignment is a case study for a patient who suffered traumatic brain injury and is now in a rehab ward. this assignment’s first half of 1500 words shall cover the care plan for the patient and the second half is an essay on the laws affecting the individual (patient) whilst they are in healthcare. I will provide with a sample and the care plan that I made which has to be paraphrased and included in the assignment with latest research references.
The learning outcomes to be met by this assignment are as follows:
1. Critically analyse and discuss the legislation, ethical principles, guidelines, policies and codes of practice, which govern nursing within the UK.
2. Demonstrate a comprehensive understanding of the practitioner’s role as a health promoter to both patients/clients and colleagues, as well as working as an effective member of the health care team.
3. Demonstrate a critical understanding of the factors within the health environment, which relate to the safety of patients/clients, their families, the wider community, colleagues and the measures that can be taken to reduce risks.
4. Competently assess, plan, implement and evaluate individualised patient/client care, demonstrating a comprehensive understanding of appropriate nursing theory and evidence based practice.
5. Critically review issues surrounding documentation, confidentiality, records and record keeping.
6. Utilise skills of reflection to enhance and develop clinical knowledge and skills for the benefit of patients/client care and discuss suggestions for improvements in the quality of the care they give and support the rationale for their suggestions.
7. Evaluate the application of quality assurance practices and clinical governance in the healthcare environment.
8. Demonstrate and reflect on own ability to work safely and effectively in clinical practice.
9. Critically discuss the structure and relationships of caring organisations in the UK.
10. Demonstrate a critical awareness of cultural, linguistic and religious issues as relevant to nursing practice in the UK.