[Expert Solution]: Case study #5 Delerium VS DementiaName – Mr

Case study #5 Delerium VS DementiaName – Mr. AponiAge – 85Patient informationMr. Aponi has a history of dementia. His dementia limits his ability to respondappropriately to questions and at times Mr. Aponi is easily agitated and resistant tonursing care. He refuses to take his medications, spitting them back out, grippingthe bedside rail when the nurse tries to turn him, and yelling out for his wife tosave him.Vitals @ 0830: Temperature- 37.8, HR 78, RR 18, BP 135/84, O2 96%Medications: Morphine 2.5 mg PO daily PRN, Galantamine 4 mg PO BID, Trazadone 100 mg PO daily at HS and 50 mg PO BID PRN.Case StudyMr. Aponi is an 85-year-old man with a history of dementia. He is a resident of along-term facility. Mr. Aponis frequent incontinence necessitates the developmentof therapeutic communication to facilitate activities of daily living (ADL) care andfrequent skin hygiene. The nurse caring for Mr. Aponi for the first time soon learnsthat talking slowly and softly is the most effective way of focusing the clients atten-tion and prompting him to follow basic instructions such as turning side to side.The nurse feels uneasy about speaking to Mr. Aponi as if he were a child in someways. However, the nurse finds that this manner of speech keeps Mr. Aponi calmand that he responds well to praise and compliments and that he is very helpful tothe nurse in assisting with his own care.On the second day of caring for him, the nurse notes that Mr. Aponi is moreagitated and needs frequent reorientation regarding where he is. The nurseneeds the assistance of another person to hold Mr. Aponis arm steady whileassessing his blood pressure since Mr. Aponi keeps pulling his arm away yellingno. At one point in the day, Mr. Aponi tells the nurse, There was a little boyin the room a minute ago. Where did he go? The nurse knows there was nota little boy in the room, but does not know how to respond. The nurse ignoresMr. Aponis comment and redirects his attention to what is on television.When saying good-bye to Mr. Aponi at the end of the second day, the nurse isdisappointed that Mr. Aponi does not seem to recognize the nurse or remember that the nurse has been caring for him for the past two days. The nurse is saddened to see him so confused and is emotionally exhausted after two days ofresponding to his frequent changes in behavior. Create a care plan include assessment diagnosis plan goals interventions