Formatting of the Assignment.

Formatting of the Assignment.

This is a 1 000-word written assignment.

It needs to be structured as follows: Introduction, Main Body and Conclusion.

Subheadings are not required.

You need to write in full sentences to demonstrate your critical thinking skills at Masters Level.

Please do not use bullet points, numbering or lists. You are writing for the reader and not for yourself; therefore, you need to write using full sentences.

Assignment Guidance for theAssessment Task

Provide a brief description of Mrs Fishers current clinical presentation, issues and provide a brief description of Mrs Fishers history.

Identify thetype of deliriumthat Mrs Fisher is presenting with and discuss the generalphysical, psychological and social needsassociated with the type of delirium.

This is asking you to tellchoose which type of deliriumMrs Fisher may be experiencing, based on your understanding of what you have read in the Case Study.

Is it hyperactive delirium?

Is it hypoactive delirium?

Is it mixed delirium? This is likely

Once you have decidedwhich type of delirium it is, you need to discuss or reviewthe generalphysical, psychological and social needs associated with the type of delirium that you have selected. You are being asked this question because thephysical, psychological and socialneeds will differ according to the type of delirium.

3. Describe themain issues; risks and needsthat need to be addressed anddiscuss how you will manage the issuesthat you have identified.

This is asking you toundertake an assessmentof Mrs Fisher, based on the type of delirium that you have chosen.

When you are being asked about the main issues, risks and needs, you are being asked to identify thespecific areaswhich are the top priority that need to be addressed for Mrs Fisher.

Pause & Think about your daily clinical practice:

When you meet a patient in distress, do you deal with all the issues, risks and needs that the patient presents with all at once? I am sure that you would agree that it is impossible to address ALL the needs ALL at the same time, but you would prioritise those needs in order of importance. This is what you are being asked to do with Mrs Fishers Case Study.

As you would in your clinical practice, when you undertake an assessment, you would identify specific key risks and then plan to address the risks in order of priority.

Once you have identified the risks, then you discuss an individualised plan of how you will address the risks that you have identified for Mrs Fisher.

This is what you are being asked to do.

4. Critically discuss the best assessments and tool/s that can be used to address Mrs Fishers presenting problems associated with delirium.

5. Reference your work using APA 7th Referencing System.

Important things to include

MSE mental state exam

Cognitive screening tool in the case ACE 111 Addenbrookes cognitive exam

Aiming atleast 12-15 references. case study does not need to be referenced and this case study can be written in first person.

No more than 1100 words.

Journal articles

Dening 2020 Differentiating between dementia, delirium and depressions between older persons

Addenbrookes cognitive examination 111 in the diagnosis of dementia a critical review.

Case Study

Presenting Problem

Mrs Fisher is a 72-year-old-lady who is presenting with acute confusion, anxiety and restlessness. She is accompanied by her husband Mr Fisher, and they have been married for 45 years. They have 2 adult children who have moved away from home and now live in Victoria. Mrs Fisher is a retired Principal for a Local Primary School. She is an active member of her local community, and she enjoys supporting local After School Clubs that are provided by the Local District Council for Children and Young People.

Mrs Fisher was rushed into the ED during the early hours of the morning. Mrs Fisher had woken up to use the toilet during the night. As she was walking back to her bedroom, she fell, bumped her head and became temporarily unconscious. Mr Fisher found her on the floor, and he called for an ambulance.

When the Paramedic Team arrived at the home, Mrs Fisher was very confused and she was complaining of pain in her head, chest and her left arm. Mrs Fisher was agitated, and she did not want her husband to leave her side. She believed that she was a Director on the set of an Action Movie. She kept asking her husband why there were so many strangers on her movie set. The Paramedic Team observed that Mrs Fisher was confused, disoriented and she was very angry with them for invading her house. When the Paramedic Team were transferring Mrs Fisher into the ambulance, she became increasingly distressed. She became progressively more agitated and appeared to be struggling to find the words to verbally express herself. At times, she behaved in a manner that was combative and uncooperative towards the Paramedic Team.

Mr Fisher gave a brief description of the events leading up to Mrs Fishers admission to the ED. He said that generally, Mrs Fishers health is stable. She enjoys being around people and she is often described as the life and soul of the party. However, during the last 5 days, she has been reluctant to go out of the house, she has been refusing to engage in social activities that she usually enjoys. Instead, she has become increasingly lethargic. In the last 3 days, he stated that Mrs Fisher has been complaining of feeling physically unwell. She started to become more socially withdrawn and she would sleep during the day. When Mr Fisher offered her food, she ate very little, she told him that she did not feel like eating much. Mrs Fisher told Mr Fisher not to make such a fuss, she thought that she might just be under the weather. Mrs Fisher did not feel the need to disturb her GP Dr Lee.

Mr Fisher is distressed about his wifes presentation. He said that he had never seen his wife so clingy before. Generally his wife is a strong, confident woman and he is shocked at how agitated, scared and anxious she has suddenly become. He reported that he was worried about his wifes idea that she is the Director of an Action Movie, and she didnt understand why these strange people had taken her away from her movie set.

Previous History

In the past, Mrs Fisher has been diagnosed with rheumatoid arthritis which affects her hands, feet and knees. The pain in her knees and feet has occasionally left Mrs Fisher unsteady on her feet. She also experiences pain associated with sciatica which she manages using prescribed opioid medication Oxycodone. Mrs Fisher has a history of high blood pressure which is well managed. Mrs Fisher does not have a history of mental illness

Essay

Introduction

Provide a brief description of Mrs Fishers current clinical presentation, issues.Provide a brief description of Mrs Fishers history.

Main Body

Identify the type of delirium that Mrs Fisher is presenting with and discuss the physical, psychological and social needs associated with the type of delirium.

Describe the main issues; risks and needs that need to be addressed and discuss how you will manage the issues that you have identified.

Critically discuss the best assessments and tool/s that can be used to address Mrs Fishers presenting problems associated with delirium.Discussion must be supported byhigh quality contemporary literature.

Conclusion

XXXXXXXX

Length 1000 words max 1100 including headings, sub headings and in text citations.