Mr. White is a 72-year-old man, with a history of hypertension, COPD and moderate dementia, who presents with 4 days of increased confusion, nighttime restlessness, visual hallucinations, and urinary incontinence. His physical exam is unremarkable except for tachypnea, a mildly enlarged prostate, inattentiveness, and a worsening of his MMSE score from a baseline of 18 to 12 today.

Mr. White’s presentation is most consistent with an acute delirium (acute change in cognition, perceptual derangement, waxing and waning consciousness, and inattention).

What is the most likely diagnosis to frequently cause acute delirium in patients with dementia?
What additional testing should you consider if any?
What are treatment options to consider with this patient?

n the essays or videos, describe a learning activity that you have done (provide the example with your assignment) and how you successfully showed proficiency in each section (bullet) of the competency.  For example,  you have an activity from an English course and want to use it for the Written Communication Competency.  So, you need to explain how parts or the whole of the activity include the aspects of the competency:

1* Choose and narrow a subject.

2* Identify a purpose and formulate an appropriate thesis statement.

3* Organize ideas effectively and develop them within a logical paragraph structure.

4* Support points clearly with adequate and specific evidence.

5* Demonstrate command of accepted English sentence structure and grammar.

6* Revise and edit according to standard English practice, including attention to punctuation and appropriate vocabulary.

7* Acknowledge all sources by documenting research according to a recognized manual.

You can either use screen shots or quote parts of the activity to explain how this evidence you are providing meets the assignment requirements & competency.  So- if you cited sources at the end then you can state that for #7 you documented your research according to APA/MLA etc…then provide a screen shot of the page.  Try your best to provide evidence for 100% of the competency components.