Identify the atypical presentations and/or geriatric syndromes in this case study.

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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.

Each blog entry should describe and critically discuss a piece of primary research, published in a journal, and of relevance to the topics studied in the module.

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Introduction You are required to submit five blog entries, each of no more than 500 words, throughout the year. Each blog entry should describe and critically discuss a piece of primary research, published in a journal, and of relevance to the topics studied in the module. You may choose any study which you deem to be of relevance to any of the learning outcomes of the module(cardiovascular system and its diseases). You should assume that your audience are general medical professionals (general practitioners and pharmacists). Each blog entry should be saved as a single Microsoft Word file (.docx) and should include in addition to the body of the text: A title A reference in Harvard or Vancouver format. A hyperlink (web link) to the article upon which you have commented A word-count for the body of the text (ie excluding title, reference and hyperlink) which should be no more than 500 words in length.

Using T2D statistics, compare the rates in the U. S. to the rates in your home state.

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Write a five (5) paper in which you:
Add this in the paper from Chapter 15, “Epidemiology for Public Health Practice”
“There are many challenges of working with health data in developing countries, defined as countries in the process of establishing an economic and medical infrastructure to support health. The social and environmental conditions in these types of countries may make simple tasks, such as recording births and deaths, become huge tasks. The incidence and prevalence of diseases seen in developing countries often differ from those found in developed countries because of variations in screening, diagnosis, and treatment. Even if the incidence of a disease is the same in developing countries because of issues related to access to medical care and treatment.” ( Chapter 15,”The Practice of Epidemiology in Developing Countries”, Introduction to Epidemiology distribution and Determinants of Disease in Humans, Caroline A. Macera, Richard A. Shaffer, Peggy M. Shaffer, Series Editor: Carleen H. Stoskopf, Page422
1. Analyze the development of T2D in the U.S. and compare its development to developing countries in general.
2. Using T2D statistics, compare the rates in the U.S. to the rates in your home state.
3. In addressing community concerns, analyze the cost of treating T2D in your community. Suggest five (5) prudent steps to address the psychosocial proliferation of the disease. Provide support for your suggestion.
4. propose at least six (6) steps to address T2D in your current or previous workplace environment, and recommend the one (1) you believe to be the most important. Provide support for your recommendation.
5. Use at least 7 (7) peer- reviewed academic resources in this assignment. These must come from journal sources.

The specific course learning outcomes associated with this assignment are:
1. Examine epidemiology, financial management, and cost effectiveness analysis
2. Use technology and information resources to research issues in managerial epidemiology.
3. Write Clearly and concisely about managerial epidemiology using proper writing mechanics.

Grading Points 240
1. Analyze the development to developing countries in general. (20) points
2.Using T2D statistics, compare the rates in the U. S. to the rates in your home state. (20) points
3. In addressing community concerns, analyze the cost of treating T2D in your community. Suggest five (5) prudent steps to address the psychosocial proliferation of the disease. Provide support for your suggestion. (25) points
4. Propose at least six (6) steps to address T2D in your current or previous workplace environment, and recommend the one (1) you believe to be the most important. Provide support for your recommendation. (25) points
5. references (7)
6. Clarity, writing , mechanics, and formatting requirement (10) points

Adaptive Response

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Application: Adaptive Response
As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.
Consider the following scenarios:
Scenario 1:
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.
Scenario 2:
Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.
Scenario 3:
Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.
To prepare:
Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
Identify the pathophysiology of the disorders presented in the scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
To complete:
Write a 2- to 3-page paper that addresses the following:
Explain the pathophysiology of the disorders depicted in the scenarios, including their associated alterations. Be sure to describe the patients’ adaptive responses to the alterations.
Construct a mind map of your selected disorder. Include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.