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NSG550 Diagnostic Reasoning for Nurse Practitioners

Module 9 Discussion

A 67-year-old woman presents to your office, accompanied by her daughter, with complaints of extreme confusion and agitation. She had been doing reasonably well until 3–4 weeks ago; however, her family says her memory has been getting worse over the last 2 years. Initially she had problems remembering recent events and people's names and had a tendency to dwell in the past. She got lost several times driving, most recently in a familiar neighborhood.

What is the probable diagnosis?

What are other possible diagnoses?

At this stage of the case study, what diagnostic studies and basic treatments are most appropriate to order and why?

Please be specific and precise with answers. A table format or bullet points would be beneficial in presenting your information with clarity or organization.

Reference for management of the case study:

http://emedicine.medscape.com/article/1134817-overview