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NURS14178 - Nursing Care 1 | ASSIGNMENT #1 Version 1 Case Study
INSTRUCTIONS
This is an individual assignment worth 15% of the final grade and is due in week 7, winter 2022
(beginning of your scheduled class).
You are expected to submit a professionally completed assignment with the required sections as
outlined below. The completed assignment must be submitted via Dropbox in SLATE. No other
electronic submissions of the assignment are accepted except via Dropbox in SLATE. Marks
will be deducted for late and/or incomplete submission and assignments handed in via
email.
Students are responsible for completing this assignment on their own, it is an individual
assignment.
WHAT YOU NEED TO DO?
Answer all the questions asked in the scenario not exceeding 5 pages. All answers must
be cited with credible sources. Refer to required sections for further guidelines.
REQUIRED SECTIONS
- Answers to all the questions:
- Typed and double spaced.
- Not exceeding 5 pages.
- Grammatically correct with proper sentence structure and citation.
- APA 7 format.
- Other documents:
- A cover page with students and professor’s names.
- A copy of the case study scenario.
- Reference page.
- Copy of the rubric.
ASSIGNMENT #1 Version 1 – Case Study
CASE STUDY SCENARIO
An older Latin American woman is admitted to the emergency department (ED) by ambulance.
The paramedics inform the staff that they were notified by an anonymous source regarding an
older woman who "looked lost" in the neighbourhood. When they arrived, they found her
bleeding from scrapes on the palms of both hands and the anterior aspects of both knees. She
would not tell them her name or where she lived, and she was mildly combative, batting them
away from her as they approached. She has no identification.
In the ED she is disoriented, agitated, and suspicious of attempts to assess her. You observe that
she has poor personal hygiene. She is wearing two different coloured socks, and her shirt is
inside out. She has extensive bruises circling her wrists and a large bruise on her left neck. Her
gait is stable with no limb rigidity or flexor posturing. She denies any knowledge of her own
health history, exclaiming, "I'm as healthy as a bat, and I can take care of myself!"
After you place the woman in a quiet room and offer her some water, she begins to relax. You
ask to clean her skinned hands and knees and she agrees. At that time, a middle-aged man and
woman come into the room, exclaiming, "Mother, this is the last straw! Will this never end? We
are just going to have to take drastic measures!" To which the patient replies, "Who are you?"
The man explains that the woman is his mother, E.S., age 75, who has lived with him and his
wife for the past 3 years since she started a fire in her home, which is in another province. He
says that she has dementia that is thought to be Alzheimer's disease (AD). His wife had to quit
her job as a salesclerk 2 years ago to care for E.S. because she required 24-hour monitoring.
E.S.'s son tells you that they have tried everything to keep E.S. from wandering, but this is the
third time she has been picked up in the neighbourhood by the police or the paramedics. He says
they must have forgotten to lock the door to her room after they removed her dinner dishes.
Case scenario and questions adapted from: Copyright © 2019 Elsevier Canada, a division of Reed
Elsevier Canada, Ltd.
Questions
- When discussing E.S.'s Alzheimer’s Disease (AD) with her son and daughter-in-law, you
use knowledge of the pathophysiology of AD to help them understand the problems with
diagnosis and treatment of the disorder. Explain at least 2 of the pathophysiological
finding’s that are characteristic of AD?
- Explain how a definitive diagnosis of AD is made.
- List and explain at least 3 ways in which AD differs from delirium?
- You suspect that E.S.'s son and daughter-in-law are having difficulty coping with the care
of E.S. and that she might be abused. Identify at least 3 factors from the scenario that lead
you to this conclusion. Discuss the nursing responsibilities related to elder abuse.
- E.S.'s son says he is worried about getting AD himself, since he has heard it can be
genetic. He says he is becoming more forgetful at his age of 57, often going into a room
and not remembering until a short time later why he went there. What would
your best response to him be at this time?
- E.S. is to be discharged from the ED to return home with her family and receive followup care from a home health nurse. Before they leave, you discuss her care with them. List
and explain at least 3 possible appropriate instructions for her care.
