Vascular Neurocognitive Disorder in a Patient Case Study

Exclusively available on Available only on IvyPanda® Made by Human No AI

The case focuses on an older adult, and at 69 years old, he presented some memory and speech problems. The wife had noticed that her husband has been having difficulties remembering the names of his family members and close friends. The man has been experiencing these memory losses for the past few months. He was lost while driving in his own neighborhood and had missed several appointments. Upon neurological examination, the patient seems to forget two objects of three in only three minutes.

  • The patient’s symptoms are consistent with those of an individual suffering from a vascular neurocognitive disorder. The possible disease is Alzheimer’s disease (AD), whose most distinct feature is memory impairment.
  • According to Ulep et al. (2018), AD’s progression takes several months, and the initial symptoms include amnesia, where the language, visual-spatial, or executive dysfunction are affected.
  • With time, the disease affects episodic memory, including the inability to store new information and forgetting appointments, names, or medications. These signs were consistent with the ones displayed by the patient.
  • As people grow older, it is possible to become forgetful of essential things. Therefore, a conclusive test should be conducted to ascertain the patient’s condition. Arvanitakis et al. (2019) proposed using the Montreal Cognitive Assessment, which is helpful in the early detection of cognitive impairment.
  • Once the disease is identified, the patient can be started with non-pharmacologic approaches such as cognitive training, reminiscence, art therapy, and appropriate physical exercises.
  • These exercises might not be enough, requiring the need for medications. Some of the most reliable drugs for cognitive symptoms include acetylcholinesterase inhibitors, which help increase acetylcholine abundance (Arvanitakis et al., 2019). They come in different forms, and they help slow down cognitive decline.
  • Examples include donepezil, which should be administered 5mg daily for the first six weeks, and past that, increase the dosage to 10mg daily (Arvanitakis et al., 2019).
  • Rivastigmine capsule starts with 1.5mg before increasing it to 3mg, then progresses to 4.5mg, and finally 6mg when the patient builds tolerance (Arvanitakis et al., 2019). In each phase, the drug should be administered twice daily for two weeks apart from the last stage, where the patient can take it for as long as needed.

Reference

Arvanitakis, Z., Shah, R. C., & Bennett, D. A. (2019). D. Jama Network, 322(16), 1589-1599.

Ulep, M. G., Saraon, S. K., & McLea, S. (2018). . The Journal for Nurse Practitioners, 14(3), 129-135.

More related papers Related Essay Examples
Cite This paper
You're welcome to use this sample in your assignment. Be sure to cite it correctly

Reference

IvyPanda. (2023, January 31). Vascular Neurocognitive Disorder in a Patient. https://ivypanda.com/essays/vascular-neurocognitive-disorder-in-a-patient/

Work Cited

"Vascular Neurocognitive Disorder in a Patient." IvyPanda, 31 Jan. 2023, ivypanda.com/essays/vascular-neurocognitive-disorder-in-a-patient/.

References

IvyPanda. (2023) 'Vascular Neurocognitive Disorder in a Patient'. 31 January.

References

IvyPanda. 2023. "Vascular Neurocognitive Disorder in a Patient." January 31, 2023. https://ivypanda.com/essays/vascular-neurocognitive-disorder-in-a-patient/.

1. IvyPanda. "Vascular Neurocognitive Disorder in a Patient." January 31, 2023. https://ivypanda.com/essays/vascular-neurocognitive-disorder-in-a-patient/.


Bibliography


IvyPanda. "Vascular Neurocognitive Disorder in a Patient." January 31, 2023. https://ivypanda.com/essays/vascular-neurocognitive-disorder-in-a-patient/.

If, for any reason, you believe that this content should not be published on our website, please request its removal.
Updated:
This academic paper example has been carefully picked, checked and refined by our editorial team.
No AI was involved: only quilified experts contributed.
You are free to use it for the following purposes:
  • To find inspiration for your paper and overcome writer’s block
  • As a source of information (ensure proper referencing)
  • As a template for you assignment
1 / 1