Module 23: Concept of Cognition Case Study: Parts 1, 2, and 3 Victor Wallace is a 74-year-old Caucasian male. Case Study.

Question Module 23: Concept of Cognition Case Study: Parts 1, 2, and 3 Victor Wallace is a 74-year-old Caucasian male who was diagnosed with moderate Alzheimer disease 2 years ago. Mr. Wallace lives with his 50-year-old daughter, Anne Marie, who is his primary caretaker. His wife of 52 years died of pancreatic cancer 18 months ago. Mr. Wallace presents at his gerontologist's office at 9:30 on Thursday morning. Ms. Wallace requested the appointment because she is concerned about the changes she has seen in her father over the past month. As the nurse working with Mr. Wallace's gerontologist, you conduct an initial assessment and interview with Mr. Wallace and Ms. Wallace. Ms. Wallace reports that Mr. Wallace has exhibited increased confusion and anxiety at home and at the adult day care center he attends each day while she is at work. In the past, Mr. Wallace only had these problems in unfamiliar settings. He is also experiencing a decline in language, increasingly using the wrong words to describe common objects and relying on scanning speech to find words. However, Ms. Wallace's main concern is her father's refusal to carry out the basic activities of daily living (ADLs) he is still capable of performing. When you ask Mr. Wallace about the ADLs, he says, "There's no point in trying because I won't be able to do them much longer." As you observe Mr. Wallace, you note that he seems agitated. He is sitting on the edge of his chair, tapping his foot and rapping his hands on his knees. When you ask him basic questions, he has a hard time coming up with answers. When he can't find the words he wants, he just repeats the phrase "That's how it is."