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Decision Tree Week 10
An Elderly Iranian Man with Alzheimer’s Disease
Tracy Newman
NURS-6630C Psychopharmacologic Approaches to Treatment of Psychopathology
Walden University
November 1, 2019
, 2
An Elderly Iranian Man with Alzheimer’s Disease
Alzheimer's disease (AD) is a neurodegenerative disorder with gradual cognitive and
functional deficits and changes in behavior associated with amyloid and tau accumulation and
depositions in the brain and considered the sixth most common cause of death (Apostolova,
2016). There has been substantial progress in genetics, neuroimaging, medical diagnostics, and
AD staging in recent years, and the ability to visualize amyloid pathology in the living human
brain is one of the most recent advances of AD (Apostolova, 2016). The recently revised
diagnostic criteria for AD dementia include the use of biomarkers as a guide for the underlying
pathology as supportive evidence, according to Apostolova (2016). Guidelines have been
developed to ensure the responsible use of amyloid positron emission tomography (PET) and to
actively explore the clinical and financial effects of amyloid PET imaging (Apostolova, 2016).
Age is an associated increased risk factor, especially in those 65 and older, incidences of
traumatic brain injuries, cardiovascular risk factors, and one or more apolipoprotein gene E4
alleles (APOE4) which may be inherited, although very rare with an increased probability of
development of the disease (Hategan & Xiong, 2018). Also, acetylcholine, which is an essential
factor in AD, plays a crucial role in the cholinergic system for the processing of cognition
(Ferreira-Vieira, Guimaraes, Silvia, & Ribeiro, 2016).
This research paper aims to assess client X with AD, provide suitable alternatives for the
best pathological treatment options and give an overview of the case history and summarize
ethical and legal ramifications for client X
Client X
Client X is a 76-year-old Iranian man who presents to this PMHNPs office with his son
for a psychiatric evaluation after his son began to notice irregular behaviors in which client X has
1
Decision Tree Week 10
An Elderly Iranian Man with Alzheimer’s Disease
Tracy Newman
NURS-6630C Psychopharmacologic Approaches to Treatment of Psychopathology
Walden University
November 1, 2019
, 2
An Elderly Iranian Man with Alzheimer’s Disease
Alzheimer's disease (AD) is a neurodegenerative disorder with gradual cognitive and
functional deficits and changes in behavior associated with amyloid and tau accumulation and
depositions in the brain and considered the sixth most common cause of death (Apostolova,
2016). There has been substantial progress in genetics, neuroimaging, medical diagnostics, and
AD staging in recent years, and the ability to visualize amyloid pathology in the living human
brain is one of the most recent advances of AD (Apostolova, 2016). The recently revised
diagnostic criteria for AD dementia include the use of biomarkers as a guide for the underlying
pathology as supportive evidence, according to Apostolova (2016). Guidelines have been
developed to ensure the responsible use of amyloid positron emission tomography (PET) and to
actively explore the clinical and financial effects of amyloid PET imaging (Apostolova, 2016).
Age is an associated increased risk factor, especially in those 65 and older, incidences of
traumatic brain injuries, cardiovascular risk factors, and one or more apolipoprotein gene E4
alleles (APOE4) which may be inherited, although very rare with an increased probability of
development of the disease (Hategan & Xiong, 2018). Also, acetylcholine, which is an essential
factor in AD, plays a crucial role in the cholinergic system for the processing of cognition
(Ferreira-Vieira, Guimaraes, Silvia, & Ribeiro, 2016).
This research paper aims to assess client X with AD, provide suitable alternatives for the
best pathological treatment options and give an overview of the case history and summarize
ethical and legal ramifications for client X
Client X
Client X is a 76-year-old Iranian man who presents to this PMHNPs office with his son
for a psychiatric evaluation after his son began to notice irregular behaviors in which client X has
