you are the nurse working triage in the emergency department.
this afternoon, a woman brings in her
father, K.B., who is 74 years old. the daughter reports that over
the past year she has noticed her father has
progressively had problems with his mental capacity. these changes
have developed gradually but seem
to be getting worse. at times he is alert and at other times he
seems disoriented, depressed, and tearful.
He is forgetting things and doing things out of the ordinary, such
as placing the milk in the cupboard and
sugar in the refrigerator. K.B. reports that he has been having
memory problems for the past year and
at times has difficulty remembering the names of family members and
friends. His neighbor found him
down the street 2 days ago, and K.B. did not know where he was.
this morning he thought it was nighttime
and wondered what his daughter was doing at his house. He could not
pour his own coffee, and he
seems to be getting more agitated. a review of his past medical
history is significant for hypercholesterolemia
and coronary artery disease. He had a myocardial infarction 5 years
ago. K.B.'s vital signs today are
all within normal limits.
Can you help me write the SBAR for this case study
Situation : I am concerned about the memory issue faced by the patient.
Background :patient is having progressive memory loss. He has hypercholesterolemia ,coronary artery disease and history of myocardial infarction.
Assessment :the vitals are normal. I think the condition is neurological.( Likely Alzheimer's disease )
Recommendation :Kindly see this patient and discuss the management to the family members. If you want to do investigations like routine blood investigations and MRI, kindly order.
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