Health and Medicine

For this assignment, the title page and headings are required. Please use the info provided Review the elements and paper example provided in the Guidelines for Your Paper Format and Paper Example as needed. A minimum of two (2) references are required. Cite and reference your source/s as appropriate using APA format and style (7th ed.). this is the information i want formatted: Mental Status Assessment and Care Planning:A Case Analysis of Grief and Substance Use in Geriatric CareIntroductionThis report analyzes a case scenario involving A.H., a 67-year-old Hispanic male presenting for pneumonia follow-up at a primary care facility, with concerning behavioral changes following his daughter’s death in an alcohol-related motor vehicle accident.2.1 Analysis of A, B, C, and T ComponentsFrom the provided scenario, the following mental status elements are present:Appearance (Present):Disheveled appearance is specifically notedPhysical presentation suggests self-care deficitBehavior (Present):Slurred speechPresence of mint smell on breath, potentially masking alcoholAttendance at follow-up appointment indicates some level of health-seeking behaviorCognition (Not Explicitly Provided):While slurred speech might suggest cognitive impairment, no direct assessment of orientation, memory, or executive function is providedAdditional cognitive testing would be necessaryThought Processes (Not Explicitly Provided):No information about thought content, organization, or potential delusionsNo indication of suicidal ideation or grief processing patterns2.2 Additional Assessment Needs and ToolsSeveral validated assessment tools would be beneficial for a comprehensive evaluation:Mental Status Assessment:Mini-Mental State Examination (MMSE) for cognitive screeningGeriatric Depression Scale (GDS) to evaluate depression riskSubstance Use Screening:AUDIT-C (Alcohol Use Disorders Identification Test-Concise)CAGE questionnaire for alcohol use assessmentGrief Assessment:Inventory of Complicated Grief (ICG)Texas Revised Inventory of GriefAdditional information needed includes:Timeline of daughter’s deathPrevious mental health historyCurrent living situation and support systemCultural considerations regarding grief expressionCurrent medication listPattern and quantity of alcohol use2.3 Family and Community Support ImplicationsThe case requires a comprehensive support approach:Family Support:Assessment of existing family support networkEducation for family members about grief and substance useFamily counseling resources for shared grief processingCommunity Resources:Grief counseling services specializing in traumatic loss Cultural-specific support groups for Hispanic elderlySubstance abuse treatment programs with geriatric expertiseTransportation assistance for healthcare appointmentsHome health services if needed for pneumonia recoveryCare Coordination:Primary care provider coordination with mental health servicesRegular monitoring of both physical and mental health status. Connection with local senior services for additional support. References:McDougall, G. J. (1990). A review of screening instruments for assessing cognition and mental status in older adults. The Nurse Practitioner, 15(11), 21-29. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6751405/Substance Abuse and Mental Health Services Administration. (2023). SAMHSA’s National Helpline. U.S. Department of Health and Human Services. https://www.samhsa.gov/find-help/helplines/national-helplineWatts, S. C., Bhutani, G. E., Stout, I. H., Ducker, G. M., Cleator, P. J., McGarry, J., & Day, M. (2002). Mental health in older adult recipients of primary care services: Is depression the key issue? Identification, treatment and the general practitioner. International Journal of Geriatric Psychiatry, 17(5), 427-437. https://onlinelibrary.wiley.com/doi/abs/10.1002/gps.632

 

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