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This site presents
three case studies on the role of the pharmacist in treating
Alzheimer’s disease.
The downloadable documents are offered in Adobe Acrobat (PDF)
format. If needed, you can acquire the free Acrobat Reader
software here:
>> download
Acrobat Reader |
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Understanding the Goals of Therapy
Richard C. Mohs, PhD
[ 64 kbytes ] |
Patient Presentation
Chief Complaint: Concern about memory lapses and thinking
process.
History/Physical Findings: Mrs. B is a 75-year-old
white female who was referred to a neurologist because
of concerns about her memory
and thinking process. She reported to her primary care doctor
that on a recent vacation trip to Europe she developed
a flu-like illness that lasted for three days. Along
with a headache, slight fever, and upset stomach, she
found that she had great difficulty with memory and thinking
during the illness and could not remember much for about
2 days. She recovered from the flu but, on returning
to the United States, noticed that she was having frequent
memory lapses and had become quite concerned. Her primary
care physician referred her to a neurologist for further
evaluation. >> download case study for more |
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The Impact of
Pharmacologic Treatment of
Alzheimer's Disease on Cognition, Behavior
and Activities of Daily Living
Michael W. Jann, PharmD, FCCP, FCP, BCPP
[ 92 kbytes ] |
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Patient
Presentation
Chief Complaint: “I am more forgetful now than before.”
History/Physical Findings: MJK is an 80-year-old
white male who resides with his daughter and her family.
The family members reported
that MJK has had short-term memory problems over the past
4–5 months.
These cognitive symptoms have included forgetting times and
places once familiar to him, missing appointment dates and
calendar days, and misplacing a house key on several occasions
during the past few weeks. The family became alarmed when
MJK didn’t remember what the house key was used for.
He becomes angry and irritable when these incidents occur.
Yesterday, MJK became angry at the grocery-store clerk when
MJK was unable to understand the amount of correct
change from the grocery bill and accused the clerk of “stealing.” Over
the past few weeks, his daughter noticed that he paces or
wanders around the house at night for a few hours before
going to his bedroom. >> download case study
for more |
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Optimizing Outcomes:
Role of the Pharmacist
Kara Lee Shirley, PharmD
[ 56 kbytes ] |
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Patient Presentation
Chief Complaint: “I have become the absent-minded professor.”
History/Physical Findings: SWB is a 59-year-old
woman who presents to her primary care physician for her
yearly physical with her younger
sister who is visiting for the week. Her sister reports that
SWB’s “forgetfulness” became noticeable
approximately 10 months ago. SWB was first misplacing items,
eventually causing her to become late for her weekly trip
with the mountain biking club. According to other bike club
members, SWB began to use incorrect hand signals when riding
in traffic, and eventually stopped using them altogether.
SWB notes that she hasn’t felt up to the weekly ride
for the past couple of months and would rather spend a quiet
afternoon at home. >> download case study for
more |
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