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Cognitive Disorders Cognitive Disorder: June Observing June keenly, she is exhibiting several symptoms that are considered as the preliminary symptoms of cognitive disorder. A person suffering from this disorder normally shows signs of significant social and occupational impairment. In June’s case, she does not pay her bills and do not also work but just take longer times watching television. She shows signs of confusion as she calls Lisa by her sister’s name. June does not trust Lisa and her sister as she accuses them of stealing her money.
She has lost interest in things that she used to do. June therefore has family and friendship problems as she gets angry that Lisa does not mind her own business. She also shows economic impairment as Lisa really wonders how she managers her household finances and her checkbooks. She’s also cautious that Lisa and the sister are stealing her money (Blazer, 2013). Other questions that I would ask include those that trigger memory such as the last time June went to work if she can remember. This is to test her memory as loss of memory is also a symptom.
I would also ask if she has shown signs of violence, irresponsibility and disrespectfulness. Cognitive disorder patients normally show such symptoms. Since depression is one of the symptoms, June might suffer from delayed or irregular menstrual cycle. On the other hand, due to weird behavior and isolation, she might suffer from neglect and abandonment that might affect her health. In order to help June and Lisa obtain appropriate treatment, I would refer June to obtain a neuropsychological evaluation that will prove whether it is a neurocognitive disorder.
If the diagnosis test turns out positive, I would recommend medication to June such as cholinesterase inhibitors donepezil, galantamine, and rivastigmine (Philip, 2013). I would also advice Lisa to provide her with extended nursing or home care placement as the caregiver’s support becomes very key in managing this disorder.The family and the treatment team need to show love and effective care to June for her not to feel that something’s wrong. In fact, when still in this condition, she needs to undergo the medication and care without being informed about what she is suffering from.
This will uplift their confidence and make them feel part of the society without any discrimination. She also needs not to be left alone to feel isolated or even think of doing something stupid. ReferencesBlazer, D. (2013). Neurocognitive Disorders. American Journal of Psychiatry , 170 (6), 585-587.Philip, W. (2013). Neurocognitive Disorders. Internet Mental Health , 1-6.
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