RN ATI Capstone Proctored Comprehensive Assessment 2019 BManagement of Care- 8 items Advance Directives/Self-Determination/Life Planning - (1) Professional Responsibilities: Admission Requirements From the Patient Self-Determination Act The Patient Self-Determination Act (PSDA) stipulates that on admission to a health care facility, all clients must be informed of their right to acceptor refuse care. Competent adults have the right to refuse treatment, including the right to leave a health care facility without a prescription for discharge from the provider If the client refuses a treatment or procedure, the client is asked to sign a document indicating that they understand the risk involved with refusing the treatment or procedure, and that they have chosen to refuse it Collaboration with Interdisciplinary Team - (1) Neurocognitive Disorders: Priority Finding to Report for a Client Who Has Alzheimer's Disease Alzheimers disease (AD) is neurodegenerative, resulting in the gradual impairment of cognitive function. It is the most common type of major NCD GI effects: Nausea, vomiting, and diarrhea Monitor for gastrointestinal adverse effects and for fluid volume deficits. Promote adequate fluid intake. The provider may titrate the dosage to reduce gastrointestinal effects. Bradycardia, syncope Teach the family to monitor pulse rate for the client who lives athome.