Janet Riley Case Study: Comprehensive Assessment, Diagnosis, A

JANET RILEY CASE STUDY: COMPREHENSIVE ASSESSMENT, DIAGNOSIS, AND MANAGEMENT OF EARLY-STAGE ALZHEIMERS DISEASE WITH COGNITIVE DECLINE AND BEHAVIORAL CHANGESPatient Name: Janet Riley Demographics: Age: 74 years Gender: Female Ethnicity: Caucasian Marital Status: Widowed Occupation: Retired elementary school teacher Living Situation: Lives alone, daughter visits twice weekly 1 Reason for Encounter Primary Complaint: Confusion and memory loss reported by daughter over the past 6 months. Source of Information: Daughter (reliable historian) 2 History of Present Illness (HPI) Janet Riley is a 74-year-old female brought in by her daughter due to gradually worsening confusion and memory problems over the past 6 months. The daughter reports: Repeating the same questions multiple times Forgetting recent conversations Misplacing household items Difficulty managing finances Missed medication doses Got lost while driving to a familiar grocery store last month Increasing irritability and occasional mood swings Symptoms are progressive, not sudden. No recent head trauma. No fever, headache, or focal weakness. Sleep pattern mildly disturbed. 3 Past Medical History Hypertension (15 years) Type 2 Diabetes Mellitus (10 years) Hyperlipidemia No prior psychiatric illness No stroke history 4 Surgical History Appendectomy (age 30) Cataract surgery (age 70) 5 Medications Metformin 500 mg BID Lisinopril 10 mg daily Atorvastatin 20