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Question
Reflect on the way the patient presented in the case, including whether the patient might be presenting with dementia, delirium, or depression. Reflect on the patient's symptoms and aspects of disorders that may be present. What distinct symptoms or factors would lead you to a diagnosis of dementia, delirium, or depression? Consider how you might assess, perform diagnostic tests, and recommend medications to treat patients presenting with the symptoms in the case. Access the Focused SOAP Note Template in this week's Resources.
Note: When completing your focus SOAP notes, list your primary diagnosis AND 3 differential diagnoses with evidence-based rationales. Mrs. Simmons, an 84-year-old widow, is brought to the office by her daughter, Mary. She is a retired office worker and has 2 children, a son Stephen who lives out of state and her daughter. Mary claims that her mother seems to be depressed. There is a history of depression approximately 5 years ago, shortly after Mrs. Simmons's husband died. At that time, she was successfully treated with antidepressants. Currently, the daughter states that her mother's memory for appointments and events has declined severely, and she seldom drives because she does not seem interested in shopping or going out like.
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