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Therapy for Clients with Dementia
In so many countries, to be old is shameful; to be mentally ill as well as old is doubly shameful. In so many countries, people with elderly relatives who are also mentally ill are ashamed and try to hide what they see as a disgrace on the family.
—Dr. Nori Graham, psychiatrist and honorary vice president of Alzheimer’s Disease International
Examine Case Study: An Elderly Iranian Man With Alzheimer’s Disease. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following: 
Decision #1 
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
Why did you not choose each additional option? Please explain the mechanism of action for each medicine. 
Are any of the medications FDA approved?
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2 
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 
Why did you not choose each additional option? Please explain the mechanism of action for each medicine. 
Are any of the medications FDA approved?
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3 
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources. 
Why did you not choose each additional option? Please explain the mechanism of action for each medicine. 
Are any of the medications FDA approved?
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.

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