Use the following case study for this discussion:
Ms. Choate is a 74-year-old woman who presents to your office to establish care. She lived alone for many years, but as a result of cognitive decline, had progressive difficulties living independently. Six months ago, her adult son took her to the University Medical Center for a neuropsychiatric assessment. She was diagnosed with major neurocognitive disorder secondary to Alzheimer’s disease. Ms. Choate moved into her son’s home because she was no longer able to live independently. The family got lots of information, and a home safety evaluation was performed with appropriate modifications made.
She continued to decline, and now her son brings her to your practice asking if there is any medication that can help her improve her functional status. He says that not only is her memory very poor, but sometimes she becomes extremely agitated and almost inconsolable. Her son is afraid that she might hurt herself.
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