Nursing Assignment: Chronic Illness Dementia (Frontotemporal) Report

This report presents a case study analysis of a 65-year-old male, Mr. Jon Moss, diagnosed with frontotemporal dementia (FTD). The report begins with an interview transcript detailing Mr. Moss's experiences, including changes in behavior, initial misdiagnoses, and the eventual diagnosis of FTD. The provided information is used to examine the impact of FTD on the patient's life, including the effects on his family and the challenges faced by the patient. The report incorporates the nursing perspective, discussing the patient's health status, pathophysiology, and pharmacological interventions. The report will also focus on person-centered care planning using Clinical Reasoning (CRC) stages. It highlights the importance of understanding the patient's history, symptoms, and the progression of the illness. The report explores the impact of the illness on the patient's mental health and behavior, including depression and suicidal ideation. The report also discusses the importance of clinical reasoning in the context of dementia care. The report aims to provide a comprehensive understanding of FTD and its implications for patient care.

Running Head: CHRONIC ILLNESS DEMENTIA (FRONTOTEMPORAL)
CHRONIC ILLNESS DEMENTIA (FRONTOTEMPORAL)
Name of the Student:
Name of the University:
Author Note:

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Interview Transcript:
Question: Good Morning, Am I speaking to Mr. Shwane Moss?
Answer: Morning ! yes, speaking. Who am I talking to?
Question: Hello, Mr. Moss, This is Sister Jane speaking. I work at the Julliane’s Day
Hospital and is currently assigned as the head nurse for you father’s case.
Answer: Oh, yes please. How can I help you?
Question: well I had a few questions regarding the case of your father, in order to
understand the case study better.
Answer: Yes, please go ahead. I shall be happy to help.
Question: Can you please confirm the validation part for official purposes, regarding Mr.
Moss’s age and profile?
Answer: My father’s full name is Mr. Jon Moss. He is 65 year old, born in Australia and
resides in the suburban part of the country. My mother died few years back and since
then he had not remarried and stays alone. He has two sons including four grandchildren
and myself. Although, we do not stay together and reside in a different city.
Question: All right, Thank you Sir. What are the initial changes that you noticed before
the diagnosis of Mr. Moss’s frontotemporal dementia?
Answer: Well, at first we did not notice any changes in Dad as of such. Eventually, when
we brothers and the kids used to go and meet him in the holidays, he used to get easily
irritated. One of the most mind wandering experience that we experienced, which

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eventually made us realize that Dad was not physically okay happened during last
month.
Question: Oh, is it ?! What exactly happened?
Answer: Yes, it was very depressing as a son and confusing as well. It happened during
the last new year holidays. We all went to visit and to our surprise, the children started
complaining of feeling being ignored and irked from their own grandfather. They had
always been the most fond of him, so knowing that they do not want to play with their
grandfather came out a huge blow. Eventually, during dinner while talking I had noticed
that Dad was getting irritated with small, small incidences and ultimately he just started
shouting that he do not like his dinner and that he do not want to have anything.
Following the heated argument, he started throwing the food towards us and stated that
we intentionally wanted to create such a scene. He was so agitated that he stated that it
would be better if he is kept alone and that he does not want to live a life as such. In the
fit of rage, he mentioned about feeling to kill himself by overdosing himself on
medicines. It became quite evident to us that Dad was depressed and was on the verge
of an emotional outburst.
Question: Oh dear! Did you bring him immediately to the Emergency Department
thereafter?
Answer: Yes, my brother and I decided that we should not waste time and immediately
took him to the doctor.
Question: What were the initial diagnosis?
Answer: The initial diagnosis was performed and it was seen that Dad had put on weight
rapidly over the last few weeks and was facing problem while trying to sleep. Moreover,

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his short-term memory and long-term memory was found to be intact. However, he was
diagnosed with major depression and was recommended to get started on melatonin and
sertraline.
Question: Okay, thank you. You had mentioned in the documents that within the next few
days Mr. Moss was again readmitted with the same set of symptoms, where he was again
behaving suicidal. Can you please elaborate about the same?
Answer: Post bringing him home after the first instance of hospitalization, we noticed
that the rate of Dad being active never improved. He always stayed alone, did not want to
eat and whenever we try indulging him in any kind of interaction, he started getting
irritated.
Question: All right! What happened post this incident?
Answer: Within a few days of Dad being discharged, he was again admitted following the
same complains of acting depressed and sad, along with feeling suicidal. Post
admission, he was further sent for a reassessment, where it was projected that the
actions and the behavior posed by Dad was not at all normal and had been completely
out of his character. The documentation was performed as per the clinical guidelines.
But nothing compared his situation, however when computed tomography was
performed, the results showed prominent frontal atrophy for his age. The doctors
followed the case study and discussed with us and confirmed us that Dad has been
diagnosed with Frontotemporal dementia.
Question: Thank you for the information. It was nice talking to you ! This information
would be very helpful to work on the case.