[Expert Solution]: Ertha has been getting progressively more…

Ertha has been getting progressively more confused, going into other patients’ rooms, stealing items, and looking for her husband, who died a few weeks before she came here. Staff is finding food stashed under her mattress and she recently began striking out at staff, especially at bath time. This morning she was particularly combative. We called Dr. Rivers and he prescribed haloperidol, but it has not helped. We think we need to move her to the behavioral health unit. We need to discuss with her daughter-in-law Betty, who just came to visit.Background: Ertha was diagnosed with major neurocognitive disorder with likely Alzheimer’s etiology vsvascular etiology about 2(1)/(2) vears ago. She came to us from assisted living 6 months ago. a few weeks after her husband Henry died. She is in good health, but has had to deal with many changes in this last year.Assessment: Ertha’s aggressive behavior began getting considerably worse a few days ago. We are reallyatraid she conld nuirt someone she nas heen taking two antidenressant medications and the rivastiominetransdermal patch for the past 6 months, but there has been little to no improvement. This past week she is walking more slowly and her appetite has not been good, which is unusual for her.Recommendation: Please assess Ertha and see if you can do a Mini-Cog. One of the aides suggested that maybe Ertha is having some pain. Use the tool for assessing pain in patients with dementia and see what you think. She does have an order for acetaminophen. Talk with Betty about a move to a behavioral health unit. What were the main problems that you identified? Explain the nursing management considerations for this patient. Discuss the knowledge guiding your thinking surrounding these main problems.