Student will engage the geriatric patient, age 60 or older, in an assessment interview with a focus on completing a geriatric depression scale and a mental status examination.
The student will submit a type-written summary, including, but not limited to the following:
Describe the setting for the interview.
How did I engage the patient to complete the interview?
Completed Scored Geriatric Depression Scale (Sheikh/Yesavage, 1986).
Results of the Mental Status Examination. (Each of the 17 categories of the Mental Status Exam must be fully described and not simply rated as “good”, “normal” “appropriate” etc. Write a few sentences justifying (describing) how or why you came to your conclusion.
Describe your clinical impressions of the interview. (As an RN, what is your overall impression of the patient? Is there early dementia. Does the MSE support the results of the depression scale? Do you think referrals need to be made?)
Outline a plan of treatment for the depressed geriatric patient. You should have multiple interventions with the rationale explained for each intervention. (see grading rubric) You should try to find an individual who is, in fact, depressed. If the person you interview is not depressed according to their score, you must still outline a plan of treatment that would be appropriate if they were depressed. You may not just skip this component. It is an optimal learning experience if the person you assess is not depressed, that you seek out and assess another individual who is in fact depressed rather than outline a plan of treatment that would be appropriate if there was depression.
Explain my countertransference reaction to the patient.
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