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Unfolding Case Study: Disorder 2 Patient Profile: e Name: Mr. Robert Ellis e =6Age: 76 e Diagnosis: Mild to moderate Alzheimer's Disease e Living Situation: Lives with wife, Mrs. Ellis, in their own home e History: Hypertension, hyperlipidemia, early-stage Alzheimer's (diagnosed 1 year ago) Stage 1: First Home Visit by Community Health Nurse Scenario: You are a community health nurse visiting Mr. Ellis for a routine check-in. Mrs. Ellis tells you he is getting more forgetful, misplaced his keys in the refrigerator, and occasionally forgets her name. He's becoming frustrated and sometimes agitated in the evening. What stage of Alzheimer's is Mr. Ellis likely in now? What nursing assessment tools can help evaluate cognitive function? What education should the nurse provide to Mrs. Ellis to help manage evening agitation? Six Months Later Emergency Visit Scenario: Mr. Ellis is brought to the emergency department after wandering outside and being found confused a few blocks from home. He's increasingly agitated and confused in unfamiliar environments. What safety interventions should be considered for Mr. Ellis moving forward? What environmental modifications can reduce disorientation in the hospital? Care Planning and Family Support Scenario: Mr. Ellis is now unable to manage medications or finances. He occasionally has trouble recognizing his wife and forgets to eat meals unless prompted. What referrals or services should be recommended at this stage? What legal/ethical topics should be discussed with the family now? Terminal Phase of Alzheimer's Disease Scenario: Mr. Ellis is now in the late stage of Alzheimer's. He is nonverbal, requires total assistance with ADLs, and has trouble swallowing. Mrs. Ellis is overwhelmed. What are appropriate nursing interventions in the late stage? What are signs of caregiver burnout, and how can the nurse support Mrs. Ellis? As a nurse, how would you ensure patient dignity and autonomy throughout the Alzheimer's disease progression