Assessment report-9

 

Smt. Meera Keshri     F/56

 

Diagnosed case of Alzheimer's Disease

 

Clinical feature on 11.09.2010 before treatment-

 

Higher mental functions-

·        Vision- Normal

·        Hearing- Normal

·        Speech- Low volume, slurred quality

·        Orientation- very poor about name, place, events, persons

·        Intelligence- Can understand but difficulty to follow the commands.

Memory-

·        Restored memory noticed about nothing

·        Long term memory- She can only recall her name

·        Short term random memory- Unable recall any name, place etc. properly

 

Obsession in any thing randomly

Poor concentration, skipping ideas

Behavior and emotions-

·        Unable to express to yourself

·        Indefinite to smiling, weeping, laughing.

 

Muscles Tone and Sensory-

·        Left      U/L:     4-/5                  Sensory:           Reduced

·        Right    U/L:      3+/5                Sensory:            Normal

·        Left      L/L:      3+/5                 Sensory:           Reduced

·        Right    L/L:      3++/5               Sensory:           Normal

 

Unable to swallow solid food except liquid

Bladder and bowel control - Random

Blood Pressure- Right Arm:      128/60            Left Arm:           90/60

She is always looking restless and mentally engaged, lonely talking

 

 

Clinical feature on 22.09.2010 after Psychoplasty treatment-

 

Higher mental functions-

·        Vision- Normal

·        Hearing- Normal

·        Speech- Improved up to Normal level

·        Orientation- not much improved

·        Intelligence- Can understand but difficulty to follow the commands.

 

Memory-

·        She can recall and recite "Hanuman Chaalisa" (A-4 size of 2 pages text)

·        She can remember some past events, names, dates etc.

 

Voluntary Functions-

·        She can swallow several types of  solid food and liquids

·        Saliva control

 

Muscles Power and Sensory-

           

Locations	11.09 2010		22.09.2010
	Muscle Power	Sensory	Muscle Power	Sensory
Left    U/L	4-/5	Reduced	Normal	Normal
Right  U/L	3+/5	Normal	Normal	Normal
Left    L/L	3+/5	Reduced	4+/5	Normal
Right L/L	3++/5	Normal	4++/5	Normal

 

 Summery of Blood Pressure fluctuation during treatment-

 

Date	11.9	12.9	14.9	15.9	17.9	18.9	19.9	20.9	21.9	22.9
Right Arm	90/60	90/60	90/60	90/60	90/60	90/60	90/60	90/60	90/60	90/60
Left Arm	128/60	121/60	105/60	102/60	95/60	94/60	90/60	90/60	90/60	90/60

 

Bladder and bowel control- She is now able to feel and properly

 

Behavior and emotions-

·        She can smile, laugh, weep, feeling fear, angry etc. across such moments

·        She became able to follow better visual instructions than verbal

·        She is trying to express herself among others

·        Reduced restlessness and skipping ideas