Description
In this assessment, you are required to demonstrate that you understand how an Older Adult can develop mental health problems associated with cognitive decline leading to cognitive impairment associated with dementia. You must use the clinical scenario provided below.

In your capacity as a Registered Mental Health Nurse, you have been asked by the Local GP to complete a comprehensive assessment and devise a person-centred recovery focused care plan for Mr McFarlane, an Older Adult presenting with mental distress associated with cognitive decline. The GP referred Mr. McFarlane to you after seeing him on the previous day. You arrange to meet Mr McFarlane at the Local GP Practice. Mr. McFarlane is accompanied by his wife.

Assessment Task
1. Discuss the presenting problems and formulate the potential evolving problems for Mr McFarlane.
2. Identify and describe the appropriate assessment tool/s that can be used to complete a comprehensive assessment for Mr McFarlane.
3. Discuss the physical and psychological factors that may affect the assessment.
4. Identify 2 Theoretical Models of Successful Ageing and critically analyse how these models of ageing can be applied to Mr McFarlane.
5. Discuss the potential psychiatric diagnoses for Mr McFarlane.
6. Discuss the most appropriate treatment and management plan for Mr McFarlane.
7. You must reference your assignment using the APA 7 Referencing System.
Case Study
Mr McFarlane is a 58-year-old gentleman who currently lives at home with his wife Mrs McFarlane in Anytown, New South Wales. They have 2 grown up children, Tom and Sam. Tom is 20 years old, lives at home and is studying Engineering at the Local TAFE College. Sam is 30 years old, has left home and is pursuing a Music Career in Brisbane. Mr McFarlane is a Plumber. He inherited his Plumbing Business from his father after he passed away 20 years ago.
Mr McFarlane was born and raised in Anytown. He enjoys serving his community as a Plumber. He knows all the roadways in Anytown, he is well known and liked by his local community. He is an active member of the Local Bowls Club, and he loves playing Cricket. Overall, he is generally a happy and sociable person.

Presenting Problem
Mr. McFarlane presented at the GP Practice following his release from the Local Police Station. He had been picked up by the Police after he was caught driving his UTE on the wrong side of the road, where he found himself terrified at the sight of traffic coming towards him. Mr. McFarlane has struggled to navigate a new road system that had been put in place by the Local District Council. Mr McFarlane was not able to explain why he had driven his UTE on the wrong side of the road. He tells you that he grew up in Anytown and knows all the local roads like the back of his hand. He boasts that he never needs to consult a map or use Satellite Navigation.
Recently, Mr McFarlane had been struggling to make sense of things. He has been finding it hard to interact with other people. His wife tells you that he recently came home, feeling very angry and agitated with his friends at the Bowls Club. He had fought with them over the calculation of the scores. He was very angry and accused others of cheating during the Bowls Game. He has been forgetting to show up at Plumbing appointments that he had made with his clients, which has left him feeling very guilty that he cannot remember the appointments.

He is very worried about his memory. In the last month, he forgot his house keys at home which meant that he could not get back into the house until his wife returned home. He has lost a set of plumbing tools and has never been able to locate them. He also forgot to check the inside of his UTE when he was doing a plumbing job, and he locked his keys in the car. The latest incident was when the police had picked him up after he was found driving his UTE on the wrong side of the road.
Mr McFarlane rarely consults his GP, because he says he is generally well. He is proud of how he has taken very good care of himself, and he prides himself with never needing to go and see the GP until recently. He does not have a history of mental illness.
Criteria 1
view longer description 5 to 4.2 pts
High Distinction
Range: 5.0-4.3 marks Perceptive discussion about the presenting problems and exceptional
formulation of the potential evolving problems for Mr McFarlane.
Criteria 2
view longer description 10 to 8.4 pts
High Distinction
Range: 10.0-8.5 marks Exceptional and perceptive identification and description of the
appropriate assessment tool/s that can be used to complete a comprehensive assessment
for Mr McFarlane. This is supported by very high-quality contemporary literature.
Criteria 3
view longer
description
10 to 8.4 pts
High Distinction
Range: 10.0-8.5 marks Outstanding and insightful discussion about the
physical and psychological factors that may affect the assessment, supported
by very high-quality contemporary literature.
Criteria 4
view longer description 10 to 8.4 pts
High Distinction
Range: 10.0-8.5 marks Outstanding critical evaluation of 2 Theoretical Models of
Successful Ageing. Outstanding critical analysis of how these Models of Ageing can
be applied to Mr. McFarlane. This is supported by very high-quality contemporary
literature.
Criteria 5
view longer description 10 to 8.4 pts
High Distinction
Range: 10.0-8.5 marks Outstanding discussion about the potential diagnoses for Mr
McFarlane. This is supported by very high-quality contemporary literature.
Criteria 6
view longer description 10 to 8.4 pts
High Distinction
Range: 10.0-8.5 marks Outstanding and insightful discussion about the most appropriate
treatment and management plan for Mr McFarlane. This is supported by very high-quality
contemporary literature.
Academic writing and expression
view longer description 5 to 4.2 pts
High Distinction
Range: 5.0-4.3 marks Exemplary writing with very high levels of authenticity and
independent thought. Ideas are clearly expressed. Exemplary spelling, grammar and
syntax with no errors. The introductory sentence used at the start of paragraphs.
Main subject matter is developed within each paragraph. Concluding sentence used
at the end of paragraphs. Meets all style requirements
Literacy sources and referencing
view longer description 5 to 4.2 pts
High Distinction
Range: 5.0-4.3 marks Outstanding sources that are highly relevant high-quality,
contemporary and from a range of journals. Complies with all the APA 7
Referencing Style requirements. There are no errors in referencing throughout.