Marie appears frightened and resistant to your attempts at assessment and treatment. She states that she is “not going anywhere”. The carer states that Marie has a history of hypertension, Alzheimer’s disease and mild depression. Questions

1)Outline the pathophysiology of Alzheimer’s disease and discuss the ways in which this type of dementia may have an impact upon an individual’s cognition and understanding.

2)Outline and critically analyse your assessment and overall management of this patient with particular consideration of pain assessment and the administration of analgesia.

3)Outline and discuss the ethical and legal considerations that may be relevant to this case.

4)Describe and evaluate how you would adopt a person centred approach to this patient that maximises patient/clinician communication along with any appropriate care pathways, interprofessional working or referrals that may support the patient in this case.