George Palo is a 90-year-old male who has been diagnosed with early stage dementia. George’s wife Anna died two years ago and he moved into a small one-bedroom apartment in a retirement community, independent living setting. George has five children, but only his oldest daughter Maggie lives nearby. George has been relatively healthy over his long life with the exception of high blood pressure which is controlled with medication. He is very independent and loves to be outdoors, walking his golden retriever, Max. Maggie and her siblings are trying to support their dad’s independence as long as possible, but are cognizant of his age and concerned about his overall safety.

1. Discuss the clinical manifestations evidenced during your assessment. How would you explain these manifestations?

2. Explain the nursing management considerations for this patient. Discuss the knowledge guiding your thinking.