Caregiver visit brief
Eleanor M.
Jan 18 - Apr 18, 2025 (90 days)
Summary
Eleanor remains stable on Donepezil + Memantine. New pattern: late-afternoon agitation (sundowning) on 11 of 30 days, clustering on nights with <7h sleep. Two falls (no injury), both after 8 PM. Mood predominantly calm; family reports best engagement during music and photo sessions.
Avg BP
128 / 78
stable
Avg resting HR
72 bpm
stable
Weight
138 lb
-2 lb
Cognitive
- MoCA: 19/30 (Jan 14, 2025) - unchanged from Oct
- Family-reported word-finding difficulty: moderate, stable
- New: occasional misidentification of Ben (son) as her brother
Behavior & function
- Sundowning: 11 of last 30 days, typically 3:30 - 5:00 PM
- Sleep: avg 6.9h; 8 restless nights linked to next-day agitation
- Two falls (both at night, no injury); rug removed in hallway
Questions for Dr. Sarah Chen
- 1. Is a low-dose Trazodone trial appropriate for evening agitation?
- 2. Should we add a daytime structured activity to anchor 3-5 PM?
- 3. Any concern with current Memantine dose given new misidentification?