Health History and Medical Information for Mr. M.

Health History and Medical Information for Mr. M.
Mr. M presents both subjective and objective clinical manifestations. Subjective clinical manifestations are the symptoms only felt by an individual and cannot be seen by others while objective manifestations refer to the signs that are visible to others. Based on the subjective data, Mr. M’s health seems to be declining fast as he often forgets the names of his family members, and his room number, and keeps repeating what he just read. He gets aggressive and agitated fast and seems fearful and frightened when the becomes aggressive. He has severally been found roaming at night whereby he gets lost and requires help to get back to his room. He is unable to perform a number of activities of daily living (ADLs) and requires assistance when dressing, bathing, and feeding, activities he was able to perform a couple of months ago. The patient denies feeling pain
Based on the objective data, his temperature is 37.1 degrees Celsius, Pox 99%, and heart rate 93 which are all within the normal range. His blood pressure is 123/78 and the respiratory rate at 22, indicative of an elevation in the systolic blood pressure and respiratory rate respectively. Mr. M’s height is 69.5 inches and weighs 87 kg. He has a BMI of 27.9 indicative of being overweight. The laboratory results indicate that both the white blood cells (WBC) and lymphocytes are elevated at 19.2 (1000/ul) and 6700 (cells/ul) respectively. His urine is cloudy and has a moderate number of leucocytes. The protein (7.1 g/dl), AST (32U/L), and ALT (29U/L) levels are within the normal range, indicative of proper liver function.
Question Two
Based on the objective and subjective data, the primary diagnosis is Alzheimer’s disease while the secondary diagnoses include hypertension and hypercholesterolemia. Although the CT head scan indicates no changes in the brain, the patient manifests early signs of Alzheimer’s disease. These signs include forgetfulness, aggression, irritation, disorientation, and inability to perform a number of ADLs (Atri, 2019). Mr. M. struggles to remember his family members’ names and his room number. Furthermore, he seems confused at night while roaming around and frequently gets lost. 
Hypertension should be considered a secondary diagnosis because the patient has a medical history of hypertension and is under medication for the same. Additionally, the medical history indicates hypercholesterolemia which is managed by Lipitor 40mg daily. These conditions are considered secondary diagnoses as they should be closely monitored alongside the primary diagnosis. 
Question Three
Some of the abnormalities expected during the nursing assessment include poor body balance, stiffness, and weak muscles. The patient may also be unable to maintain an upright posture while sitting or standing and drag their feet while walking. Furthermore, the patient may experience difficulty in speaking, chewing, and swallowing. These physical changes are caused by the deterioration of the brain cells that control movement a...