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Essay Available:
Pages:
3 pages/β‰ˆ825 words
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3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Coursework
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
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Topic:

Health History and Medical Information of Mr. M

Coursework Instructions:

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr. M., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no known allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.
Case Scenario
Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.
Objective Data
Temperature: 37.1 degrees C
BP 123/78 HR 93 RR 22 Pox 99%
Denies pain
Height: 69.5 inches; Weight 87 kg
Laboratory Results
WBC: 19.2 (1,000/uL)
Lymphocytes 6700 (cells/uL)
CT Head shows no changes since previous scan
Urinalysis positive for moderate amount of leukocytes and cloudy
Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. M.'s situation. Include the following:
1. Describe the subjective and objective clinical manifestations present in Mr. M.
2. Based on the information presented in the case scenario, state what primary and secondary medical diagnoses should be considered for Mr. M. Formulate a nursing diagnosis from the medical diagnosis and explain why these should be considered and what data is provided for support.
3. What abnormalities would you expect to find and why when performing your nursing assessment using the identified primary and secondary medical diagnoses.
4. Describe the physical, psychological, and emotional effects Mr. M.'s current health status may have on him. Discuss the impact it can have on his family.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
Given Mr. M.'s current condition, discuss at least four actual or potential problems he faces. Provide a rationale for each.
6. You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style

Coursework Sample Content Preview:

Health History and Medical Information
Student Name
Institution
Course Name
Instructor
Date
Health History and Medical Information
Clinical Manifestation
Given that Mr. M has memory problems and the clinical signs that are now being observed, it is evident that he has Alzheimer's disease. The presenting symptoms indicate that he may have developed Alzheimer's disease because he exhibits signs of dementia and has trouble remembering the names of his relatives. Additionally, each time the patient acts aggressively, he exhibits indicators of irritation along with aggression mixed with fear.
He also exhibits his memory loss by getting disoriented at night and wandering off to the point that finding his room is challenging. He becomes dependent on others to perform these activities of daily living, which is a sign that his memory loss has worsened. Alzheimer's patients frequently struggle to make sound judgments and complete ADLs. As a 70-year-old, advancing age will likely contribute to the patient's dementia.
Primary and Secondary Diagnosis
The main medical diagnoses for Mr. M are urinary tract infections and Alzheimer's disease (AD). Both high blood pressure and elevated cholesterol levels are secondary illnesses.
The primary type of dementia in older persons is Alzheimer's illness, which has symptoms involving difficulties with daily chores, memory impairment, visual loss, a propensity to lose things, emotional and behavioral changes, and social disengagement from others. Over the past two months, Mr. M's mental capacities have steadily declined; he now has trouble recalling details like the address of his apartment, the names of his family and friends, and what he recently read. Mr. M is a quick-tempered and combative person who also shows fear signs. Mr. M cannot perform everyday tasks at night since he frequently gets lost and needs help to locate his room.
The laboratory results of a WBC of 19.2 (1,000/uL), Lymphocytes 6700 (cells/uL), and a positive urinalysis for moderate leukocytes and cloudy confirm the diagnosis of urinary tract infection. Additionally, UTIs can result in sudden dementia in AD patients, as was the case with Mr. M, who displayed a sudden shift in attitude that included withdrawal, disorientation, and agitation/aggression (Ditommaso & Mohammad, 2021). Also, the patient has been taking ACE inhibitors to treat their hypertension. The patient must be informed about close blood pressure monitoring and the importance of adhering to nutritional guidelines for hypertensive patients to achieve long-term positive results.
Hypercholesterolemia: According to the results of the lab tests, Mr. M has high blood cholesterol levels with a protein level of 7.1 g/dL, an AST level of 32, and an ALT level of 29. Mr. M. has hypertension, which increases his risk of cardiovascular problems from high cholesterol levels.
Possible Abnormalities
The patient's objective data has anomalies consistent with a UTI. Male adults typically have lymphocyte counts between 1000 and 4800. However, Mr. M's lymphocyte count (6700 cells/uL) was noticeably high. The immunological cells of the body include lymphocytes. Blood and lymph contain lymphocytes, which ...
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