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4 pages/β‰ˆ1100 words
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APA
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Health, Medicine, Nursing
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English (U.S.)
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Topic:

Case Study: Neuropathies

Essay Instructions:

Case Study: Mr. M.
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 know 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:
Describe the clinical manifestations present in Mr. M.
Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
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.
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 rationale for each.
You are required to cite to a minimum of two 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 Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Attempt Start Date: 22-Jun-2020 at 12:00:00 AM
Due Date: 28-Jun-2020 at 11:59:59 PM
Maximum Points: 120.0

Essay Sample Content Preview:

Case Study: Mr. M
Student Name
Institutional Affiliation
Professor’s Name
Date
Case Study: Mr. M
Neuropathies in any patient whereby the condition is prevalent and extensive causes increased deficiencies that result in alteration of normal day to day lives. In many cases, the situation increases in complexity if the patients depend on the support structure for daily activities and needs. This experience makes it imperative to discuss the case of Mr. M who exhibits difficulty in perception as well as cognitive abilities in addition to a history of high blood pressure and infection.
Clinical Manifestations
The client denoted as Mr. M portrays emotional imbalances manifested by agitation and cases of impulsive aggression due to fear. Moreover, the client exhibits cognitive problems that have altered his past and present memory creating a sense of forgetfulness. The manifestation is evidenced by the fact that he has since forgotten the names of the immediate family members as well as his room number respectively. Mr. M also exhibits frequent wandering away from the care facility which are a classical characteristic of dissociative fugue (Chaudhari et al. 2017). Consequent to the manifestation of these symptoms the client has been unable to partake in self-care actives integral to his daily life.
Leukocytes manifested by a high leukocyte count of 6700 (cells/uL) is prominent in the blood test indicating an immune response to infection. Moreover, the urine sample extracted from the client has a cloudy appearance which another sign of an infection. Mr. M currently on angiotensin converting enzyme inhibitors, is managing hypertension through the antihypertensive medication. To top it all, the client is on post-surgical attention due to a fracture, albeit without complication, attributed to difficulty in ambulation and an unsteady gait.
Possible Primary and Secondary Medical Diagnoses
Alzheimer's Association (2016) outlines that Alzheimer’s disease is a progressive neurological condition that affects cognitive abilities of the specific client. In the excerpt the authors denote that the progressive neuropathy debilitates the memory retention and cognitive capabilities of the client which are a consequent of senility. In the case of Mr. M the decline in cognitive and perception reveal an association to the development of Alzheimer’s disease which is the primary diagnosis. For example the client cannot recall the names of immediate family members solidifying presence of memory loss an Alzheimer’s disease symptom. Moreover Mr. M lack the cognitive awareness necessary to perform daily activities making him dependent.
Duong et al. (2016) posit that leukocytosis in a urine sample signifies a persistent urinary tract infection. In this case study, Mr. M’s urine sample is cloudy, a strong indicator of bacterial colonization of the urinary tract. The presence of infection in the client is further implied by a low white blood cell count of 19.2 (1,000/uL) which poses a risk of immunosuppression making it a possible secondary diagnosis. In addition the findings also denote that the client has hypercholesterolemia, which implies increased cholesterol le...
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