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Essay Available:
Pages:
3 pages/β‰ˆ825 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 12.96
Topic:

Clinical Manifestations of Mr. M.

Essay 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 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.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Essay Sample Content Preview:
Clinical Manifestations of Mr. M.
The clinical manifestations present in Mr. M. are tied to the classic symptoms of Alzheimer's disease, including difficulty remembering the names of his family members, his room number, and even repeating what he has just read. In addition to his memory impairments, Mr. M. is demonstrating changes in his personality and behavior, including heightened aggressiveness, anxiety, repetitive locomotion at night (he frequently gets lost and needs help to get back to his room), and fearfulness. Although the patient could perform daily living activities like dressing, bathing, and feeding by himself a few months ago, his rapid decline has made him dependent on others to complete these activities. The patient also shows clinical manifestations of urinary tract infection, hypercholesterolemia, and hypertension, as indicated by his high blood pressure, fast heart rate, tachypnea, high white blood cell count, and moderate lymphocyte cloudy protein in the urine. His clinical results were: BP 123/78; HR 93; RR 22; WBC 19.2 (1,000/uL); Lymphocytes 6,700 (cells/uL); and protein 7.1 g/dL, AST 32 U/L, ALT 29 U/L.
Rationale for Primary and Secondary Medical Diagnoses
Based on Mr. M.'s clinical manifestations and objective data, the primary medical diagnosis is Alzheimer's, while secondary medical diagnoses include hypercholesterolemia, urinary tract infection, and hypertension. The rationale for diagnosing Alzheimer's disease is founded on the patient's cognitive and behavioral symptoms, including rapid mental decline, difficulty thinking and remembering things, confusion in the evening hours, disorientation, inability to recognize everyday things, aggression, irritability, agitation, wandering and getting lost, together with other personality changes. Moreover, the clinical results (protein 7.1 g/dL, AST 32 U/L, and ALT 29 U/L) indicate high blood cholesterol levels, a disorder directly tied to the second secondary diagnosis: high blood pressure. The patient has a medical history of hypercholesterolemia and hypertension and has been controlling the latter with ACE inhibitors. The two disorders are connected because high blood cholesterol levels cause cholesterol plaquing in the arteries. The heart has to strain to pump blood through, which significantly contributes to hypertension. The third secondary diagnosis is urinary tract infection: the patient's clinical data shows higher white blood cells and lymphocyte count {WBC 19.2 (1,000/uL); Lymphocytes 6,700 (cells/uL)}. These results and the positive urinalysis for moderate leukocytes and cloudy proteins suggest an underlying urinary tract infection.
Expected Abnormalities
When performing my nursing assessment, the abnormalities I would expect to find are higher-than-normal levels of white blood cells and a positive test for leukocyte esterase. For instance, most adult males tend to have a lymphocyte count between 1,000 and 4,800 (Brennan, 2021). Mr. M.'s lymphocyte count is above the normal range (6,700 cells u/L). His overactive immune system supports the hypothesis that inflammation exists in his urinary tract. Similarly, a healthy adult male's normal white blood cell count range is between 4.5 and 11 (1,000 u/L). Mr. M.'s heightened immune response, as shown...
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