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Pages:
4 pages/≈1100 words
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5 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
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MS Word
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Topic:

Prompt Treatment Protocols to Improve the Patient’s Quality of Life

Essay Instructions:

Assessment Description
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
1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg
Laboratory Results
1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. 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 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.
2. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
3. 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.
4. Discuss what interventions can be put into place to support Mr. M. and his family.
5. 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 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 Guide, located in the Student Success Center. An abstract is not required.
NOTE: please read instructions and details well before starting. good sources within 5 years and citations. No plagiarism, please. I SELECTED WRITER TO WRITE THE PAPER. Let me know if he/she is not available. thanks

Essay Sample Content Preview:
Prompt Treatment Protocols to Improve the Patient’s Quality of Life
Introduction Mr. M is an elderly patient who presents to the hospital with signs and symptoms that highlight the presence of deteriorating mental health. However, objective data also hint toward the likelihood of other comorbidities that could complicate his status. Such a situation requires a thorough analysis of the patient’s clinical manifestations and assessment to ensure proper diagnosis and prompt treatment protocols to improve the patient’s quality of life. Clinical Manifestation
The patient has diverse symptoms that incorporate memory loss, as depicted by his inability to retrace his room, recall read information, or remember his family members’ names. The aggression episodes coupled with fear and wondering are also concerning signs. Other assessment data reveals that he has an elevated heart rate, respiratory rate, and blood pressure of 93, 22, and 123/78, respectively. The only other visible aspect is his challenges ambulating and an unstable gait.
The diagnosis process of Mr. M should consider Alzheimer’s disease. Fish et al. (2018) indicate that the diagnostic process requires CT scans and execution of family history to identify suspect presentations, including memory loss and inability to execute critical tasks. It also incorporates a shift in personality and becoming overly dependent on essential activities. These signs and symptoms are present in the case of Mr. M., making this diagnosis the primary one. Moreover, his age bracket also emerges as a significant factor of consideration in this decision (Fish et al., 2018). The secondary diagnosis will require a thorough analysis of the laboratory tests to rule out the causes of his low white blood cells, considering that the normal range is approximately 4,500 to 11,000 WBCs. Moreover, the patient appears to have elevated lymphocytes beyond the maximum expected scope of 1000 – 4800 and a positive urinalysis, indicating the presence of an infection (Chu et al., 2018). In this context, one should consider a secondary diagnosis of a urinary tract infection for Mr. M. Expected Abnormalities in Mr. M
One of the expected abnormalities for Mr. M based on his primary and secondary diagnoses is the elevated white blood cells count in his blood as recorded by the 19.2 (1000/uL) in the laboratory results. Chu et al. (2018) indicate that individuals with an infection often trigger an inflammatory reaction that leads to an increased WBC count beyond the normal range. In the same context, the patient’s urinalysis test emerged positive, confirming the presence of a urinary tract infection. The second related abnormality is the increased volume of lymphocytes beyond the recommended 1000 to 4800 at 6700. As a result, this data should alert any healthcare provider that the patient is experiencing an immune response to a current illness, considering that he is already under medications such as Lisinopril, Xanax, Ambien, Lipitor, and Ibuprofen, for hypertension. Finally, the healthcare provider should remain alert to the cognitive impairments as depicted by Mr.’s increased requirement for assistance in executing his activities of daily living (ADLs). Physical, Psyc...
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