(SOLVED) 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.

Question

Case Study: Mr. M    

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.

1. 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 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.

Case Study: Mr. M. - Rubric

Criteria Description: Clinical Manifestations of Mr. M.

Subjective and objective clinical manifestations are detailed. The clinical manifestations are accurate and clearly report the observed and perceived signs and symptoms.

Criteria Description: Diagnoses and Secondary Diagnoses

A detailed discussion on what primary and secondary medical diagnoses should be considered for Mr. M. is presented. Strong rationale and reliable data are used to explain why the diagnoses are relevant and should be considered.

Criteria Description: Explanation of Expected Abnormalities During Nursing Assessment

A thorough discussion of abnormalities a nurse would expect to find during a nursing assessment is presented. Strong rationale and evidence are provided for support.

Criteria Description

Effects of Health Status on Physical, Psychological, and Emotional Aspects of Patient and Family

A thorough discussion of the effects of the health status on the physical, psychological, and emotional aspects of the patient, and the impact the health status has on the family, is presented. Strong support for the discussion is provided.

Criteria Description: Interventions for Support

All relevant interventions that can be put into place to support Mr. M. and his family are thoroughly discussed.

Criteria Description: Actual or Potential Problems Based on Condition

Four or more actual or potential problems faced by the patient are thoroughly discussed. The posed problems are clearly related to his condition. Strong rationale is provided and supports the discussion.

 Criteria Description: Thesis Development and Purpose

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Criteria Description: Argument Logic and Construction

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Criteria Description: Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Criteria Description: Paper Format (use of appropriate style for the major and assignment)

All format elements are correct.

Criteria Description: Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Resources Provided (MUST READ)

Poststroke Seizure: Optimizing Its Management

Read "Poststroke Seizure: Optimizing Its Management," by Michael Y Xu, from Stroke and Vascular Neurology (2019).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6475084/

The Relationship Between Thyroid Function and Cerebral Blood Flow in Mild Cognitive Impairment and Alzheimer's Disease

Read "The Relationship Between Thyroid Function and Cerebral Blood Flow in Mild Cognitive Impairment and Alzheimer's Disease," fr...

This Is Not Only About Memory: A Systematic Review on Neuropsychology Heterogeneity in Alzheimer's Disease

Read "This Is Not Only About Memory: A Systematic Review on Neuropsychology Heterogeneity in Alzheimer's Disease," by Martorelli

This Is Our Life Now. Our New Normal: A Qualitative Study of the Unmet Needs of Carers of Stroke Survivors

Read "'This Is Our Life Now. Our New Normal': A Qualitative Study of the Unmet Needs of Carers of Stroke Survivors," by Denham et... Read More

Long-Term Effects on Survival After a 1-Year Multifactorial Vascular Risk Factor Intervention After Stroke or TIA: Secondary Analysis of a Randomized Controlled Trial, a 7-Year Follow-Up Study

Read "Long-Term Effects on Survival After a 1-Year Multifactorial Vascular Risk Factor Intervention After Stroke or TIA: Secondary An... Read More

Antibiotics, Gut Microbiota, and Alzheimer's Disease

Read "Antibiotics, Gut Microbiota, and Alzheimer's Disease," by Angelucci, Cechova, Amlerova and Hort, from Journal of Neuroi... Read More

https://jneuroinflammation.biomedcentral.com/articles/10.1186/s12974-019-1494-4

Pathophysiology: Clinical Applications for Client Health

Read Chapter 2 in Pathophysiology: Clinical Applications for Client Health.

Suicidal Ideation and Traumatic Exposure Should Not Be Neglected in Epileptic Patients: A Multidimensional Comparison of the Psychiatric Profile of Patients Suffering From Epilepsy and Patients Suffering From Psychogenic Nonepileptic Seizures

Read "Suicidal Ideation and Traumatic Exposure Should Not Be Neglected in Epileptic Patients: A Multidimensional Comparison of the Ps... Read More

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6509224/

Advanced CT for Diagnosis of Seizure-Related Stroke Mimics

Read "Advanced CT for Diagnosis of Seizure-Related Stroke Mimics," by Austein, Huhndorf, Meyne, Laufs, Jansen, and Lindner, from ... Read More

Experimental Necrotizing Enterocolitis Induces Neuroinflammation in the Neonatal Brain

Read "Experimental Necrotizing Enterocolitis Induces Neuroinflammation in the Neonatal Brain," by Biouss et al., from Journal... Read More

https://jneuroinflam

Class Resources

This page consists of Class Resources for use in the class.

Pathophysiology: Clinical Applications for Client Health

Grand Canyon University. (Ed.). (2018). Pathophysiology: Clinical applications for client health.

Expert Solution Preview

Mild cognitive impairment is an intermediary between the expected cognitive impairment of aging and the complicated decline in dementia. It mainly affects the elderly suffering from Alzheimer’s disease, leading to memory loss, language, and thinking difficulties. Patients are highly dependent on their activities of daily living. This paper will critically analyze the implications of Alzheimer’s disease on the well-being of a patient.

Discussion 

Mr. M. is a 70-year-old male patient living in an assisted facility. He has a.........