Instructions
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 assign
...
Instructions
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
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.
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