NRS410V Grand Canyon University Mr M Case Study Paper

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.

study material:

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

URL: https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/pathophysiology_clinical-applications-for-client-health_1e.php

-Read
“This Is Not Only About Memory: A Systematic Review on Neuropsychology
Heterogeneity in Alzheimer’s Disease,” by Martorelli, Sudo, and
Charchat-Fichman, from Psychology and Neuroscience (2019).

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=pdh&AN=2018-47217-001&site=eds-live&scope=site

Read “Antibiotics, Gut Microbiota, and Alzheimer’s Disease,” by Angelucci, Cechova, Amlerova and Hort, from Journal of Neuroinflammation (2019).

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