Case Study: Mr. M.

It’s needed for an RN-BSN-prepared nurse to show an enhanced understanding of the pathophysiological processes of illness, the medical manifestations and remedy protocols, and the way they have an effect on shoppers throughout the life span.
Consider the Well being Historical past and Medical Data for Mr. M., introduced under.
Primarily based on this data, formulate a conclusion primarily based in your analysis, and full the Vital Pondering Essay project, as instructed under.
Well being Historical past and Medical Data
Well being Historical past
Mr. M., a 70-year-old male, has been residing on the assisted residing facility the place you’re employed. He has no know allergy symptoms. He’s a nonsmoker and doesn’t use alcohol. Restricted bodily exercise associated to problem ambulating and unsteady gait. Medical historical past contains hypertension managed with ACE inhibitors, hypercholesterolemia, standing publish appendectomy, and tibial fracture standing postsurgical restore with no apparent indicators of problems. Present medicines embrace Lisinopril 20mg each day, Lipitor 40mg each day, Ambien 10mg PRN, Xanax zero.5 mg PRN, and ibuprofen 400mg PRN.
Case State of affairs
Over the previous 2 months, Mr. M. appears to be deteriorating shortly. He’s having hassle recalling the names of his relations, remembering his room quantity, and even repeating what he has simply learn. He’s turning into agitated and aggressive shortly. He seems to be afraid and fearful when he will get aggressive. He has been discovered wandering at night time and can often change into misplaced, needing assist to get again to his room. Mr. M has change into dependent with many ADLs, whereas a couple of months in the past he was absolutely capable of costume, bathe, and feed himself. The assisted residing facility is worried along with his speedy decline and has determined to order testing.
Goal Knowledge

Temperature: 37.1 levels C
BP 123/78 HR 93 RR 22 Pox 99%
Denies ache
Top: 69.5 inches; Weight 87 kg

Laboratory Outcomes

WBC: 19.2 (1,000/uL)
Lymphocytes 6700 (cells/uL)
CT Head reveals no adjustments since earlier scan
Urinalysis constructive for average quantity of leukocytes and cloudy
Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Vital Pondering Essay
In 750-1,000 phrases, critically consider Mr. M.’s state of affairs. Embody the next:

Describe the medical manifestations current in Mr. M.
Primarily based on the data introduced within the case situation, focus on what major and secondary medical diagnoses ought to be thought of for Mr. M. Clarify why these ought to be thought of and what information is offered for assist.
When performing your nursing evaluation, focus on what abnormalities would you anticipate finding and why.
Describe the bodily, psychological, and emotional results Mr. M.’s present well being standing could have on him. Talk about the impression it might probably have on his household.
Talk about what interventions will be put into place to assist Mr. M. and his household.
Given Mr. M.’s present situation, focus on no less than 4 precise or potential issues he faces. Present rationale for every.

You might be required to quote to a minimal of two sources to finish this project. Sources have to be printed inside the final 5 years and acceptable for the project standards and related to nursing observe.
Put together this project in accordance with the rules discovered within the APA Fashion Information, situated within the Scholar Success Heart. An summary will not be required. 
This project makes use of a rubric. Please assessment the rubric previous to starting the project to change into accustomed to the expectations for profitable completion. 
You might be required to submit this project to LopesWrite. Check with the LopesWrite Technical Assist articles for help.