It’s vital for an nurse to display an enhanced understanding of the pathophysiological processes of illness, the scientific manifestations and therapy protocols, and the way they have an effect on purchasers throughout the life span.
Consider the Well being Historical past and Medical Data for Mr. M., offered beneath.
Primarily based on this info, formulate a conclusion primarily based in your analysis, and full the Crucial Considering Essay task, as instructed beneath.
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 allergic reactions. He’s a nonsmoker and doesn’t use alcohol. Restricted bodily exercise associated to problem ambulating and unsteady gait. Medical historical past consists of hypertension managed with ACE inhibitors, hypercholesterolemia, standing put up appendectomy, and tibial fracture standing postsurgical restore with no apparent indicators of issues. Present drugs embrace Lisinopril 20mg day by day, Lipitor 40mg day by 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 rapidly. He’s having hassle recalling the names of his members of the family, remembering his room quantity, and even repeating what he has simply learn. He’s changing into agitated and aggressive rapidly. He seems to be afraid and fearful when he will get aggressive. He has been discovered wandering at night time and can ceaselessly develop into misplaced, needing assist to get again to his room. Mr. M has develop into dependent with many ADLs, whereas a number of months in the past he was totally in a position to gown, bathe, and feed himself. The assisted residing facility is anxious along with his fast decline and has determined to order testing.
Goal Information
Temperature: 37.1 levels C
BP 123/78 HR 93 RR 22 Pox 99%
Denies ache
Peak: 69.5 inches; Weight 87 kg
Laboratory Outcomes
WBC: 19.2 (1,000/uL)
Lymphocytes 6700 (cells/uL)
CT Head exhibits no adjustments since earlier scan
Urinalysis optimistic for average quantity of leukocytes and cloudy
Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Crucial Considering Essay
In 750-1,000 phrases, critically consider Mr. M.’s state of affairs. Embody the next:
Describe the scientific manifestations current in Mr. M.
Primarily based on the data offered within the case situation, focus on what major and secondary medical diagnoses must be thought-about for Mr. M. Clarify why these must be thought-about and what knowledge is supplied for help.
When performing your nursing evaluation, focus on what abnormalities would you look forward to 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 could possibly have on his household.
Talk about what interventions could be put into place to help Mr. M. and his household.
Given Mr. M.’s present situation, focus on a minimum of 4 precise or potential issues he faces. Present rationale for every.
You’re required to quote to a minimal of two sources to finish this task. Sources have to be revealed inside the final 5 years and applicable for the task standards and related to nursing observe.
Put together this task in accordance with the rules discovered within the APA Fashion Information,
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