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
Temperature: 37.1 degrees C
BP 123/78 HR 93 RR 22 Pox 99%
Denies pain
Height: 69.5 inches; Weight 87 kg
Laboratory Results
WBC: 19.2 (1,000/uL)
Lymphocytes 6700 (cells/uL)
CT Head shows no changes since previous scan
Urinalysis positive for moderate amount of leukocytes and cloudy
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:
Describe the clinical manifestations present in Mr. M.
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.
When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
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.
Discuss what interventions can be put into place to support Mr. M. and his family.
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.
Sample Solution
Stephen alone continually discards the scripts or plans he has been handed. Dutiful son, docile student, repentant priest â he refuses all of these titles in the name of creativity. Stephenâs ancient namesake did much the same, rejecting the classical society of ancient Greece, and opting for a more unconventional life as an artist (Brandabur 161). Stephenâs spiritual struggle is one involving the acceptance or rejection of this ordered other world (Farrell 207). Stephenâs rebellion is directed against numerous opponents. One is his father, Simon Dedalus. As Stephen discovers that his father is a drunken, ineffectual failure, much in contrast to the Daedalus of myth, he rejects his authority: Stephen watched the three glasses being raised from the counter as his father and two of his cronies drank to the memory of their past. An abyss of fortune or temperament sundered him from them. His mind seemed older than theirs: it shone coldly on their strifes and happiness and regrets like a moon upon a younger earth. No life or youth stirred in him as it had stirred in them. He had known neither the pleasure of companionship with others nor the vigour of rude male health nor filial piety. (Joyce 89) Even though Stephen may envy his father somewhat, he is constantly trying to prevent himself from accepting even the most casual and insignificant suggestions of his companions and his environment (Peake 78). Stephen also rejects the bonds of a religion that restricts his natural impulses. From the beginning, the consciousness of Stephen Dedalus is dominated by the presence of the church and its priests (Adams 235). Catholicism imposes a burden of guilt that weighs him down. He must âadmitâ and âconfessâ and âapologizeâ (Joyce 2) even when he feels innocent. By rejecting Catholicism, Stephen is also rejecting his devoutly religious mother. Stephen needs an arena adequate for his talents, seeing no future for himself unless he rebels, contradicting the long-standi>
Stephen alone continually discards the scripts or plans he has been handed. Dutiful son, docile student, repentant priest â he refuses all of these titles in the name of creativity. Stephenâs ancient namesake did much the same, rejecting the classical society of ancient Greece, and opting for a more unconventional life as an artist (Brandabur 161). Stephenâs spiritual struggle is one involving the acceptance or rejection of this ordered other world (Farrell 207). Stephenâs rebellion is directed against numerous opponents. One is his father, Simon Dedalus. As Stephen discovers that his father is a drunken, ineffectual failure, much in contrast to the Daedalus of myth, he rejects his authority: Stephen watched the three glasses being raised from the counter as his father and two of his cronies drank to the memory of their past. An abyss of fortune or temperament sundered him from them. His mind seemed older than theirs: it shone coldly on their strifes and happiness and regrets like a moon upon a younger earth. No life or youth stirred in him as it had stirred in them. He had known neither the pleasure of companionship with others nor the vigour of rude male health nor filial piety. (Joyce 89) Even though Stephen may envy his father somewhat, he is constantly trying to prevent himself from accepting even the most casual and insignificant suggestions of his companions and his environment (Peake 78). Stephen also rejects the bonds of a religion that restricts his natural impulses. From the beginning, the consciousness of Stephen Dedalus is dominated by the presence of the church and its priests (Adams 235). Catholicism imposes a burden of guilt that weighs him down. He must âadmitâ and âconfessâ and âapologizeâ (Joyce 2) even when he feels innocent. By rejecting Catholicism, Stephen is also rejecting his devoutly religious mother. Stephen needs an arena adequate for his talents, seeing no future for himself unless he rebels, contradicting the long-standi>
