Health Analysis of Mr. M

Health Analysis of Mr. M

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.

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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.
2. 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.
3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
4. 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.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
6. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

Health Analysis of Mr. M

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.

SAMPLE ANSWER

Health Analysis of Mr. M

Introduction

Critical thinking requires a practitioner to apply a suitable intellectual process in evaluating a situation and developing appropriate decisions. It is very important for practitioner to have critical thinking skills to enhance their accuracy in practice. One of the areas where this concept is needed is in the analysis of a patient’s history and making decisions basing on cases provided (Cazzell & Anderson, 2016). The paper tries to develop a review of a case involving a 70-year-old patient by the name Mr. M. His past medical history associates him with hypertension while the case scenario depicts that he is experiencing memory loss.

Clinical Manifestation

The subjective information depicts that Mr. M. is linked to a hypertensive condition which is being controlled by some drugs. While use of alcohol and cigarettes is denied, the patient shows that he has a low level of physical activities. The data also reveals that the patient is experiencing memory losses and tends to be aggressive and agitated easily. His condition has made him to depend on assistance in doing simple activities. The objective data shows that Mr. M. has a normal body temperature. However, his blood pressure is revealed to be above normal (Cazzell & Anderson, 2016).

Primary and Secondary Diagnoses

The primary diagnosis for the client’s condition is likely to be hypertension. This condition is revealed in the subjective data as the objective data. For instance, his medical history shows that he has been trying to control the problem. Also, results from the practitioner show that he has blood pressure that is above normal. His usage of various different drugs to control the condition shows that it is his major problem.  Mr. P can also be revealed to have sleep problem due to his usage of Ambien. In addition, he may be having anxiety issues due to his usage of Xanax (Cazzell & Anderson, 2016).

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Expected Abnormalities

While assessing the patient, it may be found that the subjective data is incorrect. Basing on the client’s memory loss, he may not disclose the right information. From another perspective, his anxiety and agitation may make it easier for the practitioner to overrule other underlying problems and focus only on hypertension and anxiety issues. This feature may make it difficult for the practitioner to diagnose the patient with the right health problem. As a result, the medication given to the patient may be irrelevant (Cazzell & Anderson, 2016).

Physical, Psychological, and Emotional Effects

Mr. P’s current health problem may lead to other physical health issues. For instance, his hypertension may lead to heart disease. This problem is fatal as it may limit his physical abilities and even cause death. Moreover, problems in his endocrine system may lead to development of rare tumors which may deteriorate his health further. The diseases may also affect his appearance, which may affect his emotions. From a psychological perspective, knowledge of his diagnosis may make Mr. M. to develop anxiety. This condition may affect his cognition and general activities. This would make him to be more dependent on his family.  Moreover, he may have more stress due to his conditions. This issue may occur due to his inability to cope up with the situation (Pandey et al., 2017).

Health Analysis of Mr. M

Mr. M is prone to get negative emotions from his conditions. He is bound to continue being aggressive and agitated because of his health since the problems have only developed in a short time. This is because he is not used to the new condition. Therefore, his relationship with people around him will deteriorate due to his emotional issues (Prabhakaran, Jeemon, & Roy, 2016).

Required Support Interventions

An essential support intervention for the patient is the learning and conditioning framework. This intervention is aimed at providing education for the patient and his family to understand various ways of improving Mr. M.’s condition. It will also involve health-related techniques such as reinforcement and modeling of response relationship between the family and the patient. In addition, cognitive social learning is also viewed to be an important technique for supporting Mr. M. This aspect   will ensure that the client learns to change his perspective of the diseases basing on observations of other patients with similar problems (Prabhakaran, Jeemon, & Roy, 2016).

Health Analysis of Mr. M

Mr. M’s Problems

From his current situation, Mr. P. faces memory loss. His condition is affecting with his recall to the extent that he cannot remember his family members. This problem may also affect his decision-making abilities. The client also faces a high risk of threatening his family system. The illness may lead to his family feeling hopeless and distressed, especially when his condition deteriorates. Therefore, he faces the potential of affecting his family negatively. In addition, due to his age, the client may also suffer severe effects of the drugs to his body system. This is because at his age, his body is sensitive to drugs. Lastly, his memory loss may also affect his intake of drugs as he may forget the appropriate times to take the medicines. This issue may deteriorate his problems (Pandey et al., 2017).

References

Cazzell, M., & Anderson, M. (2016). The impact of critical thinking on clinical judgment during

simulation with senior nursing students. Nursing Education Perspectives, 37(2), 83-90.

Pandey, A., LaMonte, M., Klein, L., Ayers, C., Psaty, B. M., Eaton, C. B., … & Berry, J. D.

(2017). Relationship between physical activity, body mass index, and risk of heart failure. Journal of the American College of Cardiology, 69(9), 1129-1142.

Prabhakaran, D., Jeemon, P., & Roy, A. (2016). Cardiovascular diseases in India: current

epidemiology and future directions. Circulation, 133(16), 1605-1620.

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