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NRS-410V Pathophisiology and Nursing Management of Client Health Assignment.NRS-410V Pathophisiology and Nursing Management of Client Health Assignment.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 InformationHealth HistoryMr. 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.ORDER A PLAGIARISM-FREE PAPER HERECase ScenarioOver 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.NRS-410V Pathophisiology and Nursing Management of Client Health Assignment.Objective DataTemperature: 37.1 degrees CBP 123/78 HR 93 RR 22 Pox 99%Denies painHeight: 69.5 inches; Weight 87 kgLaboratory ResultsWBC: 19.2 (1,000/uL)Lymphocytes 6700 (cells/uL)CT Head shows no changes since previous scanUrinalysis positive for moderate amount of leukocytes and cloudyProtein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/LCritical Thinking EssayIn 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.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. NRS-410V Pathophisiology and Nursing Management of Client Health Assignment.Summary 1081 WordsRunning head: MR. M. CASE STUDY 1MR. M. CASE STUDY 2 Spelling mistake: Gillo Gill Spelling mistake: hypercholesterolemia on the other hand (…: On the other hand ButMr. M. Case StudyInstitutional: GCUStudent’s name: Gillo GombehCourse: NRS-410VDate: 10/11/2020Mr. M. Case StudyThe case study is about Mr. M. who is a seventy-year-old male. Mr. M. resides in anassisted living facility. He has a history of hypercholesterolemia and high blood pressure. Hishypertension is controlled using ACE inhibitors. On the other hand, his hypercholesterolemia isMR. M. CASE STUDY 3sedentary lifestyle, and being hypertensive (Ulep, Saraon, & McLea, 2017). A secondarydiagnosis for Mr. M could be delirium. This is as a result of a possible urinary tract infection.Despite Mr. M. not showing any signs of a fever, he presents with a urinalysis that is cloudy withmoderate leukocytes, elevated lymphocytes, and an elevated white blood cell count. All these aresigns are indicative of an infection.NRS-410V Pathophisiology and Nursing Management of Client Health Assignment.Expected abnormalities when performing a nursing assessmentWhen performing my nursing assessment, some of the abnormalities I would expect tofind include Mr. M. being fearful, struggling with speech, difficulty performing ADL, beingconfused, displaying delusional, repetitive, or compulsive behaviors, and might have difficultycontrolling his bladder function and bowel. Neurological testing might reveal weak muscle toneand coordination, and reduced grip strength. Symptoms previously reported would confirmunsteady gait and difficulty with ambulation.The physical, psychological, and emotional effectsThere are various physical, psychological, and emotional effects the current health statusof Mr. M. could have on him and his family. As indicated above, the primary diagnosis of Mr. Mis dementia. This disease is likely to physically affect Mr. M. The most notable physical changesthat are expected when a patient suffers from dementia include a reduction in the mobility andbalance, ability to swallow, bowel and bladder control diminishes, reduction in fine motor skills, Spelling mistake: hypercholesterolemia Spelling mistake: Lisinopril Eosinophil currently: currently now Student: Submitted to Grand Canyon University Spelling mistake: uL UL Student: Submitted to Grand Canyon University Spelling mistake: dL do Passive voice: Dementia is characterized … Student: Submitted to Grand Canyon University Spelling mistake: preclinical clinical Redundant phrase: Some of the Some Spelling mistake: Ulep Julep Spelling mistake: Saraon Saran Student: Submitted to Grand Canyon University Wrong article: a an Redundant phrase: some of the some Student: Submitted to Grand Canyon University Student: Submitted to Grand Canyon University Student: Submitted to Grand Canyon Universitycontrolled using Lisinopril. Mr. M. does not smoke nor drinks alcohol. This paper seeks tocritically evaluate the situation of Mr. M.Clinical ManifestationsMr. M. is a resident of an assisted living (AL) facility. In the past two months, the mentalhealth of Mr. M has been deteriorating. This is evident by him having challenges recalling thenames of his family members and his room number at the AL facility. Mr. M. is also currentlyunable to perform daily living activities. The weight of Mr. M. is 87 Kg (191lbs) while his heightis 6 feet 7 inches. Mr. M. is, therefore, overweight. The vital signs of Mr. M. are temperature37.1 Degrees Celsius, BP 123/78 with HR 93, RR 22, and Pox 99%. Laboratory results indicate aWBC of 19.2, Lymphocytes of 6700 (cells/uL), Urinalysis is positive for leukocytes, and cloudypresence of urine. This is indicative of a UTI. Protein is 7.1g/dL, AST is 32 U/L, and ALT is 29U/L. The Head CT scan indicates no changes from the previous scan.NRS-410V Pathophisiology and Nursing Management of Client Health Assignment.Primary and Secondary Medical Conditions that should be taken into considerationThe primary diagnosis for Mr. M. would be memory loss (dementia). The most commonform of dementia is Alzheimer’s disease (AD). AD is most common in individuals aged 65 andabove. Dementia is characterized by a decline in memory, changes in reasoning and thinkingskills, poor judgment, changes in language skills, and a decline in focus and attention span. ADoften progresses in 4 phases that include preclinical, mild, moderate, and severe (NationalInstitute on Aging, 2017). Some of the risk factors of AD include advanced age, overweight,sleep disturbances, and poor grooming habits (Falkner & Green, 2018). The physical deficits infunctioning abilities could affect the independence of Mr. M. He would have to be dependentsince he will be unable to perform ADL. Dementia is also likely to psychologically andemotionally affect Mr. M. This is because dementia can result in anxiety and depression. AnxietyMR. M. CASE STUDY 4and depression are likely to negatively affect Mr. M. The family of Mr. M. could also bepsychologically and emotionally affected by his current health status. Some of the emotions thefamily members might experience include grief, loss, anger, disbelief, and fear. The family mightstruggle in dealing with emotions resulting in depression.Interventions that can be put into place to support Mr. M. and his familyOne intervention that can be put in place to support Mr. M. and his family is medications.Medications can help improve cognition for a short-term duration. This is despite dementia beingincurable. Medications will help manage the negative emotional impacts and depression thatoften accompany dementia. Medications will also help in controlling AD risk factors that includehigh blood pressure and hyperlipidemia. Another intervention is to provide support for thepatient and family (caregiver) by obtaining social services support. This can be in the form ofhome health to assess living conditions. Other interventions include developing a plan of care forthe patient and providing a continual assessment of the patient and family (caregiver). The finalintention is to educate the family (caregiver) regarding proper approaches to a patient sufferingfrom dementia.Actual or Potential Problems Mr. M. facesThe actual problem Mr. M. is likely to face is cognition that will become worse. This isevidenced by his inability to remember the names of family members and simple activities. Mr.M. also has the potential for injury related to falling. This is attributed to his difficulty withambulation and unsteady gait. Another potential problem is infection. This is due to poorhygiene, and potential loss of bowel and bladder function. Finally, there is a potential forpneumonia. This is due to the possibility of the disease progressing, hence causing dysphagia.NRS-410V Pathophisiology and Nursing Management of Client Health Assignment.MR. M. CASE STUDY 5ConclusionAfter analyzing the subjective and objective data, and laboratory results, it is clear thatthe primary diagnosis of Mr. M. is dementia. This particular condition has negatively affectedthe physical, psychological, and emotional health of Mr. M. Interventions, therefore, need to beput in place to support Mr. M. and his family. This will help improve the health of Mr. M. andprevent further negative psychological and emotional effects, the condition (dementia) might Redundant phrase: Some of the Some Student: Submitted to Grand Canyon University accompany: accompany go with Student: Submitted to Grand Canyon University obtain (get): obtaining get Student: Submitted to Grand Canyon University Student: Submitted to Grand Canyon University Passive voice: it is clear thathave on the family of Mr. M.ReferencesMR. M. CASE STUDY 6Alzheimer’s Society. (2020). Psychological and emotional effects of dementia. Retrieved fromhttps://www.alzheimers.org.uk/get-support/help-dementia-care/understanding-supporting-person-dementia-psychological-emotional-impactFalkner, A., & Green, S. Z. (2018). Neurological, perceptual, and cognitive complexities. InGrand Canyon University (Ed.), Pathophysiology Clinical Applications for Client Health(1 ed.).National Institute on Aging (2017). What are the signs of Alzheimer’s disease? Retrieved fromhttps://www.nia.nih.gov/health/what-are-signs-alzheimers-diseaseNational Institute on Aging (2018). Biomarkers for dementia detection and research. Retrievedfrom https://www.nia.nih.gov/health/biomarkers-dementia-detection-and-researchUlep, M. G., Saraon, S. K., & McLea, S. (2017). Alzheimer’s disease. Journal for NursePractitioners, 14, 129-135. NRS-410V Pathophisiology and Nursing Management of Client Health Assignment.
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