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 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.
Sample Solution
A large majority of OPEC members such as Saudi Arabia and Egypt have large stake in Bab el-Mandeb and these other locations, which leads to massive tension when their stake is threatened as it was in 2015. 2015 marked the beginning of the ongoing war in Yemen that continues to impact oil prices today; the end is not in sight. The conflict is a result of a failed Arab Spring movement within Yemen in which the political transition from Ali Abdullah Saleh, an authoritarian president, to Abdrabbuh Mansour Hadi; due to Hadiâs inability to fend off separatists, al-Qaeda, unemployment, poverty, starvation, corruption, Iranâs intervention on behalf of the Houthis, and a military that still held loyalties to Saleh, he failed to bring stability to the country and people of Yemen (Yemen Crisis). The Houthis, a group of armed religious individuals who affiliate with the Zaidi Shia Muslim sect, took this transition period as the prime moment to strike. They had fought against President Saleh many times yet had failed (Yemen Crisis). This time around, they preyed on Hadiâs transitional weakness and gained control of Saada province and other areas of which surrounded the region. Then, the Houthis made a grab for control of the entirety of Yemen, which forced Hadi to seek refuge elsewhere in March of 2015. It is known that Iran has been backing the Houthiâs military and that the United States has recently poured $110 billion USD worth of arms into the Saudi Arabian military (Trump and Saudi Arabia). This Iranian backed instability incited Saudi Arabia and other countries such as UAE, Senegal, Sudan, Morocco, and Qatar, to bomb-strike with the hopes of Hadi regaining power and stability being renewed to Bab el-Mandeb. There have been many strikes since on both sides. At one point, Saudi Arabia tightened its blockade of Yemen even further due to a ballistic missile being fired with the intent of hitting Riyadh (Yemen C>
A large majority of OPEC members such as Saudi Arabia and Egypt have large stake in Bab el-Mandeb and these other locations, which leads to massive tension when their stake is threatened as it was in 2015. 2015 marked the beginning of the ongoing war in Yemen that continues to impact oil prices today; the end is not in sight. The conflict is a result of a failed Arab Spring movement within Yemen in which the political transition from Ali Abdullah Saleh, an authoritarian president, to Abdrabbuh Mansour Hadi; due to Hadiâs inability to fend off separatists, al-Qaeda, unemployment, poverty, starvation, corruption, Iranâs intervention on behalf of the Houthis, and a military that still held loyalties to Saleh, he failed to bring stability to the country and people of Yemen (Yemen Crisis). The Houthis, a group of armed religious individuals who affiliate with the Zaidi Shia Muslim sect, took this transition period as the prime moment to strike. They had fought against President Saleh many times yet had failed (Yemen Crisis). This time around, they preyed on Hadiâs transitional weakness and gained control of Saada province and other areas of which surrounded the region. Then, the Houthis made a grab for control of the entirety of Yemen, which forced Hadi to seek refuge elsewhere in March of 2015. It is known that Iran has been backing the Houthiâs military and that the United States has recently poured $110 billion USD worth of arms into the Saudi Arabian military (Trump and Saudi Arabia). This Iranian backed instability incited Saudi Arabia and other countries such as UAE, Senegal, Sudan, Morocco, and Qatar, to bomb-strike with the hopes of Hadi regaining power and stability being renewed to Bab el-Mandeb. There have been many strikes since on both sides. At one point, Saudi Arabia tightened its blockade of Yemen even further due to a ballistic missile being fired with the intent of hitting Riyadh (Yemen C>
