Mr. M. is a 70-year-old male living in an assisted living facility who has been deteriorating rapidly over the past 2 months. He is experiencing confusion, agitation, aggression, wandering at night, and difficulty with activities of daily living. Based on his clinical manifestations and test results, primary diagnoses of dementia and urinary tract infection should be considered. Secondary diagnoses may include hypertension, hypercholesterolemia, and vitamin B12 deficiency. His conditions would cause physical, psychological, and emotional strain and negatively impact his family. Interventions like treatment of infections, ensuring safety, and support services could help Mr. M. and his family.
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Evaluating Mr. M's Rapid Decline and Deteriorating Health Status
1. Assignment: Primary and secondary medical diagnoses
Assignment: Primary and secondary medical diagnosesAssignment: Primary and secondary
medical diagnosest 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 NOW FOR CUSTOMIZED, PLAGIARISM-FREE
PAPERSCase 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.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: Assignment: Primary and secondary
medical diagnosesDescribe 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 .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
2. have on his family.Discuss what interventions can be put into place to 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.You are required to submit this assignment to LopesWrite. Refer to
the LopesWrite Technical articles for assistance. PLEASE FOLLOW RUBRICSSubjective and
objective clinical manifestations are detailed. The clinical manifestations are accurate and
clearly report the observed and perceived signs and symptoms.A detailed discussion on
what primary and secondary medical diagnoses should be considered for Mr. M. is
presented. Strong rationale and reliable data are used to explain why the diagnoses are
relevant and should be considered.A thorough discussion of abnormalities a nurse would
expect to find during a nursing assessment is presented. Strong rationale and evidence are
provided for .A thorough discussion of the effects of the health status on the physical,
psychological, and emotional aspects of the patient, and the impact the health status has on
the family, is presented. Strong for the discussion is provided.All relevant interventions
that can be put into place to Mr. M. and his family are thoroughly discussed.Four or more
actual or potential problems faced by the patient are thoroughly discussed. The posed
problems are clearly related to his condition. Strong rationale is provided and s the
discussion.Thesis is comprehensive and contains the essence of the paper. Thesis statement
makes the purpose of the paper clear.Clear and convincing argument presents a persuasive
claim in a distinctive and compelling manner. All sources are authoritative.Writer is clearly
in command of standard, written, academic English. Assignment: Primary and secondary
medical diagnosesAll format elements are correct.Sources are completely and correctly
documented, as appropriate to assignment and style, and format is free of error.