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Posted: August 13th, 2022

Assignment 3: Evaluate the Health History and Medical Information

Assignment three: Evaluate the Health History and Medical Information

Primarily based on this info, formulate a conclusion based mostly in your analysis, and full the Important Considering Essay project, as instructed under.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been dwelling at the Helped dwelling facility the place you’re employed. He has no know allergic reactions. He’s a nonsmoker and doesn’t use alcohol. Restricted bodily exercise associated to problem ambulating and unsteady gait. Medical historical past consists of hypertension managed with ACE inhibitors, hypercholesterolemia, standing publish appendectomy, and tibial fracture standing postsurgical restore with no apparent indicators of problems. Present drugs embody Lisinopril 20mg each day, Lipitor 40mg each day, Ambien 10mg PRN, Xanax zero.5 mg PRN, and ibuprofen 400mg PRN.

Case Situation

Over the previous 2 months, Mr. M. appears to be deteriorating rapidly. He’s having hassle recalling the names of his relations, remembering his room quantity, and even repeating what he has simply learn. He’s turning into agitated and aggressive rapidly. He seems to be afraid and fearful when he will get aggressive. He has been discovered wandering at night time and will steadily turn out to be misplaced, needing Help to get again to his room. Mr. M has turn out to be dependent with many ADLs, whereas a number of months in the past he was absolutely capable of gown, bathe, and feed himself. The Helped dwelling facility is anxious along with his fast decline and has determined to order testing. Since two months in the past, Mr. M. appears to be getting worse rapidly. He has a tough time remembering the names of his relations, his room quantity, and even what he simply learn. He’s getting offended and imply in a short time. When he acts aggressively, he appears scared and afraid. He has been discovered strolling round at night time, and he usually will get misplaced and wants Help to search out his approach again to his room. Mr. M now wants Help with many ADLs, like dressing, bathing, and consuming. A couple of months in the past, he might do all of this stuff on his personal. The place the place he lives is frightened about his fast decline and has determined to ship him for exams.

Goal Knowledge

Temperature: 37.1 levels C

BP 123/78 HR 93 RR 22 Pox 99%

Denies ache

Top: 69.5 inches; Weight 87 kg

Laboratory Outcomes

WBC: 19.2 (1,000/uL)

Lymphocytes 6700 (cells/uL)

CT Head exhibits no adjustments since earlier scan

Urinalysis constructive for average quantity of leukocytes and cloudy

Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Important Considering Essay

In 750-1,000 phrases, critically consider Mr. M.’s state of affairs. Embrace the following:

Describe the scientific manifestations current in Mr. M.

Primarily based on the info offered in the case situation, focus on what main and secondary medical diagnoses needs to be thought of for Mr. M. Clarify why these needs to be thought of and what information is offered for Help.

When performing your nursing Assessment, focus on what abnormalities would you look forward to finding and why.

Describe the bodily, psychological, and emotional results Mr. M.’s present well being standing might have on him. Talk about the impression it could possibly have on his household.

Talk about what interventions may be put into place to Help Mr. M. and his household.

Given Mr. M.’s present situation, focus on at the least 4 precise or potential issues he faces. Present rationale for every.

You’re required to quote to a minimal of two sources to finish this project. Sources have to be revealed inside the final 5 years and applicable for the project standards and related to nursing apply.

Put together this project based on the tips present in the APA Type Information, situated in the Scholar Success Heart. An summary is just not required.

This project makes use of a rubric. Please Assessment the rubric previous to starting the project to turn out to be accustomed to the expectations for profitable completion

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