Nursing Cases (Due 24 hours)

 
1) Minimum 8 full pages  

                 Part 1: minimum 2 page
                 Part 2: minimum 2 pages 
                 Part 3: minimum 1 page
                 Part 4: minimum 1 page
                 Part 5: minimum 2 pages
                           

                 Submit 1 document per part

2)¨******APA norms  

            All paragraphs must be narrative and cited in the text- each paragraphs
            Bulleted responses are not accepted
            Dont write in the first person 
            Dont copy and pase the questions.
            Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3) It will be verified by Turnitin and SafeAssign 

4) Minimum 12 references not older than 5 years

            Minimum 2 references per part

5) ******************* Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX
Q 2. Health is XXXX+

6) You must name the files according to the part you are answering: 

Part 1.doc 
Part 2.doc 
_______________________________________________________________

Part 1:

Answer the questions in the attached “Case file 1” taking into account the scenario presented.

Part 2:

Answer the questions in the attached “Case file 2” taking into account the scenario presented.

Part 3:

 
1) Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors. 
2) Outline steps for prevention or health promotion for the patient and family.

Part 4:

 
1) Discuss characteristic findings for a stroke and how it affects the lives of patients and their families. 
2) Discuss the nurse’s role in supporting the patient’s psychological and emotional needs. Provide an example.

Part 5:

 
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

Questions

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.