NRS 410V Week 2 Assignment, Case Study: Mr. M

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Running Head:CASE STUDY MR. M 1 Case Study: Mr. M Grand Canyon University: NRS-410V December 16, 2019 This study source was downloaded by 100000831988016 from CourseHero.com on 05-07-2022 07:56:12... GMT -05:00 https://www.coursehero.com/file/57280668/NRS-410-V-Case-Study-Mr-Mdocx/ Case Study: Mr. M Mr. M is a geriatric patient presenting with serious symptoms that require immediate assessment and intervention. The purpose of this paper is to analyze a case study on Mr. M and discuss the clinical manifestations that he presents as well as the diagnoses that should be considered and any abnormalities. This paper will also discuss the psychological, physical, and emotional effects that Mr. M’s health status may have on him and his family, as well as the interventions that can be put into place to help support them. In addition, it will cover four actual or potential problems he may now face. Clinical Manifestation of Mr. M Mr. M is a 70 year old male who has been receiving treatment for hypertension and hypercholesterolemia. He currently takes lisinopril 20mg daily, Lipitor 40mg daily, Xanax 0.5mg PRN, Ambien 10mg PRN, and ibuprofen 400 mg PRN. For the last two months, Mr. M has been deteriorating mentally and physically as evidenced by his new dependency with ADLs and his confusion related to time, names, and places. He has had trouble recalling names of family members, being able to repeat what he has just read, and remembering his own room number. He also frequently gets lost and requires assistance to get back to his room. His vital signs are within normal limits aside from increased respirations and being overweight. The CT shows no changes since the previous scan. His urinalysis reported cloudiness and moderate leukocytes. Mr. M has increased lymphocytes and an elevated WBC count. Diagnoses and Second Diagnoses A likely primary diagnoses based on Mr. M’s presentation of symptoms is a urinary tract infection (UTI). His lab work indicates an infection related to the elevated WBC count and Leukocytes at 6700, as well as the urine having a cloudy appearance. UTI’s commonly present This study source was downloaded by 100000831988016 from CourseHero.com on 05-07-2022 07:56:12 GMT -05:00 https://www.coursehero.com/file/57280668/NRS-410-V-Case-Study-Mr-Mdocx/ with signs and symptoms of urinary frequency, urgency, dysuria, an elevated white blood cell count, leukocytosis, and urine changes such as cloudy urine, however, older adults may also present with cognitive deficits, impaired ability to communicate, incontinence, anorexia, and a decline in functional status (Rowe & Juthani-Mehta, 2013). Mr. M has been experiencing most of the signs and symptoms of a geriatric specific UTI. A potential secondary diagnosis for [Show More]

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