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
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.
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.
Temperature: 37.1 degrees C
BP 123/78 HR 93 RR 22 Pox 99%
Height: 69.5 inches; Weight 87 kg
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.
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.
Literacy in the 21st century
Literacy in the 21st century.
Follow the instructions on a chosen literacy website – and use articles to prove what youre writing about as well as the two resources ive provided Demonstrate an understanding of: “What is literacy in the 21 century?” Discuss and apply an understanding of the theories, assumptions and principles in early literacy in planning and using a repertoire of strategies for children from birth to age eight. Identify other forms of literacy expression, multiple literacies (media and critical literacies), multimodalities, the arts. Describe the significance of inclusive practices, and select curricular materials/resources from multiple sources that are representative of an inclusive approach to teaching and learning. The purpose of the blog assignment is to provide readers with useful information and/or analysis of the topic/issue and to apply the course material to your own reflections, connections and ideas. Recommended Literacy Resources (15%) Description Recommend a literacy website (include URL) Provide an overview of the website content Describe the intended audience of the web site Describe the layout of the website: is it visually pleasing? Easily accessible? Why did you choose it? The more your critical voice is evident, the higher grade. Links must be specific, with proper citation format and referencing using APA 6 format. The more specific and relevant your links are to the text and /or articles , the higher your mark will be. Please note: Websites such as Starfall, Reading Rocket and Toronto Public Library will not be accepted as these are frequently used by educators in learning environments. The purpose of this assignment is for you to do research and find a website
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