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

1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 750 words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.
2. 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.
3. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
4. 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.
5. Discuss what interventions can be put into place to support Mr. M. and his family.
6. 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 Support articles for assistance. 

Reply1Hi Maria,

I didn’t think about it while pondering my own values but I have to admit that autonomy is one of the things I value above others.  I can see that you also have similar values as my own.  I think that nurses in general will have similar values since we are in the business of caring for others, don’t you agree?  I see your answers are in regards to nursing and your work mostly.  I myself was thinking more about my personal life when contemplating my values.  Was it easy for you to think up what your values and beliefs are?  I had a difficult time to be honest.  I agree with your statement about your choices being limited by the policies in place, I suppose this is also true for me at my current job.  

Reply2

What are values? 

Q. What are your personal values? 

My personal values are my family, time and career. 

Q. Why do you value them? 

Family is everything, I chose nursing career to provide and stability for my son.  Time with family is priceless, once you lose the time you can’t get it back.  

Q. What are the values in your society? 

Social values accountability, honesty, knowledge, and independence 

Q. How do you make choices? 

I make choices by evaluating the outcome, what are the pros and cons, and if it is beneficial for me and my family 

Q. Are your choices based on your values? 

Yes, my choices are based on safety and wellness of my family  

Q. What values are useful in society? 

Useful in society knowledge, learning from different culture and beliefs. 

What are the limits to personal choice? 

Q. Who limits your choices? 

Myself and my son, my limit is what the outcome would be 

Q. Are limits to choices good? 

Yes, it is good depending on your choices, but for education and wealth sky is the limit you can be what you want to be, have faith.  

Q. Do you limit other people’s choices? 

My son, bad choices I will give the mom and son talk, but other people that is their choice, it is their right.  

Q. Should the health care organization or the government limit people’s choices? If so, how, and under what circumstances? 

Limiting choices takes away freedom, and independence of people.  Healthcare is good example, is it people’s right to get free healthcare or is it luxury?  Meaning if people choose medical, HMO, or PPO. Medical from the government where it is limited of where you can go for healthcare, whereas PPO you can choose where you want to go.  

A common idea in health care is that if you are drawn to health care as a profession, you are inherently guided by an inner compass that is composed of a strong moral framework. Why is this a dangerous assumption? 

Nurses’ being the influential member of the health care field, their choices along with commitment plays an essential role for the welfare and safety of humanity. Their decision-making efficiency molded from the framework of their personal, cultural and spiritual values often lead them to ethical dilemma. In situations with conflicting moral values, the nurses are expected to be professional and ethical, and point to the Code of Ethics to obtain guidance on the ethical dilemma of allowing nurses to deliver quality care.