Health History and Medical Information

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Case Study: Mr. M “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

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.

Sample Solution

he chart below (Figure 1) helps understand the change in levels of education, over a period of 10 years across the world. As we can see, middle and low-income countries which typically experience the highest rates of migration have seen a significant increase in education, and hence, talent and skill levels. Thus, migration also acts a catalyst for talent augmentation.
While such a scenario makes a pressing case in favor of migration, this favorable outcome is not always achieved. Migration is a powerful concept, that can result in major set backs for source countries who are already in a disadvantageous position by creating a major impediment to their growth. Say, the initial outflow of talent from a poor country is large. These countries are unable to regain their original position through just talent building, because the gap left is far too wide (Collier). When the people left behind are those who could barely make ends meet, and proper education was a distant dream. In scenarios like these, the impact of brain drain is severely adverse. Thus, the impact of talent outflow is not straightforward and cannot be generalized across all nations. There are always two sides to the same coin, and for the purpose of this paper let them be the cases of Ireland and Uganda.

We can contrast the two different outcomes looking at two examples, Uganda and Ireland, in the same sector— healthcare. The World Health Organisation carried out case studies in both these countries and published the reports on their website. First, the case of Ireland, which experiences brain gain in this sector. The Irish medical workforce experienced a substantial outflow as those students and professionals trained within the country started seeking better opportunities and employment in other English speaking countries (“Ireland”) However, the government implemented a program— International Medical Graduate Training Initiative (IMGTI)— to attract and retain more foreign students, especially Pakistani and Sudanese Nationals. The program now also attracts professionals from eastern and central European countries. The number of students enrolled has incre

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