NRS-410V NVCC Week 2 Health History and Medical Information Case Analysis t is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understan

NRS-410V NVCC Week 2 Health History and Medical Information Case Analysis t 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.

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. Course Code
NRS-410V
Class Code
NRS-410V-O501
Criteria
Content
Percentage
80.0%
Clinical Manifestations of Mr. M.
10.0%
Diagnoses and Secondary Diagnoses
10.0%
Explanation of Expected Abnormalities During
Nursing Assessment
15.0%
Effects of Health Status on Physical,
Psychological, and Emotional Aspects of Patient
and Family
15.0%
Interventions for Support
15.0%
Actual or Potential Problems Based on Condition 15.0%
Organization, Effectiveness, and Format
20.0%
Thesis Development and Purpose
5.0%
Argument Logic and Construction
5.0%
Mechanics of Writing (includes spelling,
punctuation, grammar, language use)
5.0%
Paper Format (use of appropriate style for the
major and assignment)
2.0%
Documentation of Sources (citations, footnotes,
references, bibliography, etc., as appropriate to
assignment and style)
3.0%
Total Weightage
100%
Assignment Title
Case Study: Mr. M.
Unsatisfactory (0.00%)
Clinical manifestations are omitted.
A discussion on what primary and secondary medical
diagnoses should be considered for Mr. M. is omitted; or,
medical diagnoses presented are inaccurate.
A discussion of what abnormalities a nurse would expect to
find during a nursing assessment is omitted; or, the expected
findings are not relevant for the patient or his health status.
The effects of the health status on the physical, psychological,
and emotional aspects of the patent, and the impact the
health status has on the family, are omitted.
Interventions that can be put into place to support Mr. M.
and his family are omitted.
Fewer than three actual or potential problems faced by the
patient are presented. The problems posed are not relevant
to his condition.
Paper lacks any discernible overall purpose or organizing
claim.
Statement of purpose is not justified by the conclusion. The
conclusion does not support the claim made. Argument is
incoherent and uses noncredible sources.
Surface errors are pervasive enough that they impede
communication of meaning. Inappropriate word choice or
sentence construction is used.
Template is not used appropriately, or documentation format
is rarely followed correctly.
Sources are not documented.
Total Points
120.0
Less Than Satisfactory (75.00%)
Clinical manifestations are partially presented. There are
major omissions and inaccuracies.
A partial discussion on what primary and secondary medical
diagnoses should be considered for Mr. M. is presented.
There are major inaccuracies. Rationale and evidence for the
diagnoses are lacking.
An incomplete summary of some abnormalities a nurse
would expect to find during a nursing assessment is
presented. There are inaccuracies. No rationale or evidence is
provided for support.
The effects of the health status on the physical, psychological,
and emotional aspects of the patient, and the impact the
health status has on the family, are partially summarized. The
effects presented are questionable, and support for the
discussion is not provided.
Some interventions that can be put into place to support Mr.
M. and his family are partially presented. More information is
required.
Three actual or potential problems faced by the patient are
partially presented. It is unclear how some of the posed
problems are relevant to his condition. There are
inaccuracies.
Thesis is insufficiently developed or vague. Purpose is not
clear.
Sufficient justification of claims is lacking. Argument lacks
consistent unity. There are obvious flaws in the logic. Some
sources have questionable credibility.
Frequent and repetitive mechanical errors distract the
reader. Inconsistencies in language choice (register), sentence
structure, or word choice are present.
Appropriate template is used, but some elements are missing
or mistaken. A lack of control with formatting is apparent.
Documentation of sources is inconsistent or incorrect, as
appropriate to assignment and style, with numerous
formatting errors.
Satisfactory (79.00%)
Clinical manifestations are summarized. An overview of the
general symptoms is presented. Some findings are
incomplete.
A general discussion on what primary and secondary medical
diagnoses should be considered for Mr. M. is presented.
There are some inaccuracies. A summary provides some
rationale and evidence to explain why the diagnoses are
relevant.
A general discussion on the abnormalities a nurse would
expect to find during a nursing assessment is presented.
There are minor inaccuracies. Some rationale or evidence is
provided for support.
The effects of the health status on the physical, psychological,
and emotional aspects of the patient, and the impact the
health status has on the family, are summarized. Overall, the
described effects on the patient and impact to the family are
relevant. Some support for the discussion is provided.
Some interventions that can be put into place to support Mr.
M. and his family are summarized. There are minor
inaccuracies.
At least four actual or potential problems faced by the patient
are summarized. The posed problems are generally relevant
to his condition. There are minor inaccuracies. Some
information or rationale is needed.
Thesis is apparent and appropriate to purpose.
Argument is orderly but may have a few inconsistencies. The
argument presents minimal justification of claims. Argument
logically, but not thoroughly, supports the purpose. Sources
used are credible. Introduction and conclusion bracket the
thesis.
Some mechanical errors or typos are present, but they are
not overly distracting to the reader. Correct sentence
structure and audience-appropriate language are used.
Appropriate template is used. Formatting is correct, although
some minor errors may be present.
Sources are documented, as appropriate to assignment and
style, although some formatting errors may be present.
Good (89.00%)
Subjective and objective clinical manifestations are described.
Overall, the clinical manifestations are accurate and reflect
observed and perceived signs and symptoms.
A discussion on what primary and secondary medical
diagnoses should be considered for Mr. M. is presented.
General rationale and relevant data are used to explain why
the diagnoses should be considered. There are minor
inaccuracies.
A discussion of abnormalities a nurse would expect to find
during a nursing assessment is presented. General rationale
and evidence are provided for support.
A discussion of the effects of the health status on the
physical, psychological, and emotional aspects of the patient,
and the impact the health status has on the family, is
presented. Support for the discussion is provided.
Key interventions that can be put into place to support Mr.
M. and his family are discussed. Some detail is needed for
clarity.
Four or more actual or potential problems faced by the
patient are discussed. The posed problems are relevant to his
condition. Rationale provided generally supports the
discussion.
Thesis is clear and forecasts the development of the paper.
Thesis is descriptive and reflective of the arguments and
appropriate to the purpose.
Argument shows logical progression. Techniques of
argumentation are evident. There is a smooth progression of
claims from introduction to conclusion. Most sources are
authoritative.
Prose is largely free of mechanical errors, although a few may
be present. A variety of sentence structures and effective
figures of speech are used.
Appropriate template is fully used. There are virtually no
errors in formatting style.
Sources are documented, as appropriate to assignment and
style, and format is mostly correct.
Excellent (100.00%)
Subjective and objective clinical manifestations are detailed.
The clinical manifestations are accurate and clearly report the
observed and perceived signs and symptoms.
A detailed discussion on what primary and secondary medical
diagnoses should be considered for Mr. M. is presented.
Strong rationale and reliable data are used to explain why the
diagnoses are relevant and should be considered.
A thorough discussion of abnormalities a nurse would expect
to find during a nursing assessment is presented. Strong
rationale and evidence are provided for support.
A thorough discussion of the effects of the health status on
the physical, psychological, and emotional aspects of the
patient, and the impact the health status has on the family, is
presented. Strong support for the discussion is provided.
All relevant interventions that can be put into place to
support Mr. M. and his family are thoroughly discussed.
Four or more actual or potential problems faced by the
patient are thoroughly discussed. The posed problems are
clearly related to his condition. Strong rationale is provided
and supports the discussion.
Comments
Thesis is comprehensive and contains the essence of the
paper. Thesis statement makes the purpose of the paper
clear.
Clear and convincing argument presents a persuasive claim in
a distinctive and compelling manner. All sources are
authoritative.
Writer is clearly in command of standard, written, academic
English.
All format elements are correct.
Sources are completely and correctly documented, as
appropriate to assignment and style, and format is free of
error.
Points Earned

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