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
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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
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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
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