Case Study: Mr. M. NRS 410 https://nursingassignmentgurus.com/case-study-mr-m-nrs-410/ Nursing Assessment and Possible Abnormalities When doing a nursing assessment, various abnormalities are expected. For instance, for the case of dementia, a PET scan would show tau protein abnormal accumulation in the nerve cells. In addition, some other abnormalities would include changes in the patient’s vital signs, such as changes in respiratory rate, blood pressure, and temperature, all of which can be higher than the expected range. In practice, older individuals with various conditions are usually assessed to evaluate cognitive impairment since they have many risks of mental impairment (Weller & Budson, 2018). During such assessments, various scales can be used. In the case of Alzheimer’s dementia, abnormal findings may include cognitive impairment and impaired function.

Possible Emotional, Psychological and Physical Effects on the Patient and The Family

The Case Study: Mr. M. NRS 410 patient’s current health condition may have various impacts on the patient and the family members. Among the physical impacts are impairments in physiological and physical functioning. For instance, the patient may have a diminishing ability to carry out his daily activities, which may proceed to muscle loss (Weller & Budson, 2018). The muscle loss eventually makes the patient incapable of withholding urine and bowel movement. The patient may also experience various psychological and emotional impacts. For instance, the patient may experience apathy, aggression, anxiety, fear, anger, depression, and loneliness.

The 32year old Mr. C who has had the challenge of being overweight since childhood presents to the clinic inquiring about the possibility of undergoing bariatric surgery. He has been experiencing leg swelling, shortness of breath during physical activity, and pruritus. He is employed at the catalog telephone center and reports to have both high blood pressure and sleep apnea that he has been managing by restriction of sodium intake. His laboratory assessment reveals deranged kidney functions, hyperglycemia, and dyslipidemia whereas his physical assessment shows morbid obesity and high blood pressure. The purpose of this assignment is to explain Mr. C’s clinical manifestation and the risks he faces due to obesity, then discuss the functional health patterns identified in the case study, describe the staging of end-stage renal disease (ESRD) and ESRD prevention strategies that could be employed for Mr. C.

Apart from the patient, the current condition may impact the family members in various ways. One of the major impacts is the burden associated with caregiving. Such burdens may make the family members have feelings of fear, frustration, anger, and sadness (Weller & Budson, 2018). In some cases, the family members may be called upon to make crucial decisions surrounding the patient’s conditions, such as making adjustments to the patient’s and the family’s living conditions, end-of-life care decisions, treatment options, and financial decisions. Such decisions may lead to family feuds resulting in more psychological and emotional misery.

Possible Interventions to Support the Patient and the Family: Case Study: Mr. M. NRS 410

Patients living with various conditions or illnesses need various interventions to help them have better life quality by relieving the symptoms. As such, Mr. M and the family need various interventions. This case requires offering medications and life coping skills that would help in alleviating the signs and symptoms like depression and emotional effects. The patient needs to use medications that help him to manage hypertension, diabetes, and hyperlipidemia better. Alzheimer’s dementia is a long-time condition. Therefore, one of the long-term care plans and interventions would be to administering the patient and the family home-based care and support (Weller & Budson, 2018). Such caregiving efforts would also focus on offering home health programs and social support to both the patient and the family members.

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