Case Study Mr. M
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Case Study Mr. M
Mr. M, who is seventy years old, resides in an assisted living center. His health has worsened in the past two months. The healthcare team is worried, and testing has been requested. Mr. M’s physical results, as well as the emotional and psychological impacts of his health on him and his family, will be discussed in this paper. Interventions for the issues he experiences will be addressed.
Clinical Manifestations
Mr. M has hypercholesterolemia and takes Lipitor 40 mg every day for it. His hypertension is managed with lisinopril 20 mg. Ambulation is a challenging task. He has an unsteady gait, limiting his ability to move about. He takes Ibuprofen 400 mg every other day for pain, Xanax 0.5 mg every other day for anxiety, and Ambien 10 mg every other day for sleep. Mr. M has trouble remembering people’s names and his room number. He has a habit of repeating himself. He seems agitated and aggressive, as well as frightened and apprehensive. He’s started wandering at night and getting lost. Bathing, dressing, and eating were previously independent activities. He is now completely reliant on others.
Primary and Secondary Diagnoses
The primary diagnoses would be Alzheimer’s disease and urinary tract infection (UTI). Surgical tibial fracture repair, appendectomy, hypercholesterolemia, and hypertension are the secondary diagnoses.
Alzheimer’s disease is the most prevalent kind of dementia. Loss of memory, personality and mood changes, withdrawal from social and work events, complexity making decisions, misplacing items, trouble finding the right words, vision loss, and so on are all the clinical manifestations of early-onset Alzheimer’s disease (Bature et al., 2017). The brain tends to forget how to operate effectively in the latter stages of Alzheimer’s disease. Mr. M has been experiencing memory problems. It is tough for him to recall people, his room number. He also keeps repeating things. Distress and aggressiveness have been signs of mood shifts. It’s also tough to do routine chores. He is incapable of conducting his own daily activities such as bathing, dressing, and eating. When all of these factors are combined, Alzheimer’s disease is diagnosed. The urinalysis findings and increased WBC confirm the diagnosis of a Urinary tract infection. When a UTI is prevalent, elderly individuals may suffer disorientation and be incapable of communicating their feelings. Mr. M, sadly, has Alzheimer’s disease as well as a urinary tract infection. Confusion may be a sign of either disease.
Expected Abnormalities
The objective information provided has abnormalities for an individual with a urinary tract infection. WBC levels range from 4,500 to 11,000 in a healthy person. He had a WBC of 19.2. This indicates the presence of infection or inflammation. The typical lymphocyte count is between 1,000 and 4,800. He had a high count of 6,700.
This is most likely linked to his body’s natural reaction to his UTI. The presence of a significant number of leukocytes in unusually murky urine indicates a UTI. It’s tough to evaluate cognitive decline in elderly people. Many various problems may induce cognitive abnormalities, such as metabolic diseases, endocrine difficulties, delirium following a disease, depression, or drug side effects (Tavares-Júnior et al., 2019). A clinical examination of a person with dementia may be done using a variety of scales. Dementia’s most serious problem is cognitive impairment. Various diagnostic criteria are used to establish whether or not an individual has Alzheimer’s disease. The existence of cognitive decline, behavioral abnormalities, decreased functionality, and general complexity of health problems are the factors.
Physical, Psychological, and Emotional Effects
Alzheimer’s disease is incurable. However, certain things may be done to alleviate the emotional and psychological effects. The mission is to improve people’s life quality. Loss of bodily function would be one of the physical attributes. Incontinence may result from a lack of muscular function of the bladder and bowel. This occurs when the brain’s impulses to certain muscles cease to function. This typically happens when the illness is in its middle phases. Patients with Alzheimer’s disease lose their capacity to conduct daily activities and interact with their surroundings as the disease progresses. Rage, dread, worry, and isolation plague such individuals. Care providers should be sympathetic to their emotional and psychological requirements. When caring for such individuals, it is critical to have an enthusiastic mindset. T