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
1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg
Laboratory Results
1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay
In 900-words, critically evaluate Mr. M.’s situation. Include the following:
1. Describe the clinical manifestations present in Mr. M.
1. 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.
2. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
3. 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.
4. Discuss what interventions can be put into place to support Mr. M. and his family.
5. 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 2 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. Also, you must have a conclusion with a minimum of 5 sentences to wrap up the case study.
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Network Relationships
/in Uncategorized /by developerWrite a 700-word paper that evaluates any recommendations you received, and those you did not.
Consider the following:
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Networking 19319953
/in Uncategorized /by developerFind a health care association you would be interested in joining on LinkedIn.
Gather details about membership fees and any discounts available with the membership.
Identify current association members and find out more about their experiences with and the benefits of having a membership.
Write a 700-word proposal to your employer outlining the benefits of joining the selected health care association and the benefits of attending a meeting, convention or conference in-person.
Provide a rationale of how your membership to the health care association and attending its event(s) will benefit your employer, contribute to your job responsibilities, and promote your own professional development. Include insight from the relationships you established to reinforce your rationale.
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Networking Opportunities
/in Uncategorized /by developerThis week you begin to lay the foundation for your academic and professional success. Your efforts begin with a vision, which includes your own definition of success. Your vision may vary from those of your colleagues, but this does not mean you have to take these first steps alone.
Walden University and the School of Nursing (SON) also have a vision and mission, which include helping you to make your own vision a reality. Members of your new academic community, such as faculty, support teams, and fellow students, can also be helpful. Current practitioners and other members of the professional community can also help you to clarify your vision.
This week’s Discussion asks you to think about how the Walden mission and vision and the School of Nursing (SON) mission and vision apply to your professional and academic goals. You will also begin to identify individuals and teams that can help you along the way, as you begin to design the “blueprint”—your Academic Success and Professional Development Plan—that will guide you toward your own vision for academic and professional success.
To Prepare:
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Neuman Systems Models
/in Uncategorized /by developerDiscussion Question:
Neuman Systems Models is a flexible and adaptive model which can be applied to various aspects of nursing disciplines. Today, the model is used globally as a nursing conceptual model to guide curriculum development, research studies, and clinical practice in the full array of health-care disciplines.
Define a nursing practice area where you could apply Neuman Systems Model. What patient population would you target? How would you use this model to guide best practices? How would nursing outcomes be determined? Use at least one current research article related to your practice example.
Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook
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Neuro Rehabilitation Article Research Analysis
/in Uncategorized /by developerAttached find Article, answer the questions provide during the analysis, no citations, no fancy words.
Cover page including the Course name & number, title of Paper, and your names and date.
Number pages on the top right hand corner
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Neurocognitive Disorder
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Neurologic Sysytem
/in Uncategorized /by developerWeek 11
Chapter 22.
Neurologic System
Lobes and principal fissures of the cerebral cortex, cerebellum, and brainstem (left hemisphere, lateral view).
Make a chart differentiating between descending and ascending spinal tracts.
What occurs if the spinal cord is incompletely severed?
Describe the nervous system.
Name the three major units of the brain.
Differentiate between the descending spinal tracts and the ascending spinal tracts of the spinal cord.
What is the function of the pituitary gland?
Name the fourth cranial nerve and state its function.
List the risk factors for cerebrovascular accidents.
Why is the 5.07 monofilament test used?
Explain the 0 to 4+ scale for scoring deep tendon reflexes. Scoring deep tendon reflexes
You are observing the neurologic examination of a 75-year-old man. You notice that before beginning the physical examination, the examiner asks the patient whether he is currently taking any medication. Why is it important to assess medications used by older adults?
What is the potential long-range effect on a child if meningitis occurs during the first year of life?
EI, a 44-year-old patient, comes in for a follow-up visit regarding his diabetes. Today he is complaining of numbness, tingling, and burning in his feet. His recent laboratory studies demonstrate an elevated hemoglobin A1c and hyperlipidemia. You diagnose him with peripheral neuropathy.
1- What are the possible etiologies of the peripheral neuropathy? What is the most likely cause?
2- Describe the patient’s objective findings with peripheral neuropathy.
3- What is the best physical assessment technique to determine peripheral neuropathy.
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Neurological Cognitive Or Perceptual
/in Uncategorized /by developerMr. 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
1. Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
3. Denies pain
4. Height: 69.5 inches; Weight 87 kg
Laboratory Results
1. WBC: 19.2 (1,000/uL)
2. Lymphocytes 6700 (cells/uL)
3. CT Head shows no changes since previous scan
4. Urinalysis positive for moderate amount of leukocytes and cloudy
5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay
In 900-words, critically evaluate Mr. M.’s situation. Include the following:
1. Describe the clinical manifestations present in Mr. M.
1. 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.
2. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
3. 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.
4. Discuss what interventions can be put into place to support Mr. M. and his family.
5. 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 2 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. Also, you must have a conclusion with a minimum of 5 sentences to wrap up the case study.
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Neurological Disorder Spinal Tumorcancers
/in Uncategorized /by developerintroduction and discussion/conclusion.
The final discussion is a concluding argument revealing a “defensible solution” to the healthcare topic, supported by the “evidence” .introduction and discussion/conclusion.
Your paper must:
Refer to the rubric for evaluation details and to assist in preparing the paper.
Due: Submit by 11:59 pm (Pacific time) the evening before the Week 8 onsite class
Points: 150
Team Meeting Notes:
Other Important Notes:
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Neurological Disorders And Mental Health
/in Uncategorized /by developerNeurological Disorders and Mental Health
Question(s): What is likely to be different in the appearance of depression in a person who is 70 years old compared to its appearance in a person who is 20 years old? (Mention at least 3)
Guidelines:
*Original papers (NO plagiarism).
*APA Format.
*Answer should be based on Chapter 23-Neurological Disorders and Chapter 24 – Mental Health. (Both chapters ATTACHED), no just your opinion.
*Please, do not mention the signs and symptoms of depression. You need to mention the characteristics / symptoms that are common on a depressed 70 years old person than are different in a 20 years old depressed individual (do a comparison between the depressed 70 years old with the depressed 20 years old) (mention at least 3).
*Two reference beside the text book.
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