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Health History and Medical Information
Health History and Medical Information
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
Reflective Teaching and Planning
Write a 3 – 5 page paper (NOT including the title or references page!) Your entire paper should
be in APA format; double spaced, font color – black, font size – 12, font style – Time New
Roman, with a cover page, and References page (reference your textbook and other sources if
you wish) in APA format. Include an introduction paragraph, body, and a conclusion paragraph.
Quotes should RARELY be used in formal papers if ever!
Identify and discuss the Four-Step Planning process.
Are the concepts reflective teaching, inclusion and skill levels important factors when developing
a successful Four-Step Planning process? Why? Explain.
Discuss in each step of the 4-step planning process how these concepts (e.g., reflective
teaching, inclusion, and skill levels) will be implemented and applied. Be Specific. Give
examples.
Please utilize the textbook chapters as resources and site in APA format where appropriate. For
example, (Graham, Holt/Hale & Parker, 2020) or if you use a quote (Graham, Holt/Hale & Parker,
2020, p.30).
.Please DO NOT Google and pull things from online and then just paste the web site as a
reference on your references page or within your paper! This is NOT proper APA format! If you
use web sites as references whether it’s stats and/or an article it must be from a
valid/credible/reputable source and be cited in proper APA format.
.See the APA format in the module to ensure proper APA format for your paper and references
page. You can also visit the Writing Center in the MiraCosta library.
.Note: Given the resources above there is NO reason NOT to have a properly APA formatted
paper!
Please note you may use our library’s online database http://library.miracosta.edu/homepage .
ProQuest is recommended as it has the most sources to draw from. You can use ProQuest,
EBSCOhost, MEDLINE, or Health & Wellness. Be sure to click Peer Reviewed and Full-length
journal articles when you do your search.
.Note: My recommendation is to continue working on your writing as it is one of the most valuable
skill sets you can have. Most colleges and universities have a writing center where you can go to
get help. Your institution may also have workshops/seminars you can attend and of course you
can always take a formal English class, which focuses on writing in order to improve your writing
skills.
.Some of the basics to remember when writing a formal paper:
.1) Proper grammar and punctuation
.2) Include an introduction and conclusion paragraph
.3) Indent paragraphs
.4) First sentence of the paragraph should be the topic of the paragraph
.5) Paragraphs should be a minimum of 3-to-4 well thought out and constructed sentences
.6) Cite material if it needs to be cited
.7) Paper has a clear organization and flow
.8) Refrain from using direct quotes
.9) Do not use “I”
.10) Do not start sentences with “Because”
.11) Try not to use the word “that” if you can help it as it’s over used
.12) Do not over use commas when they are not necessary as this is a very common error.
.13) Do not say, “Based on studies and/or research” without citing the specific studies or
research.
.Please utilize the textbook chapters, Internet, and library databases as resources and site in APA
format where appropriate. For example, (Graham, Holt/Hale & Parker, 2013).
Rates Of Infant Mortality: Racial, Ethnic, and Socio-Economic Disparities
Rates Of Infant Mortality: Racial, Ethnic, and Socio-Economic Disparities
‘White Paper’: to 1. inform reader of the disparities, and 2. Suggest a solution to close the gap. Due to the nature of the course, the resources utilized have to be USA resources. Details of the White Paper:The Problem — This is the introduction to your white paper. It will tell the reader what their primary problem or opportunity is (something holding back their own business, or an opportunity to drastically increase sales or productivity for example). Your introduction shouldn’t be more than a page long. You want to get the problem across quickly in order to grab the reader’s attention. Proof the Problem Exists — You say there’s a problem for the reader. So what? Why should they believe you? After exposing them to the primary problem, you need to back it up with market research. This is where you’ll include statistics that verify your claim. white paper – market researchAdditional Problems — Sometimes the initial problem is enough to get the reader’s interest, but not enough by itself to make them feel that action is necessary now. There are often additional problems that could be addressed by the same solution. Include them here. The Basic Solution — Don’t jump into talking about your own product yet. This is still a part of the educational aspect of the white paper. You should describe the basic solution that the reader should consider (for example, if you were trying to sell software as mentioned earlier, here you’d make a case for your type of software — not your company). This section should also cover the benefits of the solution to the reader. Remember, as in all forms of copywriting, focus on benefits rather than features. Your Solution — Here’s where you get to toot your own horn. You’ve (hopefully) convinced the reader that they like your basic solution. Now you get to tell them why they should buy from you specifically. I like to keep this to a single page — I almost treat it as a flyer, showcasing intro copy to highlight specific benefits, any information that sets your product apart from the competition, and then a call to action. You should always include a call to action (send them to your website to order, have them call a rep to answer their questions, etc.). Without a call to action, why did you just get them to read through the white paper? https://www.dirjournal.com/blogs/how-to-write-a-white-paper/