It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they

Sub m is sio n Id : e 37 c0 cb 3-3 1 74-4 d 8b -8 2f0 -fb 90776992d b 31 % SIM IL A R IT Y S C O RE 7   CIT A TIO N I T E M S 12   GRAM MAR I S SU E S 0   FE ED BACK C O M MEN T In te rn e t S ourc e   7 % In stit u tio n   24 % Lilia n a F a u ra Case S tu dyM rM .d oc S um mary   744 W ord s   Runnin g H ead : C ASE S TU DY: M R. M .

1 CASE S TU DY 5 Case S tu d y: M r. M .

Lilia na F a ura GCU 09/2 2/2 0 19 Case S tu d y The c ase s tu d y is a b out M r. M w ho is a 70 y e ar o ld m ale in assis te d liv in g f a cilit y .

He has a h is to ry o f h yp ert e nsio n, hyp erc ho le ste ro le m ia . H is hyp ert e nsio n is c o ntro lle d b y ACE in hib it o rs a nd u se s Lis in o pril d aily f o r t h e hyp erc ho le ste ro le m ia , s ta tu s p ost ap pend ecto m y, a nd t ib ia l f ra ctu re s ta tu s posts urg ic al r e pair a nd d oes n o t h ave a ny sig n o f c o m plic atio ns.

M r. M d oes n o t h ave a lle rg ie s a nd n o h is to ry o f s m okin g o r u se of a lc o ho l. H is c o nd it io n o f h yp ert e nsio n a nd hyp erc ho le ste ro le m ia is b eco m in g chro nic a nd r e quir e s lo ng t e rm m edic al a rra ng em ent.

In t h e p ast t w o m onth s, t h e m edic al t e am r e aliz e d a d eclin e in t h e c o gnit iv e m enta l mem ory o f M r. M .

He is e ve n s tru g glin g t o r e m em ber t h e n am es o f h is f a m ily m em bers or e ve n h is r e sid ence r o om n um ber.

A t t h e s am e t im e, h e is e xp erie ncin g b ehavio ra l is sue s lik e r e peatin g h im se lf a nd m ood is sue s t h at h ave m ad e h im b eco m e a g it a te d and a g gre ssiv e . H e is a ls o e xp erie ncin g f e ar, e sp ecia lly w he n h e is a g it a te d.

Addit io nally , h e h as b eco m e d epend ent o n o th e rs f o r s o m e k e y a ctiv it ie s s uch a s fe edin g t o d re ssin g . F ro m t h e p re se nte d s ym pto m s, o ne c an a rg ue t h at h e is suffe rin g f ro m s tro ke . H ow eve r, p rim ary m edic al d ia g no sis s ho uld b e d one t o c o nfir m whe th e r o r n o t h e is s uffe rin g f ro m s tro ke .

Mr. M . c an b e a ske d t o r e peat s p eech se nte nce s, h is to ry o r h is f a m ily n am es.

H e c an a ls o b e a ske d t o r e peat t o r a is e h is arm s o ne a t a t im e a nd n o te a ny c halle ng es in d oin g t h e se . If h e is e xp erie ncin g dif fic ult y , t h e p hysic ia n s ho uld lo ok c o nsid er t h e h is to ry o f t h e f a m ily . T he d ia g no sis will e nab le t h e d octo r t o a d m in is te r a p pro pria te t re atm ent. M r. c an b e d ir e cte d t o a pedia tric a s a s ig nif ic ant s e co nd ary in te rv e ntio n.

Whe n d oin g t h e a sse ssm ent, t h e p hysic ia n s ho uld e xp ect t o d ete ct s ym pto m s o f stru g glin g w it h t h e p atie nt’s s p eech, p atie nt m is p la cin g o bje cts , d if fic ult y in h and lin g daily a ctiv it ie s, p oor ju d gm ent, c o nfu sio n, a nd t ro ub le p la nnin g o r o rg aniz in g h is w ork .

Addit io nally , t h e re m ay b e in co nsis te ncy in a g gre ssiv e n atu re o f t h e p atie nt a nd chang es in s le epin g p atte rn s. H yp ert e nsio n is a c o nd it io n t h at c an b e c o nfir m ed a ft e r an in cre ase in b lo od p re ssure ( H ue th e r & M cC ance , 2 0 17).

Mr. M 's c urre nt h e alt h s ta tu s is d is tu rb in g t o h im a nd t h e f a m ily a s w ell. A f e elin g o f depend ency a nd la ck o f p riv acy in h is lif e is o ne t h in g t h at w ould s ta rt t o w orry a b out his b ra in . A ls o , f a ilin g t o r e call h is f a m ily m em ber n am es c o uld t rig ger a s e nse o f in se curit y . B ein g a g it a te d c o uld a ls o m ake h im f e el a fra id o f h im se lf . S uch e xp erie nce s dim in is h h is t h o ug hts o n s e lf -lo ve a nd c an s ta rt c o nsid erin g h im se lf a s a b oth e r.

M r. M will b e s tru g glin g w it h b asic s e lf -c are n e eds lik e b ath in g , h yg ie ne , d re ssin g h im se lf , eatin g , a nd e ve n t a kin g m edic atio ns a s s che dule d. T he e m otio nal a nd p sycho lo gic al effe cts m ay a ffe ct t h e p ers o nal lif e o f a n in d iv id ual a nd e ve n t h e ir lo ve d o ne s a s t h e y  Mis sin g h yphe ns:

70 y e ar o ld  70-y e ar-o ld  assis t, a ssis ta nce ( h e lp ):

assis te d  he lp  Web C onte nt:

http s://a ca de m ic re se arc h bure au.c o m /m …  Spe llin g m is ta ke :

hype rc h ole ste ro le m ia  Passiv e v oic e :

hype rte nsio n is c o ntro lle d...

 Spe llin g m is ta ke :

Lis in opril  Eosin ophil  Spe llin g m is ta ke :

hype rc h ole ste ro le m ia  Spe llin g m is ta ...: posts u rg ic a l  post s u rg ic a l  Spe llin g m is ta ke :

hype rc h ole ste ro le m ia  Web C onte nt:

http s://w ww.h om ew ork to ppe r.c o m /e duc …  Possib le w ord in e ss:

whe th e r o r n ot  whe th e r  Stu de nt:

Subm it te d t o G ra nd C anyon U niv e rs it y 0 …  Stu de nt:

Subm it te d t o G ra nd C anyon U niv e rs it y 0 … exp erie nce , a ng er, g rie f, d is b elie f, a nd lo ss.

To t h e f a m ily , t h e y m ust c o nsid er chang in g t h e d aily s che dule s t h at t h e y m ay t a ke c are o f t h e ir p atie nt. A ls o , t h e y m ay fe el a lie nate d f ro m M r. M 's f a m ily s in ce h e c anno t r e call t h e ir n am es. T he y a ls o n e ed t o sp end m ore c ash in t h e a ssis te d h o m e, f o r t h e e xtra c are t h e f a cilit y g iv e s t o M r. M .

That m eans a d ra in f ro m t h e ir a cco unts .

To s up port t h e f a m ily a nd M r. M , t h e n urs e c an p ut d if fe re nt in te rv e ntio ns.

F ir s t o f a ll, th e n urs e s ho uld p erf o rm d aily r e hab ilit a tio n s e ssio ns t o h e lp im pro vin g t h e fu nctio nin g o f t h e b ra in . T he d octo r c an a ls o u se m em ory p ho to s t o h e lp r e m in d t h e patie nt a b out h is p ast a nd h e lp h im r e co nne ct w it h t h e f a m ily m em bers ( H am mer & McPhe e, 2 0 19). In t h is c o nd it io n, t h e p atie nt n o rm ally w ants a tte ntio n a nd s o m eone who w ill u nd ers ta nd a nd a tte nd t o h im . A s a r e sult , t h e n urs e s ho uld t ra in t h e f a m ily ab out t h e b est w ays o f h and lin g t h e p atie nt a nd s up port in g h im .

Consid erin g t h e c o nd it io ns o f M r. M , it is c le ar t h at h e f a ce s n um ero us p ro ble m s s uch as s urv iv in g a t t h e m erc y o f o th e rs . T he y h ave t o f e ed h im , b ath h im a nd d re ss h im a s well. A ddit io nally , h e is e xp erie ncin g p ara ly sis p art ic ula r w he n u nd er s tro ke . M r. M a ls o fa ce s t h e c halle ng e o f p oor m oto r c o ord in atio n. H e t h e re fo re c anno t u nd ert a ke so m e of t h e d aily a ctiv it ie s o f lif e .

Dif fic ult y in s p eech a nd c o m munic atio n is a no th e r pro ble m h e f a ce s b ecause h e c anno t p ro perly c o ord in ate h is m uscle s, lip s, a nd to ng ue .

Refe re nce s Ham mer, G . D ., & M cPhe e, S . J. ( 2 0 19). P ath o physio lo gy o f D is e ase : A n in tro ductio n t o clin ic al m edic in e ( 8 th E d .) . N ew Y ork , N Y: M cG ra w -H ill E d ucatio n Hue th e r, S . E ., & M cC ance , K . L . ( 2 0 17). U nd ers ta nd in g P ath o physio lo gy ( 6 th E d .) . S t.

Lo uis , M O: E ls e vie r.

 Stu de nt:

Subm it te d t o G ra nd C anyon U niv e rs it y 0 …  Stu de nt:

Subm it te d t o G ra nd C anyon U niv e rs it y 0 …  Gra m matic a l p ro ble m :

im pro vin g  Passiv e v oic e :

it is c le ar t h at  Redundant p hra se :

so m e o f t h e  so m e  Stu de nt:

Subm it te d t o G ra nd C anyon U niv e rs it y 0 …