Memory Loss Treatment in Nursing Practice Case Study
Case Scenario Summary
Mr. M is an aged male patient whose health has been deteriorating shortly for the past two months. He exhibits signs of reminiscence loss, similar to failing to recall numbers, names, and short-term events. During these instances, he appears to be agitated, fearful, and easily provoked into aggressive. He has been discovered sleepwalking and required assist to get again to his room every time. The patient grew to become incapable of performing even the best of tasks, such as bathing, clothes, and feeding oneself, requiring help in every case. The nurses on the ADL facility are involved and have requested additional checks to know the foundation of the matter.
Patient History Summary
Mr. M is an elderly affected person aged 70, with a plethora of age-related healthcare issues. His experiences embody restricted bodily activity relating to ambulation and an unsteady gait. His history of diseases consists of hypertension, hypercholesterolemia, post-appendectomy, and tibial fracture with no complications. The affected person uses a big selection of drugs to manage the symptoms of his circumstances, including lisinopril, Lipitor, Ambien, Xanax, and Ibuprofen. Mr. M has no recognized allergies, doesn’t drink or smoke.
Clinical Manifestations of the Disease
The identification of medical manifestations of the disease is an important first step towards an accurate analysis and the development of a plan of motion to improve the patient’s short-term and long-term stability (Mielsen, 2016). Clinical manifestations stand for identifiable signs detected by the affected person or a nursing specialist in the course of a bodily evaluation and laboratory testing. The following findings have been identified in the midst of this case examine:
- The patient has an unusually excessive focus white blood cells in the blood and urine. Total WBC count is nineteen.2 (1,000/uL);
- The affected person has a barely elevated temperature of 37.1 C, whereas the norm is 36.6 C. This could indicate inflammatory processes within the physique.
- The affected person has bother recalling the names of his relatives, his room quantity, and the phrases he just stated or read. These signs point out both short-term and long-term memory loss.
- The patient expresses confusion and aggression within the aftermath of a memory loss incident.
- The patient has trouble locating himself in area and is usually discovered wandering at night time by the nursing staff.
These manifestations point out to a plethora of potential diseases of various origin occurring suddenly, however affecting totally different techniques of the patient’s body. The following sections will delve deeper into the potential diagnoses.
Primary, Secondary, and Tertiary Diagnoses
The most regarding signs, related to the loss of mobility and capability to care for oneself, are linked with short-term and long-term memory loss, in addition to mood swings related to them. These symptoms coincide with symptoms of a condition often recognized as dementia, which is characterized by reminiscence loss, elevated levels of confusion and aggression, and sleepwalking (Mielsen, 2016). The latter is usually attributable to sleeping disorders and result in wandering, low levels of bodily activity, in addition to the capacity to go to sleep in places not suitable for resting (Mielsen, 2016).
The secondary analysis with similar medical manifestations is Alzheimer’s illness. Dementia is usually a byproduct of the processes which would possibly be facilitated by the identified condition (Apostolova, 2016). Alzheimer’s illness has symptoms much like these of dementia, which embrace temper swings, reminiscence loss, and the lack of direction, all of which have been current in Mr. M so far (Apostolova, 2016). With the connections present between the 2 diagnoses, it is extremely doubtless for both to be present on the similar time.
Tertiary diagnoses are derived from the analysis of signs that seemingly has no connection to the first and secondary diagnosis. The laboratory analyses present an increased variety of WBCs and leucocytes in blood and urine. WBCs exceed the upper restricted by nearly two times, and leucocytes in urine each indicate to infective and inflammatory processes present within the system (Schaeffer & Nicolle, 2016). These symptoms indicate a potential infection of the urinary tract. Additional prognosis would include a kidney illness provoked by polypharmacy. The fact that the affected person didn’t report any pains which are widespread with the urinary tract illness helps this theory (Schaeffer & Nicolle, 2016).
Nursing Assessment and Expected Abnormalities
The majority of anticipated abnormalities could be related both with the primary, secondary, and tertiary diagnoses, or the incidents of polypharmacy from the medicine presently taken by the affected person. The major suspects behind the elevated variety of leucocytes on account of failing kidneys are ibuprofen and lisinopril (Aronson, 2015). These medication cut back the capability of kidneys to perform correctly when used together. ACE inhibitors enter into reactions with practically all other drugs on the record, and have the potential to trigger low blood pressure, poor sense of balance, impaired pondering, and enhance the levels of aggression (Aronson, 2015). The main suspects for these abnormalities are Xanax, Lipitor, and Ambien. Their response causes dizziness, loss of control, and short-term dazes, which usually happen within one hour after taking drugs (Aronson, 2015).
Effects on the Patient’s Health Status
The main and secondary diagnoses can have numerous potential health standing results on the affected person. They may cause his memories, expertise, and social connections to deteriorate quickly, leaving the person incapable of caring for himself and resume a healthy life after the situation is stabilized (Apostolova, 2016). Many sufferers become estranged by their households because of mental health problems, which could result in emotions of abandonment, despair, and social nervousness.
Patients with Alzheimer’s and dementia are notoriously dependent on firm and compassion to renew restoration (Miesen, 2016). Friends and family members of the affected individual are additionally going to be under the chance of being affected, because the patient’s aggression and confusion would pressure their tolerance to the limit, and cause gradual separation (Miesen, 2016). Finally, the financial aspects of managing dementia and Alzheimer’s illness might be detrimental to both the affected person and his family. They must handle not solely the expenditures related to medical therapies but additionally cut outing of their work and lives to care for the affected person (Apostolova, 2016).
Actual and Potential Problems Faced by the Patient
Mr. M is at risk of encountering a variety of issues that would negatively impression his quality of life. The identified issues are the next (Miesen, 2016):
- Increased chances of trauma;
- Increased prices of treatment and maintenance;
- Inability to comply with the prescribed therapies with out help;
- Family alienation;
- Polypharmacy (Aronson, 2015).
All of those issues are either explaining the existent issues confronted by the patient or new ones that could probably be developed within the short-term or long-term perspective.
Potential Interventions for Mr. M
The recognized interventions that might be used to treat Mr. M as a half of his care delivery plan would contain drug therapies, educational assistance, and family therapy (Miesen, 2016). Drugs and ADL help would take the majority of the bills and constructive results on the affected person, as the previous would assist scale back or take away the signs, whereas the latter would enhance their on an everyday basis life (Aronson, 2015). Education would help the patient and his household manage the symptoms, whereas psychological support would help improve relations and facilitate and understanding between all parties (Apostolova, 2016).
Apostolova, L. G. (2016). Alzheimer illness. Continuum: Lifelong Learning in Neurology, 22(2), 419-434.
Aronson, J. K. (Ed.). (2015). Meyler’s side effects of medicine: The international encyclopedia of adverse drug reactions and interactions (16th ed.). New York, NY: Elsevier.
Miesen, B. (2016). Dementia in close-up. New York, NY: Routledge.
Schaeffer, A. J., & Nicolle, L. E. (2016). Urinary tract infections in older males. New England Journal of Medicine, 374(6), 562-571.