Get advantage of unmatched quality essay writing service done from scratch. Professional writers with Masters and PhD degrees are ready to work for you




what is your working diagnosis for this patient?

You are called to a local residence for a 72-year-old man who presents with an altered mental status. As you arrive on scene you notice the home is maintained well, with no immediate threats are present.  Your patient is sitting at the kitchen table on a chair and appears in no acute distress however his wife is very anxious and tells you he woke up this morning acting confused.  He has purposeful movements as you approach and introduce yourself.  In a clear voice he attempts to acknowledge your introduction but is easily distracted by the commotion of people and fails to tell you what is wrong.  You note his airway is clear, he is breathing easily and his pulse is strong and regular.  You notice his face has a superficial laceration consistent with a shaving accident.  The bleeding has stopped on its own.  Your partner prepares the stretcher to transport him to the hospital while you ask his wife about his history and assess vital signs.  She states that last night he went to bed without complaint but woke up later than usual this morning and had trouble getting himself cleaned, shaved and dressed.  She stated that he only ate a small amount of breakfast which was not unusual for him.  He seems to be more confused and disoriented since waking up this morning.  He has a history of hypertension, depression, gastroesophageal reflux disease, and a herniated cervical disk.  She reports his medications include amlodipine, bupropion, lansoprazole, tramadol, sertraline, aspirin and metformin.  She corrects herself and states the metformin is hers not her husbands.

On physical examination, his temperature is 37.1°C (98.4°F), blood pressure 132/90 mm Hg, heart rate 82 beats per minute, and respiratory rate of 16 breaths per minute sating 96% on room air. He is not in any acute distress but appears to be fumbling with the newspaper on the table as if he doesn’t recognize what it is.  His pupils are equal and reactive bilaterally. He is unable to follow commands to complete a FAST exam for stroke.  His skin is pink, warm and dry.  He appears slight in frame weighing approximately 80 Kg.

Answer the following questions based on this case study.

On the basis of the information presented thus far, what is your working diagnosis for this patient?

What additional assessment or diagnostic information would you want about this patient?

What are potential interactions, side effects and complications for his medications?

What our customers say

What our customers say

  • This writer is a great writer who is knowledgeable on most subject matters and incorporates research in papers that supports the subject. If you are looking for a great writer that will produce the exact kind of paper you want, look no further. Timing and customer service were all impeccable!
  • Very impressed with the outcome of the work written. Writer followed all instructions and delivered ahead of deadline given.
  • Last minute assignment, but he completed well before schedule with no plagiarism.  I will be using you again!
  • They are amazing. I requested them with a heavy load of work in a short timely manner. They were able to have it well completed and way ahead of the deadline.
  • EXCELLENT !!! Strong thesis and always delivers before the deadline.
  • excellent paper and really helped me out with the little time left.