Describe the clinical manifestations present in Mr. M.

Clinical manifestations of Mr. M.

M.M. has cognitive impairment symptoms, such as memory loss, anxiety, fearfulness, confusion and agitation. Additionally, he is experiencing physical decline and has difficulty moving due to his inability to complete daily activities. Additionally, he shows signs of wandering and confusion at night. These signs and symptoms suggest a neurologic or cognitive impairment.


The primary medical diagnosis for Mr. M. could be Alzheimer’s disease or dementia, given his cognitive and behavioral symptoms. As a secondary diagnosis for Mr. M., the elevated WBC count and cloudy urine may indicate that he might have a urinary tract infections (UTI), which could exacerbate cognitive or behavioral symptoms in seniors. Due to the acute decline in his cognitive and functional status as well as the elevated WBC count, it is possible that he may be suffering from delirium.

A Nursing Assessment will include abnormalities

We would expect abnormalities in nursing assessments related to cognitive decline and functional decline. These include decreased ability to complete ADLs or unsteady gait. Cognitive impairment can be manifested by memory loss, difficulties with comprehension and confusion. Dehydration may also be a result of a cloudy urine and high protein levels in laboratory tests.

The effects of Mr. M. on the physical, psychological, and emotional bodies

Mr. M.’s current health status may have significant physical, psychological, and emotional effects on him. Cognitive decline can lead to frustration, anxiety and depression that could cause feelings of helplessness and hopelessness. A decrease in his ability to do ADLs, and the need to receive assistance may cause him to feel lost of control. Additionally, Mr. M.’s physical decline may lead to increased risk of falls, decreased mobility, and increased dependency on others for care. He may also be experiencing significant emotional stress, which can lead to increased burden and anxiety for his family. They might feel helpless and overwhelmed.

Interventions for Mr. M. and his Family

Interventions are possible to help Mr. M. as well his family. His physical care may involve ensuring that he is hydrated, meeting his nutritional requirements, providing mobility aids, and taking fall prevention steps. Cognitive stimulation therapy, music therapy and support counseling may be used to provide psychological and emotional support. Support for his family may include education on Mr. M.’s condition and ways to provide care and support.

Real and Potential Problems Presented by Mr. M.

  1. Risk for falls: Due to Mr. M.’s unsteady gait and decreased mobility, he is at increased risk for falls, which can lead to further physical decline and injury.
  2. Risk for dehydration: Mr. M.’s cloudy urinalysis and elevated protein levels suggest the possibility of dehydration, which can exacerbate his cognitive and functional decline.
  3. Cognitive impairment: Mr. M.’s cognitive decline can lead to a loss of independence and increased dependence on others for care.
  4. Emotional distress. Mr. M. might experience feelings of depression and isolation as a result of his cognitive and/or physical decline.


Mr. M.’s clinical manifestations suggest an underlying neurological and/or cognitive impairment. Alzheimer’s disease or dementia could be the primary diagnosis, and a UTI or delirium could be considered as secondary diagnoses. A nursing assessment could reveal signs such as cognitive or functional decline, unsteady gait and dehydration. Mr. M.’s condition can have significant physical, psychological, and emotional effects on him, and his family may experience emotional burden and stress.

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