Comprehensive Evaluation of Patient Essay -- Nursing Paper

History Mr. S. G is an eighty year old African American male who was brought into the emergency room of County Hospital on the second of May, 2015 and was admitted with the complaint of Respiratory distress. He has no known allergies and he is on full code status. While he was at the hospital, Mr. Geis was diagnosed with Hyperkalemia, Hypernatremia and acute renal failure. He was then transferred to the intensive care unit to be stabilized and then transferred to the floor for recovery. He has a past surgical history of vertebrae fracture from a fall seven years ago. He also has a past medical history of pneumonia, prostate cancer, diabetes, cardiovascular accident, osteoporosis and hypertension. Mr. Geis is a retired school bus driver and has been married to his wife for forty-five years. They have five children together. He used to drink alcohol heavily and also was a smoker, smoking a pack of cigarettes a day but stopped nine years ago. He enjoys fishing and travelling but has been unable to do this due to his deteriorated state of health. Acute and Chronic History Mr. Geis’ acute medical problems which include Hyperkalemia, Hypernatremia, acute renal failure and the chronic illness that are listed in his past medical history were aggravated by aging ,alcohol consumption and smoking. Organ function decreases with age which in this case, the ability of his kidneys to perform the excretory function decreased which thereby resulted in acute renal failure which is also the leading cause of Hyperkalemia and Hypernatremia in him. Also the chronic illnesses of Diabetes, Cardiovascular accident and Hypertension contributed significantly in the acute renal failure. The fracture of the vertebrae from a fall was aggravated by age and... ...better understand and manage the diseases that are affecting his health. References Sheldon,J.H (1960). On the natural history of falls in old age. British Medical Journal, 2, 1685-1690. Huether, S., & McCance, K (2012). Understanding Pathophysiology. (5th ed.).St. Louis:Mosby. Casino, S. (2009). episodic memory decay along the adult lifespan: A review of behavioral and neurophysiological evidence. International Journal of Psychophysiology, 71, 64-69. Shon beck, Joan. â€Å"Cerebrovascular accident.† Gale Encyclopedia of Nursing and Allied Health. Ed. Jacqueline L. Longe. Vol. 1. 2nd ed. Detroit: Thompson Gale, 2006. Nursing Resource center. Gale. Potter, P., and Perry, A. (2009). Fundamentals of Nursing. (seventh. Ed. St. Louis; Mosby. Lippincott W. & Wilkins (2014). Nursing 2014 Drg Handbook (Eighth Edition). Philadelphia. Lippincott & Co. 198, 233.