Evaluate the Health History and Medical Information for Mr. M., presented below.Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.Health History and Medical InformationHealth HistoryMr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.Case ScenarioOver the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.Objective DataTemperature: 37.1 degrees CBP 123/78 HR 93 RR 22 Pox 99%Denies painHeight: 69.5 inches; Weight 87 kgLaboratory ResultsWBC: 19.2 (1,000/uL)Lymphocytes 6700 (cells/uL)CT Head shows no changes since previous scanUrinalysis positive for moderate amount of leukocytes and cloudyProtein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/LCritical Thinking EssayIn 750-1,000 words, critically evaluate Mr. M.'s situation. Include the following:Describe the clinical manifestations present in Mr. M.Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.When performing your nursing assessment, discuss what abnormalities would you expect to find and why.Describe the physical, psychological, and emotional effects Mr. M.'s current health status may have on him. Discuss the impact it can have on his family.Discuss what interventions can be put into place to support Mr. M. and his family.Given Mr. M.'s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. _______________________________________________________________________________________________Topic: Environmental Factors and Health Promotion Presentation: Accident Prevention and Safety Promotion for Parents and Caregivers of InfantsThe growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored.Include the following in your presentation:Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.Refer to the resource, "Creating Effective PowerPoint Presentations," located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Topic 1: EBP and PICOT Discuss how you used the three components inherent to Evidence-Based Practice inquiry to direct your clinical question database search. Origins and Impact of the Cochrane Collaboration An overview is provided of the origin of the Cochrane Collaboration, by Dr. Archie Cochrane. Dr. Archie Cochrane was a strong proponent of supporting evidence-based randomized control trials review. The origin of his theory and the Cochrane Collaboration is that all areas of specialty should be prepared for rigorous process to generate new evidence. Three Components Inherent to Evidence-Based Practice The three components inherent to any evidence-based practice change are validity, reliability, and credibility. These three components are the check system to determine whether the practice is based on evidence-based research. Seven Steps of Evidence-Based Practice Inquiry The seven steps of evidence- based practice inquiry will guide a research process through cultivating a spirit of inquiry, asking clinical questions in PICOT, searching for the best, critically appraising the evidence, integrating the evidence with clinical expertise and patient preferences, and evaluating the outcomes of the practice decisions. Qualities of Compelling Clinical Questions Quality clinical questions are relevant to your clinical practice, and will be valid clinical questions that can be researched in a systematic review process. Make sure that you ask clinical questions in PICOT format, search for the best evidence, critically appraise the evidence, integrate the evidence with clinical expertise, evaluate the outcomes of the practice decisions, and disseminate the EBP results. After completing this unit, you should be able to: Summarize the origins and impact of the Cochrane Collaboration. Describe 3 components inherent to Evidence-Based Practice. Define the seven steps of Evidence-Based Practice inquiry. Discuss the qualities of compelling clinical questions.