Case Study: Hypercholesterolemia

Case Study

The case study is about Mr. M who is a 70 year old male in assisted living facility. He

has a history of hypertension, hypercholesterolemia. His hypertension is controlled by

ACE inhibitors and uses Lisinopril daily for the hypercholesterolemia, status post

appendectomy, and t ibial fracture status postsurgical repair and does not have any

sign of complicat ions. Mr. M does not have allergies and no history of smoking or use

of alcohol. His condit ion of hypertension and hypercholesterolemia is becoming

chronic and requires long term medical arrangement.

In the past two months, the medical team realized a decline in the cognit ive mental

memory of Mr. M. He is even struggling to remember the names of his family members

or even his residence room number. At the same t ime, he is experiencing behavioral

issues like repeating himself and mood issues that have made him become agitated

and aggressive. He is also experiencing fear, especially when he is agitated.

Addit ionally, he has become dependent on others for some key act ivit ies such as

feeding to dressing. From the presented symptoms, one can argue that he is

suffering from stroke. However, primary medical diagnosis should be done to confirm

whether or not he is suffering from stroke. Mr. M. can be asked to repeat speech

sentences, history or his family names. He can also be asked to repeat to raise his

arms one at a t ime and note any challenges in doing these. If he is experiencing

difficulty, the physician should look consider the history of the family. The diagnosis

will enable the doctor to administer appropriate treatment. Mr. can be directed to a

pediatric as a significant secondary intervention.

When doing the assessment, the physician should expect to detect symptoms of

struggling with the patient’s speech, patient misplacing objects, difficulty in handling

daily act ivit ies, poor judgment, confusion, and trouble planning or organizing his work.

Addit ionally, there may be inconsistency in aggressive nature of the patient and

changes in sleeping patterns. Hypertension is a condit ion that can be confirmed after

an increase in blood pressure (Huether & McCance, 2017).

Mr. M’s current health status is disturbing to him and the family as well. A feeling of

dependency and lack of privacy in his life is one thing that would start to worry about

his brain.