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3 pages/β‰ˆ825 words
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APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
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English (U.S.)
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Topic:

Clinical Manifestations Present in Mr. C.

Case Study Instructions:

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr. C., 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 Information
Health History
Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.
Objective Data:
Height: 68 inches; weight 134.5 kg
BP: 172/98, HR 88, RR 26
3+ pitting edema bilateral feet and ankles
Fasting blood glucose: 146 mg/dL
Total cholesterol: 250 mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Serum creatinine 1.8 mg/dL
BUN 32 mg/dl
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. C.'s potential diagnosis and intervention(s). Include the following:
Describe the clinical manifestations present in Mr. C.
Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
Assess each of Mr. C.'s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.
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.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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Critical Thinking Essay Assignment
 
 
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Critical Thinking Essay Assignment
Clinical Manifestations Present in Mr. C.
The health history and objective data presented in the case of Mr. C highlights diverse weight-related signs and symptoms. For instance, he starts by confessing experiencing sleep apnea, which closely correlates to weight gain as illustrated by a BMI of up to 45 kg/m2 when calculated from his height and weight. The normal BMI should be below 24.9 kg/m2. The patient also has a grade 3 pitting edema on both feet and ankles as a sign of fluid accumulation. His blood pressure of 172/98 is far beyond the normal range, while his heart rate of 88 is also elevated. Although the regular fasting blood sugar should be less than 100mg/dl, Mr. C’s blood sugar is 146 mg/dL. The average total cholesterol is less than 200, surpassing this threshold at 250 mg/dL. He rates poorly in HDL of 30 mg/dL against elevated triglycerides at 132 mg/dL when they should be above 50 mg/dL and below 150 mg/dL, respectively. Other clinical manifestations include the serum creatinine of 1.8 mg compared to the normal range of 0.6 – 1.2 mg/dL for males and a BUN of 32 mg/dL compared to the expected range of 6 – 25 mg/dL, which indicates compromised kidney functions.  
The Potential Health Risks for Obesity and Choice of Bariatric Surgery
            Obesity is associated with complex health risks. Arterburn et al. (2020) state that it links to a rise in sleep apnea syndromes such as the one reported by Mr. C, diabetes and metabolic syndrome characterized by poor serum creatinine levels in the blood. It also increases the vulnerability of developing other co-morbidities such as heart-related illnesses and stroke. Therefore, the urgency of treatment depends on the level of obesity, and considering that Mr. C’s coincides with class 3, bariatric surgery would be a feasible option for addressing this issue (De Lorenzo et al., 2016). Moreover, Arterburn et al. (2020) indicate that strong evidence demonstrates that bariatric surgery offers the best long-term results in weight reduction than other non-surgical interventions. Moreover, De Lorenzo et al. (2016) indicate that the procedure is appropriate for persons whose BMI is 40 kg/m2 and above or more than 35 kg/m2 accompanied by co-morbidities. In this context, Mr. C satisfies all the primary conditions for its use.
Mr. C.’s functional health patterns
            The status of a patient such as Mr. C can be evaluated through functional health patterns presented in the history. Karaca (2016) indicates that Gordon designed the approach in 1987 to assist healthcare pr...
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