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Pages:
3 pages/β‰ˆ825 words
Sources:
3 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 12.96
Topic:

Health History and Medical Information of Mr. C

Essay Instructions:

Case Study: Mr. C. 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Essay Sample Content Preview:

Health History and Medical Information of Mr. C   Clinical Manifestations
The clinical manifestations present in Mr. C. are high blood pressure (BP 172/98), obesity (height 68 inches; weight 134.5 kg), abnormally fast heart rate (HR 88), tachypnea (RR 26), pitting edema (3+ pitting edema bilateral feet and ankles), severe kidney impairment (serum creatinine 1.8 mg/dL; BUN 32 mg/dL), hypertriglyceridemia (triglycerides 312 mg/dL), hypercholesteremia (total cholesterol 250 mg/dL), and diabetes (fasting blood glucose 146 mg/dL). Some of the potential health risks for obesity that are of concern for Mr. C. include hypertension, high LDL cholesterol or low HLD cholesterol or dyslipidemia, type 2 diabetes, coronary heart disease, sleep apnea, and respiratory problems, osteoarthritis, gallbladder disease, clinical depression, and challenges with physical functioning. Bariatric surgery is an appropriate intervention for people suffering from extreme obesity or with a body mass index equal to or greater than 40 (Howell et al., 2021). It is an effective treatment for morbidly obese individuals as it allows for considerable, sustained weight loss and resolves obesity-linked comorbidities.
Potential Health Risks
Five actual or potential problems from Mr. C.’s functional health patterns are related to health perception and management, sleep and rest, self-perception and self-concept, sexuality and reproduction, coping, and stress tolerance. Mr. C.'s obesity is likely to result in a poor perceived level of health and well-being: the patient's current obesity level is detrimental to his health. It may lead to negative perceptions of individual health and health management. The patient's dysfunctional sleep pattern reported during the clinical assessment indicates that sleep apnea is an existing problem. Another likely challenge is poor self-perception and self-concept: Mr. C.'s self-perception of obesity may trigger social rejection concerns and result in the internalization of weight stigma. Recognizing oneself as overweight is detrimental to mental health owing to the psychological distress caused by weight stigma. Another problem is decreased reproductive functions: being overweight is likely to cause low sperm count and lowered sperm motility.
Functional Health Patterns
At the same time, being overweight may result in a poor perception of stress and coping strategies. The psychological implications of obesity may impair Mr. C.'s ability to deal with his emotions or the underlying factors driving his weight gain. End-stage renal disease (ERSD) staging is founded on a clinical assessment of the patient's glomerular filtration rate (GFR). GFR measures indicate how many milliliters of blood the patient's kidneys are filtering in a minute: the lower the GFR rate, the poorer the patient's kidney function. The kidney disease stage is divided into five stages, where the end-stage renal disease being the last stage: the patient requires a kidney transplant or dialysis to live for more than a few weeks. At stage 1, the GFR rate is more than 90 (ml/min/1.73m2), at stage 2, the GFR rate is between 60 and 89 (ml/min/1.73m2), while at stage 3A, the GFR rate is between 45 and 59 (ml/min/1.73m2). At stage 3B, the GFR rate is betw...
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