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

Potential Health Risks for Obesity and the Appropriate Intervention

Essay 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Essay Sample Content Preview:

Clinical Manifestations Present In Mr. C.
Student’s Name
Institutional Affiliation
Name of the Facilitator
Course Code/Name
Due Date
Clinical Manifestations
Mr. C suffers from obesity III as indicated by his body mass index of 45.1kg/m2. He reports having added approximately 100 pounds in two to three years. He suffers from apnea, pruritus, and shortness of breath on exertion (SOBOE). He has bilateral pitting edema that indicates fluid retention in the arm and ankles. His high fasting blood sugars indicate that he has diabetes, while his high blood pressure of 172/98mm/hg suggests that he is hypertensive. His total cholesterol and triglycerides are also high at 250mg/dl and 312 mg/dl. Additionally, his high-density lipoproteins are low, at 30mg/dl. He has a normal heart rate and a higher than normal respiratory rate at twenty-six beats per minute. His blood urea nitrogen (BUN) and elevated serum creatinine level indicate kidney damage (National Kidney Foundation, 2021).
Potential Health Risks for Obesity: Is Bariatric Surgery Appropriate?
Obesity poses several health risks. Mr. C's risks include hypertension, as shown by his current blood pressure reading of 172/98mmhg (CDC, 2021). Another risk is diabetes, as demonstrated by a 146mg/dl fasting blood sugar. Sleep apnea is another health risk for obesity, which Mr. C reports to have already. He also stands at risk for dyslipidemia, as shown by the elevated levels of total cholesterol, triglycerides, and low high-density lipoproteins (CDC, 2021). Mr. C also stands at risk of kidney failure, as demonstrated by bilateral edema due to fluid retention and elevated BUN and serum creatinine levels.
Bariatric surgery is appropriate for Mr. C's health condition. He portrays all the indications for bariatric surgery, including having a body mass index greater than 40kg/m2 (Stahl & Malhotra, 2021). His clinical manifestations indicate hypertension, diabetes, dyslipidemia, sleep apnea, and kidney disease. All these conditions are secondary to obesity.
Mr. C’s Functional Health Patterns
In the health perception functional health pattern, Mr. C is aware of his health status and perceives health as paramount. It can be seen in how he goes to the health care facility to seek solutions to his health problem. Additionally, he realizes that his obesity poses health risks and therefore opts for bariatric surgery to solve the problem. In the health management pattern, Mr. C takes care of his health by limiting sodium to manage high blood pressure. In the metabolic pattern, medical evaluations that have been previously done indicate no metabolic illness. In the activity-exercise pattern, Mr. C seems to lead a sedentary lifestyle, working from a relaxed position at a telephone Centre. He seems to get inadequate rest due to sleep apnea in the sleep-rest pattern. In the role-relationship pattern, he does not discuss having a family or support system.
Actual/Potential Problems from the Functional Health Patterns
A potential health problem exists in the health perception pattern, in the way Mr. C perceives that ...
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