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

The Patient Suffers from Diverse Signs and Symptoms

Essay Instructions:

Assessment Description
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:
1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. 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:
1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. 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.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. 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.
6. 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 three 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.
NOTE: No plagiarism. good sources within 5 years and citations. please the other paper had quiet a bit of similarity when I submitted it through the school loop writes to check for plagiarism so be mindful of that. PLEASE LET THE SELECTED WRITER WRITE THE PAPER. IF HE/SHE IS NOT AVAILABLE, LET ME KNOW. Thanks

Essay Sample Content Preview:
The Patient Suffers from Diverse Signs and Symptoms
Describe the clinical manifestations present in Mr. C. Mr. C’s information in this case study illustrates that the patient suffers from diverse signs and symptoms. For instance, his objective data and history indicate that he has been grappling with sleep apnea. This condition has a close correlation with obesity. Mr. C’s weight of 134.5 kg and height of 68 inches indicate his BMI is well beyond the normal range of not more than 24.9 kg/m2 and into the obesity territory. The patient also appears with a blood sugar level of 146 mg/dl, far beyond the expected value of approximately 100 mg/dl. Another concerning clinical manifestation is that the individual could be suffering from intracellular fluid accumulation, as depicted by his 3++ edema. Mr. C. also presents noticeably elevated blood pressure, indicating he is hypertensive. Other presentations include his having concerning values in HDL because the standard range is more than 50 mg/dl. His triglycerides and cholesterol also appear to be elevated beyond the expected 150 mg/dl and 200 mg/dl, respectively. Many other aspects that attract healthcare concerns include his abnormal serum creatinine and BUN that project to the existence of renal functionalities impairments. As a result, Mr. C. requires a comprehensive treatment approach to improve his health status. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention
Excessive weight gain and progression into obesity increase a person’s vulnerability to various health complications. Researchers indicate that obesity class 3, similar to Mr. C’s status, puts a patient at risk of suffering from diverse cardiovascular-related conditions. The accumulation of fats around the neck also results in sleep apnea characterized by tiredness despite sleeping and snoring. The shortness of breath reported by the patient also closely relates to obesity and increases the patient’s likelihood of suffering from life-threatening conditions, including stroke. As a result, Mr. C. urgently needs to reduce his body weight to manageable levels to reduce the numerous health risks he faces (Rosenthal et al., 2017). In such a scenario, bariatric surgery becomes recommendable, as supported by le Roux and Heneghan (2018), who outline key eligibility criteria. They indicate that any patient with a BMI of 35 – 40 kg/m2 accompanied by obesity-associated challenges like sleep apnea or a BMI of above 40 kg/m2 qualifies for bariatric surgery. In this context, Mr. C. meets all the factors needed to approve this procedure as an intervention. Functional Health Patterns of the Patient
Health-perception. It appears that Mr. C felt his weight was beyond the normal range and desired to check it and improve his health outcomes. The fact that he went to the healthcare facility on his volution indicates that he knows the need to solve his consistently high weight. He even enquired about a bariatric surgery procedure applicable to his situation. Such an aspect demonstrates the influence of his perception.
Nutritional. The patient is aware of different nutritional approaches that can assist him in im...
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