APA format paper on case study about obesity, clinical manifestation and surgery. mr_c.docx Un


APA format paper on case study about obesity, clinical manifestation and surgery.

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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 M edical Information for M r. 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
M r. 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. M r. 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
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 M r. C.’s potential diagnosis and intervention(s). Include the following:
1. Describe the clinical manifestations present in M r. 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 M r. 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, rolerelationship, 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 M r. 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.

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