100% (1)
page:
3 pages/≈825 words
Sources:
4
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 12.96
Topic:

Case Study: Mr. C. Health History and Medical Information

Essay Instructions:

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.



Essay Sample Content Preview:

Mr. C.
Author’s Name
Institutional Affiliation
Mr. C.
Introduction
Mr. C is a single male who is suffering from obesity. He is 32 years old. He is doing a job at catalog telephone center. He gained about 100 pounds in the last two years and he is obese since his childhood. He has a hypertension problem. Currently, he is looking for possible bariatric surgery to cure obesity.
Clinical Manifestations Present In Mr. C
To evaluate Mr. C. case, it is important to observe complete clinical signs of Mr. C. the clinical manifestation will be helpful to provide an appropriate solution regarding his health. Height of Mr. C. is 68 inches and weight is 134.5 kg. His blood pressure is 172/98. The value of his fasting blood glucose is 146 mg/dL. His HDL is 30 mg/dL and serum creatinine is 1.8 mg/dL.
Potential Health Risks for Mr. C’ Obesity
As per clinical signs of Mr. C, there are many potential risks. For instance, Mr. C is already a patient of high blood pressure. Moreover, low-density lipoprotein, inflammation, cholesterol, and blood sugar are the health risks associated with obesity ADDIN EN.CITE Flegal2016939(Flegal, Kruszon-Moran, Carroll, Fryar, & Ogden, 2016)93993917Flegal, Katherine MKruszon-Moran, DeannaCarroll, Margaret DFryar, Cheryl DOgden, Cynthia LTrends in obesity among adults in the United States, 2005 to 2014JamaJAMA2284-22913152120160098-7484(Flegal, Kruszon-Moran, Carroll, Fryar, & Ogden, 2016). Therefore, Mr. C. has higher chances to have coronary heart disease, cardiovascular problem, or stroke.
Bariatric Surgery Is an Appropriate Intervention or Not
Bariatric surgery is an appropriate treatment for Mr. C. in the presence of consistent and supportive management. Many patients are able to maintain a successful weight loss for a long time. Bariatric surgery is considered the best solution to get rid of severe obesity. Some studies have shown that bariatric surgery has inadvertent adverse effects on the mental health of the patients ADDIN EN.CITE Spittal2018935(Spittal & Frühbeck, 2018)93593517Spittal, Matthew JFrühbeck, GemaBariatric surgery: many benefits, but emerging risksThe Lancet Diabetes & EndocrinologyThe Lancet Diabetes & Endocrinology161-1636320182213-8587(Spittal & Frühbeck, 2018). Overall, the surgery has positive outcomes more than the negative effects.
Assess Each of Mr. C’s Functional Health Patterns
Health Management
The patient is well aware of his overweight and wants to get rid of additional weight that badly effects his health. Mr. C. is thinking to have bariatric surgery. He is suffering from a high blood pressure that needs to be controlled with the help of a low sodium diet. He is also suffering from sleep apnea but he does not reveal the use of CPAP.
Elimination
There is no information about his digestive condition that whether he is suffering from diarrhea or constipation. There is no information regarding urination. If Mr. C is suffering from abdominal issues then such problems can be eliminated by dietary modifications or with the help of medicine.
Cognitive-Perceptual
The information regarding this area is not given. However, the patient is trying to get information about weight-loss surgery. He is not comfortable with his overweight and wants to eliminate it.
Relationship
Information regarding the relationship or support system of the patient is not clear yet. Mr. C needs a strong support system, especially for the weight-loss surgery.
Sexuality-Reproductive
There is no such information regarding this area. If Mr. C is not happy in this area of life then his obesity may be the reason for his loneliness.
Sleep-Rest
The patient is suffering from heavy sleep apnea. It does not allow him to take proper rest or appropriate sleep.
Activity
There is no concept of physical activity in the life of Mr. C. He just sits during his job that is a major reason to gain weight. He can lose weight by doing a daily workout before or after office hours.
Nutritional-Metabolic
Mr. C. is consuming extra calories on a daily basis that is why he gained 100Ib in the last 2 to 3 years. His diet is high in carbohydrates, fats, and sugar. Eating of snacks late night contributes to double the weight.
Coping-Stress Tolerance
There is no update regarding the stress of Mr. C. It is an important area to understand that the patient is dealing with how much stress. There are various ways to eliminate the stress of the patient.
Five Actual or Potential Problems
* Sleep apnea,
* Obesity,
* Coronary artery disease,
* High blood pressure,
* Inflammation.
The Rationale of Each Problem
The major cause of sleep apnea is obesity. Mr. C is suffering from sleep apnea because of overweight. Obesity is the result of extra food consumption that is rich in carbohydrates, fats, and energy ADDIN EN.CITE McGrice2015936(McGrice & Don Paul, 2015)93693617McGrice, MelanieDon Paul, KathleneInterventions to improve long-term weight loss in patients following bariatric surgery: challenges and solutionsDiabetes, metabolic syndrome and obesity : targets and therapyDiabetes Metab Syndr ObesDiabetes, metabolic syndrome and obesity : targets and therapyDiabetes Metab Syndr ObesDiabetes, metabolic syndrome and obesity : targets and therapyDiabetes Metab Syndr Obes263-2748bariatri...
Updated on
Get the Whole Paper!
Not exactly what you need?
Do you need a custom essay? Order right now:

👀 Other Visitors are Viewing These APA Essay Samples:

Sign In
Not register? Register Now!