Health History and Medical Information: Being Overweight or Obese
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 subjective and objective clinical manifestations present in Mr. C.
2.Describe the potential health risks for obesity that are of concern for Mr. C. Explain 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 you can 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 stages of renal disease that leads to end-stage renal disease (ESRD). What factors contributed to Mr. C’s ESRD?
5.Consider ESRD prevention and health promotion opportunities. Describe what type of patient education for ESRD 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. Include aspects such as devices, transportation, living conditions, return-to-employment issues.
You are required to cite 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.
Health History and Medical Information
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Health History and Medical Information
Mr. C displays signs that indicate he is at an increased risk of having health issues related to being overweight or obese, according to the case scenario. Even when the patient has no metabolic disorders, the risk is still very high if they do not follow the suggested precautions. The diastolic and systolic results for Mr. C are over the norm (175/96), which is a sign of high blood pressure or hypertension. It is significant to remember that the patient is hypertensive but has not yet sought medical assistance. Additionally, the patient's HR (88) and RR (26) are significantly higher than usual. Additionally, the patient has sleep apnea, which suggests he has extra fat deposits in his neck area.
Clinical Manifestations
The patient in this scenario has an odd health history defined by a 100-pound weight gain over the previous two to three years. However, there is no indication that he has any diseases or metabolic complications. The results are over the usual range (175/96), which indicates that Mr. C has high blood pressure (Brashers, 2020). The patient has been attempting to control his hypertension by limiting his salt consumption. Due to the accumulation of extra fat in his neck, he also believes he suffers from sleep apnea. A fasting blood glucose level of 146 mg/dl, 3+ pitting edema at the bilateral feet and ankles, hyperglycemia, and increased cholesterol levels are additional