Health History and Medical Information: Health Risks for Obesity
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: No Less than 750 words as indicated.
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.
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Health Risks for Obesity
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Health Risks for Obesity
Subjective and objective clinical manifestation
In the case study presented and findings extracted, Mr. C shows the following clinical manifestations. Obesity is one of them, as the data shows a long-standing history of obesity. It is a disorder that he has experienced since childhood. The second subjective clinical manifestation is sleep apnea, which he acknowledges having. It is a disorder characterized by constant breathing interruptions when sleeping. The condition is also common in individuals with obesity (Frank et al., 2019). The last subjective clinical manifestation is high blood pressure. Mr. C's high blood pressure is a subjective indication of different cardiovascular diseases.
There are objective clinical manifestations that Mr. C depicts, and they include height and weight. From the data presented, Mr. C is 68 inches tall and weighs 134.5 kg. The measurements are used to calculate his Body Mass Index (BMI), which shows he is obese. The blood pressure reading was at 172/98mmHg, an objective finding confirming Mr. C's hypertension. An objective examination also points out that Mr. C has edema because the data reveals he has 3+ pitting edema, which was found in his ankles and feet. The data indicates an accumulation of fluid in his tissues, a condition associated with heart or