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It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced

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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 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 the 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 that 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 the 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 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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Running head: CASE STUDY: MR.C 1




Case Study: Mr.C


Name


Institution

, CASE STUDY: MR.C 2


Case Study


Clinical Manifestation


Mr. C is a young, single man aged 32 years who has been confirmed to be obese. He has

visited the outpatient center to seek advice regarding bariatric surgery. His situation is not good

given that within the last two or three years, he has gained 100 pounds. Medical evaluations

show that Mr. C is not suffering from metabolic diseases. However, evidence shows that an

obese person is at a very high risk of suffering from type 2 diabetes, hypertension, and coronary

heart disease (Horton, 2009). Mr C, who have been obese since childhood has a high likelihood

of suffering from these conditions. The other issue with Mr. C is that he is suffering from

hypertension and sleep apnea, which is the reason why he has been restricting dietary sodium.

With his blood pressure being high, Mr. C has a high likelihood of suffering from uncontrolled

hypertension. Within the last six months, Mr. C has reported swollen ankles, an increase in

shortness of breath, and pruritus.


When an individual has high BMI and fasting blood sugar level, it is an indication of

diabetes, which is the case for Mr. C. The creatinine levels of 1.8 mg/dl, HDL of 30 mg/dl, and

cholesterol level of 250 ml/dl is an indication of hyperlipidemia. For this reason, Mr. C is

suffering from diabetes, sleeping apnea, hypertension, hyperlipidemia, and diabetes, all of which

are chronic conditions.


Potential Health Risks


The first health risk is obesity, which is a risk factor for type 2 diabetes, hypertension,

sleep apnea, coronary heart disease, and osteoarthritis. Evidence from the available information

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