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Summary Obesity Case Study

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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 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 clinical manifestations present in Mr. C. 2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss 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 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.) 4. Explain the staging of end-stage renal disease (ESRD) and the contributing factors to consider. 5. 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. 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. Consider aspects such as devices, transportation, living conditions, and return-to-employment issues.

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CASE STUDY 1




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, CASE STUDY 2


Case Study

Introduction

For ages, obesity has been a menace to the world at large. No doubts, it's a pandemic.

Apart from its ever-rising prevalence in heaps, obesity has its history dating back to around

3000BC. It was regarded as a happening to people in the high social classes and statuses rather

than a disease that affects everyone. Changing this mindset occurred after a long period till the

mid-19th century. Later on, different formulas for calculating the BMI (Body Mass Index) were

invented that differed for the world and the South-East Asians. Gradually, the interest in finding

out the cause of obesity grew much bigger amongst the scientific community. The findings

indicated non-specific causes of obesity as it was influenced by different reasons such as age,

genetics, feeding habits, surroundings, gender, amongst other factors, and the list is endless.

About studies performed at molecular levels, some types of cytokines like Interleukins, TNF,

Monocyte Chemoattractant Protein, adipokines, amongst other molecules, depict traceable

implications in the pathogenesis of the menace, obesity. In managing the condition of obesity, the

critical step is through the preventative approach. People living with obesity or those developing

the disease should choose treatment revolving around modifying their lifestyle, altering feeding

habits, and behavioral therapy rather than selecting the pharmacological means alone. Originally,

drugs such as sibutramine and fenfluramine were developed to curb obesity, and as the progress

in drug research is prevailing, much safer and many consistent molecules have been found,

including Tesofensin that are still under trial. In occurrences where the medical treatment does

not achieve the desired treatment, bariatric surgery is advocated for, only that the cost is quite

inflated for the general public to afford. Wrapping it up, “prevention is better than cure” is a

saying that should be adhered to considering the vast etiology of this disease.

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