Note: Please include the thesis statement and purpose of the paper. Also, please use the attached articles as many as possible to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
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.
