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.
You are required to cite to 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.
Answer preview
Mr. C’s health perception is that he has been overweight since childhood, and he has been increasing by 2-3 kgs every year. He knows about his health condition, and he is seeking medical information about bariatric surgery to see if it can help with weight loss. Health management shows that the patient has been trying to manage his hypertension by limiting the intake of sodium. Mr. C’s nutrition data shows that his diet encompasses low sodium intake. However, based on his data, he has high cholesterol, which means the patient takes food high in saturated fats. Based on the patient’s hospital assessment data, no metabolism disease was identified. In addition, there is no elimination information provided but there is a possibility of kidney failure.
Mr. C works in a telephone catalog center, so he spends most of his time resting, and he does not involve himself in activities. He also suffers from sleep apnea, and there are no identified cognitive issues. Additionally, the patient understands his health complications and seeks medical assistance. However, no information is provided in the case study regarding his role relationship, nor does he understand his sexual patterns. There is no information revealing how Mr. C copes with stressful situations. However, his functional health patterns are high blood pressure, sleep apnea, obesity, ESRD, and heart illnesses.
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