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
Obesity is a complex health condition that causes various complications, including hypertension and diabetes. Mr. C is already hypertensive and is at risk of developing other complications such as diabetes. The standard health risk associated with hypertension is stroke and atrial fibrillation (Congdon, 2019). For most patients with hypertension, the chances of heart attacks are high as it is characterized by arteries blockage due to fat plaque, which can hinder a good supply of blood and oxygen in the body. Mr. C has low high-density lipoprotein, which increases his chances of a heart attack. Having a high-density lipoprotein helps remove fats deposited in the liver. In addition, the patient’s data shows a high blood sugar level indicating diabetes. Patients who suffer from obesity are more likely to have emotional and psychological distress increases the risk for depression.
Bariatric surgery is a procedure that helps in eliminating excess weight in the body. It helps minimize the risk of other health complications associated with diabetes, such as heart failure and stroke. Based on the case study, bariatric surgery would be appropriate for the patient (Arterburn, Telem, Kushner, & Courcoulas, 2020). Obesity complications, including stroke, are highly demanding in terms of medication costs and emotional distress for the patient and the family members. Therefore, the surgery will help minimize all that.
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