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 InformationHealth
HistoryMr. 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 kgBP: 172/98, HR 88, RR 263+ pitting edema bilateral feet and
anklesFasting blood glucose: 146 mg/dLTotal cholesterol: 250
mg/dLTriglycerides: 312 mg/dLHDL: 30 mg/dLSerum creatinine 1.8
mg/dLBUN 32 mg/dlCritical Thinking EssayIn 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.Prepare this assignment according to the guidelines found
in the APA Style Guide,
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