Case Study: Evaluate the Health History and Medical Information for Mr. C
Assessment Traits
Requires Lopeswrite
Assessment Description
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:
- 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.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Resources
Management of Hypertriglyceridemia Induced Acute Pancreatitis
Read “Management of Hypertriglyceridemia Induced Acute Pancreatitis,” by Garg and Rustagi, from BioMed Research International… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=130921988&site=eds-live&scope=site
A Clinical Review of Autoimmune Hepatitis
Read “A Clinical Review of Autoimmune Hepatitis,” by Pullen, from MEDSURG Nursing (2019).
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134771002&site=eds-live&scope=site
Nephrotoxicity of Iodinated Contrast Media: From Pathophysiology to Prevention Strategies
Read” Nephrotoxicity of Iodinated Contrast Media: From Pathophysiology to Prevention Strategies,” by Faucon, Bobrie, and Clement,… Read More
https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0720048X19300993
Changes in Glomerular Filtration Rate and Outcomes in Patients With Atrial Fibrillation
Read “Changes in Glomerular Filtration Rate and Outcomes in Patients With Atrial Fibrillation,” by Frauchier et al., from Ame… Read More
https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0002870317304052
Acute Pancreatitis: A Comparative Study to Assess the Clinical Outcome of Acute Pancreatitis in Relation With Major Etiologies
Read “Acute Pancreatitis: A Comparative Study to Assess the Clinical Outcome of Acute Pancreatitis in Relation With Major Etiologies,… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=135787573&site=eds-live&scope=site
Ascites: A Common Problem in People With Cirrhosis
Read “Ascites: A Common Problem in People With Cirrhosis,” by Chalasani (2013), located on the American College of Gastroenterolo… Read More
Pathophysiology: Clinical Applications for Client Health
Read Chapter 3 in Pathophysiology: Clinical Applications for Client Health.
https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/pathophysiology_clinical-applications-for-client-health_1e.php
Kidney Failure (Symptoms, Signs, Stages, Causes, Treatment, and Life Expectancy)
Read “Kidney Failure (Symptoms, Signs, Stages, Causes, Treatment, and Life Expectancy),” by Wedro, located on the MedicineNet web… Read More
https://www.medicinenet.com/kidney_failure/article.htm
Variceal Bleeding in Alcoholic Liver Cirrhosis – A Short Review
Read “Variceal Bleeding in Alcoholic Liver Cirrhosis – A Short Review,” by Sanjeevi, Rizwan, and Subhashini, from Drug … Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=135073058&site=eds-live&scope=site
Diagnostic Dilemmas in a Girl with Acute Glomerulonephritis: Answers
Read “Diagnostic Dilemmas in a Girl with Acute Glomerulonephritis: Answers,” by Falix et al., from Pediatric Nephrology … Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=126402679&site=eds-live&scope=site
Acute Kidney Failure
Read “Acute Kidney Failure,” located on the Mayo Clinic website.
https://www.mayoclinic.org/diseases-conditions/kidney-failure/symptoms-causes/syc-20369048
Pathophysiological, Molecular and Therapeutic Issues of Nonalcoholic Fatty Liver Disease: An Overview
Read “Pathophysiological, Molecular and Therapeutic Issues of Nonalcoholic Fatty Liver Disease: An Overview,” by Marchisello et. … Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edsdoj&AN=edsdoj.77dea836b8444414af8c314454c86ceb&site=eds-live&scope=site
Estimated Glomerular Filtration Rate Decline and Risk of End-Stage Renal Disease in Type 2 Diabetes
Read “Estimated Glomerular Filtration Rate Decline and Risk of End-Stage Renal Disease in Type 2 Diabetes,” by Megumi et al., fro… Read More
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=131037700&site=eds-live&scope=site
Facts About Chronic Kidney Disease
Read “Facts About Chronic Kidney Disease,” from the A to Z Health Guide (2017), located on the National Kidney Foundatio… Read More
https://www.kidney.org/atoz/content/about-chronic-kidney-disease
Screening and Management of Hepatitis C: Use Education to Dispel the Myths About the Disease and Increase Screening and Treatment
Read “Screening and Management of Hepatitis C: Use Education to Dispel the Myths About the Disease and Increase Scre… Read More
https://lopes.idm.oclc.