Review of Mr. C’s Health Issues

Review of Mr. C’s Health Issues

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:

1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. 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:

1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. 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.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. 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.
6. 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.

SAMPLE ANSWER

Review of Mr. C’s Health Issues

Introduction

Obesity refers to a medical condition which makes a person to have excess weight or fat, which may lead to health problems. It is one of the leading causes of death in the world. Medical practitioners usually suggest one is obese basing on their body mass index. Given its critical nature, it is essential for practitioners to have clear understanding of the condition (Pandey et al., 2017).  The paper tries to analyze a case scenario involving Mr. C whose subjective and objective information reveal that he is obese. He also has related issues such as sleep apnea and hypertension

Clinical Manifestation

The scenario’s subjective information reveals that Mr. C has an underlying obesity problem which requires a bariatric surgery. He reveals that the condition has affected him since he was a child, therefore it is persistent. However, his medical history does not reveal any metabolic diseases, though he claims that he has had sleep apnea and hypertension. The objective data reveals that he has high blood pressure and high BMI measurements, which are associated with obesity. His health is also by a high level of cholesterol (Pandey et al., 2017).

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Health Risks for Obesity and Suitability of Bariatric Surgery

The condition may lead to heart disease and other cardiovascular diseases. This may occur due to overworking of the heart or fat buildup in the blood vessels. Moreover, the condition may lead to persistence of his sleep apnea and hypertension. It can also be suggested that the problem may lead to reproductive abnormalities such as erectile dysfunction. Due to a high glucose level in the body, Mr. C may also develop diabetes. This health risks make it necessary for him to lose weight. However, since his obesity condition has been persistent since he was a child, it may be difficult for him to lose weight by focusing on exercises and a change of diet. This feature makes it necessary for him to undergo a bariatric surgery (Prabhakaran, Jeemon, & Roy, 2016).

Review of Mr. C’s Health Issues

Assessment of Functional Health Patterns

Mr. C. perceives that his health is reasonably bad for his condition. He reveals that he has reduced intake of dietary sodium. This issue reveals that he is striving to control his problem. In addition, Mr. C presents as an older person than his actual problem given that he has developed diseases mostly associated with people above his age. His sleep and rest pattern show that he does not get enough sleep. Moreover, the risk of developing cardiovascular diseases is high due to his lack of exercises and rest. Although the client tries to engage in management of obesity, he perceives that the practice does not help his condition, hence he feels that he needs a bariatric surgery. Also, due to his high glucose and cholesterol levels, he needs to eat foods low in sugar and cholesterol to reduce further health risks. Lastly, Mr. C is considered to be single and an employee. His job makes him to be associated with other people, thereby developing his relations (Pandey et al., 2017).

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Staging and Factors Associated with ERSD

ERSD is the end stage of chronic kidney disease. The problem starts with mild damage of the kidneys. In stage 2, there is also mild kidney damage with no symptoms. Thereafter, the kidneys are moderately damaged, which calls for more health concern. At stage 4, the kidneys may be moderately or severely damaged with poor functions. At the ERSD stage, the kidneys are almost failing or are completely failed, requiring a transplant or dialysis.  The problem is associated with factors such as high blood sugar in the body, a poor diet, high blood pressure, and lack of exercises (Tonkin-Crine et al., 2015).

Patient Education on ERSD Management

The patient needs to be given education on suitable dietary plans that may eliminate some of the factors leading to development of ERSD. He should also be made aware of the importance of different treatment plans to ensure that his kidneys are checked and treated well. Self-efficacy education on behavioral change may also be a significant act for the patient as it may motivate him to engage in exercises and other management activities (Tonkin-Crine et al., 2015).

Review of Mr. C’s Health Issues

Resources for ERSD Patients

An essential resource for ERSD patients is health insurance. Since kidney dialysis, transplants, and other medications are expensive, this feature helps many patients. Moreover, clinical trials are essential as they provide information on the safety of certain procedures for a patient. An ERSD patient is also helped by both healthcare providers and family to ensure that he manages the problem. In terms of education, ERSD patients are provided with information on proper ways to monitor their disease. Their grievances are also addressed with models such as self-efficacy used to promote the patients’ health conditions (Tonkin-Crine et al., 2015).

References

Pandey, A., LaMonte, M., Klein, L., Ayers, C., Psaty, B. M., Eaton, C. B., … & Berry, J. D.

(2017). Relationship between physical activity, body mass index, and risk of heart failure. Journal of the American College of Cardiology, 69(9), 1129-1142.

Prabhakaran, D., Jeemon, P., & Roy, A. (2016). Cardiovascular diseases in India: current

epidemiology and future directions. Circulation, 133(16), 1605-1620.

Tonkin-Crine, S., Okamoto, I., Leydon, G. M., Murtagh, F. E., Farrington, K., Caskey, F., … &

Roderick, P. (2015). Understanding by older patients of dialysis and conservative management for chronic kidney failure. American Journal of Kidney Diseases, 65(3), 443-450.

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