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.
Expert Solution Preview
Mr. C., a 32-year-old male, seeks information regarding possible bariatric surgery for his obesity. He has a history of being overweight since childhood with a weight gain of approximately 100 pounds in the last 2-3 years. Although previous medical evaluations have not shown evidence of metabolic diseases, he reports having sleep apnea and high blood pressure. Mr. C. also reports increasing shortness of breath with physical activity, swollen ankles, and pruritus over the last six months. Objective data reveals that Mr. C. has a Body Mass Index (BMI) of 60.2, hypertension, hyperglycemia, hyperlipidemia, and kidney dysfunction.
Based on the above information, it is likely that Mr. C. is suffering from obesity-related health complications. Obesity may cause cardiovascular problems, such as hypertension and high cholesterol, which increase the risk of a heart attack or stroke. In addition, obesity can lead to kidney dysfunction, which is reflected in Mr. C.’s lab findings. Bariatric surgery may be an appropriate intervention to reduce Mr. C.’s weight and consequent health risks.
Using functional health patterns, we can identify several actual or potential health problems for Mr. C. These problems may include impaired health perception, ineffective health management related to weight control, imbalanced nutrition, decreased activity levels, and ineffective coping related to chronic health conditions. These problems are related to Mr. C.’s obesity and may contribute to his current health status.
End-stage renal disease (ESRD) is the final stage of chronic kidney disease. Contributing factors for ESRD include hypertension, diabetes, smoking, and obesity. To prevent ESRD, it is essential to educate patients on lifestyle modifications, such as weight loss, quitting smoking, and controlling hypertension and diabetes. Patients can also benefit from early detection and treatment of kidney disease through regular monitoring of kidney function.
Multidisciplinary care is beneficial for patients with ESRD. Patients may require the assistance of a nephrologist, dietician, social worker, and nurse to manage their chronic health condition. Nonacute care resources, including transportation and accommodations for living conditions, may also be necessary. Patient education should be provided regarding the importance of adhering to a strict diet, taking medications as prescribed, and following fluid restrictions.
In conclusion, it is likely that Mr. C. is experiencing obesity-related health complications. Bariatric surgery may be an appropriate intervention to reduce weight and prevent further health risks. Several actual or potential health problems related to Mr. C.’s obesity were identified, which highlights the importance of holistic patient care. Preventing ESRD requires patient education on lifestyle modifications and multidisciplinary care to manage chronic health conditions.
