Case Study: Mr. C.
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.
Sample Solution
t makes the readers want to get more into focus on what advice he is trying to give. Michael J. Hostetler goes into depth of the rhetorical criticism that many people are giving here. Here the author states, âNo aspect of the American scene is more notorious than the scale of the landscape and the size of objects in it. Eyes accustomed to European vistas and artifacts may take years to adjust, as one visitor put it, to âthe unnerving bigness of everythingâ in America.âJean Baudrillard has similarly observed, âAs soon as you set foot in America, you feel the presence of an entire continentâspace there is the very form of thoughtâ (Hostetler). The vast size of North America is so overwhelming that when you just take that simple breath, it is just uncanny. It is the time of 1796 and people feel that air of freedom because their counter country, also known as England, has finally gave up their portion of fighting towards not letting go of their previous citizens. The landscape that Washington helped depict is just a scene that no one thought that would happen because of a powerful country that is trying to do everything they can keep taking money and power from the foreign country. From what the people have noticed, he is one of the main causes why people can actually breath the way they are today. Here the sense of ethics is really one of the main keys to why the people need to heed to him so they can continue to keep the air fresh for many years to come. Logic is key situation to helping a nation stay its course on the way to success. Other nations are always trying to make alliances with one another to create a whole sense that they want to be âfriendly nationsâ. That is not the case because life is all about the survival of the fittest, not to just get by. In his farewell, Washington conveys, âSo likewise, a passionate attachment of one nation for another produces a variety of evils. Sympathy for the favorite nation, facilitating the illusion of an imaginary common interest in cases where no real common interest exists and infusing into one the enmities of the other, betrays the former into a participation in the quarrels and wars of the latter, without adequate inducement or justificationâ (Washington). He is trying to describe basically that the nation is starting to finally make a presence when discussing a great nation around the world. There is a sense of doubt coming from that making alliances with one another will not make anything better and instead eventually make it worse in the long run when a dispute happens. Common Interest is all in everyoneâs head and eventually it will go down the drain when settling something. Timing was key to give this speech out because if he had given this speech earlier, like in his second term, he would not have been taken more seriously. In Mike>
t makes the readers want to get more into focus on what advice he is trying to give. Michael J. Hostetler goes into depth of the rhetorical criticism that many people are giving here. Here the author states, âNo aspect of the American scene is more notorious than the scale of the landscape and the size of objects in it. Eyes accustomed to European vistas and artifacts may take years to adjust, as one visitor put it, to âthe unnerving bigness of everythingâ in America.âJean Baudrillard has similarly observed, âAs soon as you set foot in America, you feel the presence of an entire continentâspace there is the very form of thoughtâ (Hostetler). The vast size of North America is so overwhelming that when you just take that simple breath, it is just uncanny. It is the time of 1796 and people feel that air of freedom because their counter country, also known as England, has finally gave up their portion of fighting towards not letting go of their previous citizens. The landscape that Washington helped depict is just a scene that no one thought that would happen because of a powerful country that is trying to do everything they can keep taking money and power from the foreign country. From what the people have noticed, he is one of the main causes why people can actually breath the way they are today. Here the sense of ethics is really one of the main keys to why the people need to heed to him so they can continue to keep the air fresh for many years to come. Logic is key situation to helping a nation stay its course on the way to success. Other nations are always trying to make alliances with one another to create a whole sense that they want to be âfriendly nationsâ. That is not the case because life is all about the survival of the fittest, not to just get by. In his farewell, Washington conveys, âSo likewise, a passionate attachment of one nation for another produces a variety of evils. Sympathy for the favorite nation, facilitating the illusion of an imaginary common interest in cases where no real common interest exists and infusing into one the enmities of the other, betrays the former into a participation in the quarrels and wars of the latter, without adequate inducement or justificationâ (Washington). He is trying to describe basically that the nation is starting to finally make a presence when discussing a great nation around the world. There is a sense of doubt coming from that making alliances with one another will not make anything better and instead eventually make it worse in the long run when a dispute happens. Common Interest is all in everyoneâs head and eventually it will go down the drain when settling something. Timing was key to give this speech out because if he had given this speech earlier, like in his second term, he would not have been taken more seriously. In Mike>
