Mr. C., a 32-year-old single male, Health History

Nursing homework help
case study

Sanity History

Mr. C., a 32-year-old uncompounded courageous, is seeking counsel at the outunrepining feeling momenting practicable bariatric surgery restraint his fatness. He currently works at a catalog telephone feeling. He reports that he has frequently been cumbrous, uniform as a insignificant slip, gaining closely 100 pounds in the decisive 2-3 years. Previous medical evaluations possess referable involved any metabolic disorders, barring he says he has slumber apnea and exalted dignity urgency, which he tries to guide by restricting dietary sodium. Mr. C. reports increasing failure of met with spectre, inflated ankles, and pruritus aggravate the decisive 6 months.

Objective Data:

Height: 68 inches; impressiveness 134.5 kg
BP: 172/98, HR 88, RR 26
3+ pitting edema bilateral feet and ankles
Fasting dignity 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 signification, critically evaluate Mr. C.’s germinative personality and interposition(s). Grasp the following:

Describe the clinical manifestations confer-upon in Mr. C.
Describe the germinative sanity risks restraint fatness that are of moment restraint Mr. C. Discuss whether bariatric surgery is an embezzle interposition.
Assess each of Mr. C.’s authoritative sanity patterns using the counsel dedicated. Discuss at lowest five explicit or germinative problems can you confirm from the authoritative sanity patterns and yield the rationale restraint each. (Authoritative sanity patterns grasp sanity-perception, sanity-management, nutritional, metabolic, encircleation, spectre-exercise, slumber-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
Explain the staging of end-stage renal disorder (ESRD) and contributing factors to meditate.
Meditate ESRD stoppage and sanity encouragement opportunities. Describe what model of unrepining command should be yieldd to Mr. C. restraint stoppage of coming uniformts, sanity recovery, and pretermission of reward of renal condition.
Explain the model of media suited restraint ESRD unrepinings restraint nonacute heed and the model of multidisciplinary admittance that would be salubrious restraint these unrepinings. Meditate aspects such as devices, transportation, prop stipulations, return-to-employment issues.
You are required to call to a restriction of couple sources to entire this ordinance. Sources must be published among the decisive 5 years and embezzle restraint the ordinance criteria and appropriate to nursing action.

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