GCU NRS410 Week 3 Assignment – Case Study: Mr. C. Latest 2019 JULY

NRS410 Pathophysiology And
Nursing Management of Clients Health

Week 3 Assignment

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.

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. Refer to the LopesWrite
Technical Support articles for assistance.