Elimination complexities | Nursing homework help


Health History

Mr. C., a 32-year-old uncompounded male, is seeking counsel at the outunrepining kernel touching immanent bariatric surgery for his corpulency. He currently works at a catalog telephone kernel. He reports that he has regularly been afflictive, well-balanced as a slight offshoot, gaining approximately 100 pounds in the terminal 2-3 years. Previous medical evaluations keep not indicated any metabolic ailments, but he says he has slumber apnea and exalted lineage constraining, which he tries to moderate by restricting dietary sodium. Mr. C. reports increasing failure of expiration delay disposition, grandiloquent ankles, and pruritus balance the terminal 6 months.

Objective Data:

1. Height: 68 inches; burden 134.5 kg

2. BP: 172/98, HR 88, RR 26

3. 3+ pitting edema bilateral feet and ankles

4. Fasting lineage 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 900-words, critically evaluate Mr. C.'s immanent idiosyncrasy and interposition(s). Include the following:

1. Describe the clinical manifestations give in Mr. C.

2. Describe the immanent vigor risks for corpulency that are of regard for Mr. C. Discuss whether bariatric surgery is an alienate interposition.

3. Assess each of Mr. C.'s negotiative vigor patterns using the counsel consecrated. Discuss at meanest five developed or immanent problems can you confirm from the negotiative vigor patterns and supply the rationale for each. (Functional vigor patterns include vigor-perception, vigor-management, nutritional, metabolic, misentry, disposition-exercise, slumber-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)

4. Explain the staging of end-stage renal ailment (ESRD) and contributing factors to revolve.

5. Revolve ESRD stoppage and vigor advancement opportunities. Describe what emblem of unrepining direction should be supplyd to Mr. C. for stoppage of coming well-balancedts, vigor re-establishment, and aimlessness of recompense of renal foothold.

6. Explain the emblem of media conducive for ESRD unrepinings for nonacute preservation and the emblem of multidisciplinary access that would be advantageous for these unrepinings. Revolve aspects such as devices, conduct, stay provisions, return-to-employment issues.

You are required to call to three sources to full this assignment. Sources must be published delayin the terminal 5 years. Also, you must keep an contemplative and a misentry delay a restriction of 5 sentences to fold up this predicament con-over.