Case study Mr C

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Jane Chima

Mr.C-CaseStudy.docx

Summary

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Running head: MR. C CASE STUDY 1

CASE STUDY MR. C

Jane Chima

Grand Canyon University

NRS-410V Pathophysiology and Nursing Management of Clients Health.

Lisa Arends

November 8, 2020

MR. C CASE STUDY 2

Describe the clinical manifestations present in Mr. C.

Mr. C is a 32-year-old single man described in this scenario who presents with clinical

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manifestations that expose him to developing life-threatening conditions linked to obesity. If

appropriate measures are not taken to alleviate the condition, the probability of Mr. C developing

this disease is high though it has not been confirmed through clinical diagnosis. The client has a

high blood pressure of 172/96, which is yet to seek medical attention. Besides suffering sleep

apnea, his HR and RR are high, indicating an accretion of surfeit fat around his neck. Furthermore,

an average person has a fasting glucose level ranging between 70-115, but with our patient in

question, it is 146. A healthy person has a lofty cholesterol level below 200, but for Mr. C, it is

250. In addition, the patient in the study has an idyllic HDL level of 30, which is far below the

healthy person expected to 50 and above. Lastly, Mr. C’s triglycerides are at 312 mg/dl, which

above the desired normal level of 150.

Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether

bariatric surgery is an appropriate intervention.

There are several potential health risks that Mr. C should observe due to her overweight

condition. They include cardiovascular diseases, cancer, osteoarthritis, type 2 diabetes, kidney

failure, HBP, and sleep apnea. The patient in this scenario should undergo bariatric surgery

because he is presented with most of these potential health risks. The patient will control her body

weight once he is given serious intervention like bariatric surgery (Genser & Barrat, 2017). Having

a BMI of 40, this patient has class 3 obesity, thus qualifying for the surgery. Also, there no further

complications like psychological problems or medical issues that would be altered by the surgery

process.

MR. C CASE STUDY 3

Assess each of Mr. C.'s functional health patterns using the information given. Discuss at

least five actual or potential problems that 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.)

The different functional health patterns presented by Mr. C’s health status indicate

prevailing health issues. For example: The nutritional function can be used by caregivers to educate

on proper and healthy eating. Taking balanced diets and doing regular physical exercises will help

reduce excess weight. The metabolic patterns involve educating the client about the proper

selection of healthy food to help prevent the development of diabetes while addressing the issue

of HBP. The elimination function encompasses altering the patient's unbeneficial behaviors in the

study and changing them with good habits like drinking plenty of water to change the bowel

pattern. The exercise function will help the patient in question deal with hyperlipidemia by

exercising regularly. The self-perception function allows the patient to have a positive outlook

about his condition. As a result, his self-esteem and image perception will change. The

sexuality/reproductive function is not covered in this assessment because the patient is single.

Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.

functionality, and if the filtration process is low, it means there is a decrease in GFR. Therefore,

Kattah et al. (2017) says that the person is at the end-stage renal disease if his/her kidney cannot

perform above 10% of its standard capacity. Some of ESRD's contributing factors are low

hemoglobin, high cholesterol, diabetes, and HBP (Collazo-Clavell, 2019).

Consider ESRD prevention and health promotion opportunities. Describe what type of

patient education should be provided to Mr. C. to prevent future events, health restoration,

and avoidance of deterioration of renal status.

It is vital to prevent and control critical health issues like ESRD. The first essential

prevention approach is to manage the ESRD contributing risk factor. The next health promotion

approach is to educate people on adopting healthy lifestyles like exercising regularly and eating

healthy diets. Lastly, individuals at high risk of developing ESRD should be identified and

screened often. In our case, Mr. C needs to be briefed by the nurse on the importance of treating

ESRD. First, a nurse should educate the client about some treatment methods such as dialysis and

kidney transplant. The patient should be educated using the teach-back method to allow him to

take charge of his condition because he will have relevant and comprehensive about their ailing

issue (Skelton et al., 2015). As a result, Mr. C will adapt to a better lifestyle, know the risk factors,

and take on appropriate measures to control the health issue (Skelton et al., 2015).

Explain the type of resources available for ESRD patients for nonacute care and the type of

multidisciplinary approach beneficial for these patients. Consider aspects such as devices,

transportation, living conditions, and return-to-employment issues.

There are numerous and accessible resources for ESRD patients. There are community

groups and multidisciplinary approaches that can offer support. Some of the stakeholders they can

contact are emergency resources, nutritionists, doctors, and nephrologists. They work in

collaboration to help provide appropriate treatment intervention to the patient. The patient must be

provided with adequate information about health promotion and necessary handling devices for

ESRD. An insured patient should require healthcare insurance to care for transport expenses as

well as living condition issues. The recovery process of patients mostly depends on the impact and

effort provided by social workers. As such, patients gain confidence in running their daily activities

(Kattah et al., 2017).

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There are several stages involved when the chronic kidney disease is developing. Kidney

failure develops gradually until it permanently fails to function. Before the person is diagnosed

with kidney failure, it takes months to years. Kidney disease stages of development are measured

by Glomerular Filtration Rate (GFR). Kattah et al. (2017) allege that GFR estimates the kidney's

MR. C CASE STUDY 4

MR. C CASE STUDY 5

MR. C CASE STUDY 6

References

Collazo-Clavell, M. L. (2019, June). Managing Obesity: Scaling the Pyramid to Success. In Mayo

Clinic Proceedings (Vol. 94, No. 6, pp. 933-935). Elsevier.

Genser, L., & Barrat, C. (2017). Bariatric surgery versus intensive medical therapy for diabetes-5-

year outcomes. Obésité, 12(1), 65-67.

Kattah, A. G., Scantlebury, D. C., Agarwal, S., Mielke, M. M., Rocca, W. A., Weaver, A. L., ... &

Garovic, V. D. (2017). Preeclampsia and ESRD: the role of shared risk factors. American

Journal of Kidney Diseases, 69(4), 498-505.

Skelton, S. L., Waterman, A. D., Davis, L. A., Peipert, J. D., & Fish, A. F. (2015). Applying best

practices to designing patient education for patients with end-stage renal disease pursuing

kidney transplant. Progress in Transplantation, 25(1), 77-90.