Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity

Case Study: Mr. C.

SUBMIT ASSIGNMENT

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Assessment Traits

Requires Lopeswrite

Assessment Description

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:

  1. Height: 68 inches; weight 134.5 kg
  2. BP: 172/98, HR 88, RR 26
  3. 3+ pitting edema bilateral feet and ankles
  4. Fasting blood 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 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

  1. Describe the clinical manifestations present in Mr. C.
  2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
  3. 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.)
  4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
  5. 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.
  6. 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. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Clinical Manifestations of Mr. C.
12 points
Criteria Description
Clinical Manifestations of Mr. C.

  1. Excellent
    12 points
    Subjective and objective clinical manifestations are detailed. The clinical manifestations are accurate and clearly report the observed and perceived signs and symptoms.
  2. Good
    10.68 points
    Subjective and objective clinical manifestations are described. Overall, the clinical manifestations are accurate and reflect observed and perceived signs and symptoms.
  3. Satisfactory
    9.48 points
    Clinical manifestations are summarized. An overview of the general symptoms is presented. Some findings are incomplete.
  4. Less Than Satisfactory
    9 points
    Clinical manifestations are partially presented. There are major omissions and inaccuracies.
  5. Unsatisfactory
    0 points
    Clinical manifestations are omitted.

Potential Health Risks for Obesity and Bariatric Surgery
12 points
Criteria Description
Potential Health Risks for Obesity and Bariatric Surgery

  1. Excellent
    12 points
    A detailed discussion of the potential health risks for obesity is presented. A through and compelling discussion on whether bariatric surgery is an appropriate intervention is presented. The discussion is well-developed and supported by evidence and additional rationale.
  2. Good
    10.68 points
    A discussion on the potential health risks for obesity is presented. A discussion on whether bariatric surgery is an appropriate intervention is presented but needs some evidence or rationale for support.
  3. Satisfactory
    9.48 points
    A summary on the potential health risks for obesity and whether bariatric surgery is an appropriate intervention is presented. There are some inaccuracies. More evidence or rationale is needed to support discussion.
  4. Less Than Satisfactory
    9 points
    A partial summary on the potential health risks for obesity and whether bariatric surgery is an appropriate intervention is presented. There are major inaccuracies. More information is needed. No evidence or rationale is provided to support discussion.
  5. Unsatisfactory
    0 points
    Potential health risks for obesity and whether bariatric surgery is an appropriate intervention are not discussed.

Functional Health Patterns
18 points
Criteria Description
Functional Health Patterns

  1. Excellent
    18 points
    Five or more actual or potential problems identified from the functional health patterns are discussed. The discussion is insightful, and the identified problems are highly relevant for the patient and his condition. The discussion is well-supported by rationale and evidence.
  2. Good
    16.02 points
    Five or more actual or potential problems identified from the functional health patterns are discussed. The identified problems are relevant for the patient and his condition. Overall, the discussion is supported by rationale and evidence. Some detail is needed for clarity or accuracy.
  3. Satisfactory
    14.22 points
    At least five actual or potential problems identified from the functional health patterns are summarized. The identified problems are generally relevant for the patient and his condition. Some rationale and evidence is required for support.
  4. Less Than Satisfactory
    13.5 points
    At least four actual or potential problems identified from the functional health patterns are presented. The identified problems are not entirely relevant for the patient and his condition. Rationale or evidence is required for support.
  5. Unsatisfactory
    0 points
    Actual or potential problems based on the assessment of functional health patterns of the patient are omitted or are irrelevant for the patient and his condition. The overall criteria for this assignment are not met.

Staging and Contributing Factors of End-Stage Renal Disease (ESRD)
12 points
Criteria Description
Staging and Contributing Factors of End-Stage Renal Disease (ESRD)

  1. Excellent
    12 points
    The staging of ESRD and the contributing factors for ESRD are explained. The information is accurate and reflects contemporary practice and research.
  2. Good
    10.68 points
    The staging of ESRD and the contributing factors for ESRD are explained. Some information or detail is needed for clarity or detail.
  3. Satisfactory
    9.48 points
    The staging of ESRD and the contributing factors for ESRD are generally explained. Some information is required; there are minor inaccuracies.
  4. Less Than Satisfactory
    9 points
    Staging of ESRD is partially summarized. The contributing factors for ESRD are vague. There are inaccuracies.
  5. Unsatisfactory
    0 points
    Staging and contributing factors for ESRD are omitted or inaccurate.

Health Promotion and Prevention for ESRD
24 points
Criteria Description
Health Promotion and Prevention for ESRD

  1. Excellent
    24 points
    Patient education for the prevention of future events, health restoration, and avoidance of deterioration of renal status is thoroughly described. The proposed items are clearly presented and highly relevant and supportive of patient and his health status. Strong evidence and rationale generally support the discussion.
  2. Good
    21.36 points
    Patient education for the prevention of future events, health restoration, and avoidance of deterioration of renal status is described. The proposed items are relevant and appropriate for the patient and his health status. Evidence and rationale generally support the discussion.
  3. Satisfactory
    18.96 points
    Patient education for the prevention of future events, health restoration, and avoidance of deterioration of renal status is generally described. There are minor inaccuracies. Overall, the proposed items are relevant for the patient and his health status. Some evidence and rationale are needed to support the discussion.
  4. Less Than Satisfactory
    18 points
    Patient education for the prevention of future events, health restoration, and avoidance of deterioration of renal status is partially summarized. There are inaccuracies. Some aspects are not relevant for the patient and his health status.
  5. Unsatisfactory
    0 points
    Patient education for the prevention of future events, health restoration, and avoidance of deterioration of renal status is omitted.

Resources for ESRD Patients for Nonacute Care and Multidisciplinary Approach
18 points
Criteria Description
Resources for ESRD Patients for Nonacute Care and Multidisciplinary Approach

  1. Excellent
    18 points
    A clear and detailed explanation on the types of resources available for ESRD patients for nonacute care, and the beneficial types of multidisciplinary approaches, is presented. The explanation demonstrates insight into both resources and multidisciplinary approaches for nonacute care for ESRD patients.
  2. Good
    16.02 points
    An explanation on the types of resources available for ESRD patients for nonacute care, and the beneficial types of multidisciplinary approaches, is presented. Some detail is required for clarity.
  3. Satisfactory
    14.22 points
    A general explanation on the types of resources available for ESRD patients for nonacute care, and the beneficial types of multidisciplinary approaches, is presented. There are minor inaccuracies. Some additional information is required.
  4. Less Than Satisfactory
    13.5 points
    An incomplete explanation on the types of resources available for ESRD patients for nonacute care, and the beneficial types of multidisciplinary approaches, is presented. There are major inaccuracies.
  5. Unsatisfactory
    0 points
    Types of resources available for ESRD patients for nonacute care, and the beneficial types of multidisciplinary approaches, are not discussed.

Thesis Development and Purpose
6 points
Criteria Description
Thesis Development and Purpose

  1. Excellent
    6 points
    Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
  2. Good
    5.34 points
    Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
  3. Satisfactory
    4.74 points
    Thesis is apparent and appropriate to purpose.
  4. Less Than Satisfactory
    4.5 points
    Thesis is insufficiently developed or vague. Purpose is not clear.
  5. Unsatisfactory
    0 points
    Paper lacks any discernible overall purpose or organizing claim.

Argument Logic and Construction
6 points
Criteria Description
Argument Logic and Construction

  1. Excellent
    6 points
    Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
  2. Good
    5.34 points
    Argument shows logical progression. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.
  3. Satisfactory
    4.74 points
    Argument is orderly but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.
  4. Less Than Satisfactory
    4.5 points
    Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.
  5. Unsatisfactory
    0 points
    Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)
6 points
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, language use)

  1. Excellent
    6 points
    Writer is clearly in command of standard, written, academic English.
  2. Good
    5.34 points
    Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
  3. Satisfactory
    4.74 points
    Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
  4. Less Than Satisfactory
    4.5 points
    Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.
  5. Unsatisfactory
    0 points
    Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Paper Format (use of appropriate style for the major and assignment)
2.4 points
Criteria Description
Paper Format (use of appropriate style for the major and assignment)

  1. Excellent
    2.4 points
    All format elements are correct.
  2. Good
    2.14 points
    Appropriate template is fully used. There are virtually no errors in formatting style.
  3. Satisfactory
    1.9 points
    Appropriate template is used. Formatting is correct, although some minor errors may be present.
  4. Less Than Satisfactory
    1.8 points
    Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.
  5. Unsatisfactory
    0 points
    Template is not used appropriately, or documentation format is rarely followed correctly.

Documentation of Sources
3.6 points
Criteria Description
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

  1. Excellent
    3.6 points
    Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
  2. Good
    3.2 points
    Sources are documented, as appropriate to assignment and style, and format is mostly correct.
  3. Satisfactory
    2.84 points
    Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
  4. Less Than Satisfactory
    2.7 points
    Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
  5. Unsatisfactory
    0 points
    Sources are not documented.

Total120 points

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