Case Study: Mr. C.|Case Study Mr. CGrand Canyon University Pathophysiology and Nursing Management of Clients' Health|Complete Latest (June 2020) Solution guide.

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The case study: Mr. C is a 32-year-old male who works at a telephone call center. He recently went to an outpatient center to obtain information regarding bariatric surgery due his long battle with ... obesity. Mr. C states that he has had problems with his weight since he was a child. In the past two to three years he has gained 100 pounds. Mr. C’s medical diagnoses include hypertension and sleep apnea. He does not take any routine medication and tries to control his hypertension by restricting his dietary sodium. Mr. C states for about the past six months he has been experiencing shortness of breath, swelling in his ankles, and pruritus. Mr. C’s physical examination reveals that he is 68 inches tall (5 feet 8 inches) and weighs 134.5 kilograms (296 pounds). He has three plus pitting edema bilaterally to his feet and ankles. His lab results are as follows: fasting blood glucose-146, total cholesterol-250, triglycerides-312, HDL-30, serum creatinine-1.8, and BUN-32. His blood pressure is elevated, 172/98 and so are his respiration, 26. His heart rate is 88. Previous medical examines did not indicate any metabolic diseases. Mr. C has several potential health risks that are associated with or could be affected by his obesity. Although his previous physical examines did not reveal any metabolic disorders, he now has a fasting blood glucose of 146. This could indicate that Mr. C is what some refer to as borderline diabetic. Further testing is needed, and his physician should consider a hemoglobin A1C. Mr. C’s current lab results also show that he has hyperlipidemia. Being a man of large statue, his heart must work harder to pump blood throughout the body which can be the cause of his hypertension. Weight loss may help to decrease Mr. C’s blood pressure. Obesity is the most important risk factor for sleep apnea. Overweight patients may store extra fat around the neck area. This may cause their airway to narrow making it difficult for one to breathe when they 2 This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 13:09:48 GMT -06:00 https://www.coursehero.com/file/68522917/Case-Study-Mr-C-docx/ CASE STUDY: MR. C sleep. Bariatric surgery may not be an appropriate first intervention. Mr. C could benefit from some lifestyle changes such as diet and exercise. Mr. C’s perception of health appears to be a lack of knowledge or concern for the effect his weight has on his health status. Although he has had problems with his weight since he was a child, he still has not taken any steps prior to now to change his weight status. Better management of his overall health could improve his status and promote a positive health outcome. He has taken steps to limit his dietary sodium intake, but his blood pressure continues to be elevated. His nutritional status needs to be evaluated as labs revealed an abnormal lipid profile and an elevated glucose after fasting. Mr. C’s labs also suggest impaired kidney function, his BUN and creatine are elevated. He has swelling and his respiratory rate is elevated. There is a disruption in his elimination pattern, and he is retaining fluid. Mr. C has sleep apnea. This may be causing inadequate rest. There are five stages of end stage renal disease. Patients are staged according to their glomerular filtration rate. Stage 1 CKD, kidney damage is mild and the GFR is greater than 90. The kidneys are healthy and working well, but there are other signs of kidney damage. Stage 2 CKD, kidney damage is mild and the GFR is between 60 and 89. Stage 3 CKD, the GFR is between 30 and 59. Kidney damage is present in stage 3 and the do not work as well as they should. Stage 4 CKD the GFR is between 15 and 29. At this stage the kidneys are moderately or severely damaged. This is the final stage before the kidneys fail. Stage 5 CKD the GFR is less than 15. At this point the kidneys are getting close to failure or have failed. If the kidneys fail, waste builds up in the blood, and the patient becomes sick. There are many resources available for patients diagnosed with end stage renal disease. There are foundations and support groups available for a better understanding of the disease. 3 This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 13:09:48 GMT -06:00 https://www.coursehero.com/file/68522917/Case-Study-Mr-C-docx/ CASE STUDY: MR. C Social workers and nurse case managers can also help the patient and their families navigate the systems to find needed resources. The goal is for the patients to live as normal of a life as possible. So, assistance with medications, equipment, and transportation are pertinent. Mr. C has health issues that need attention. There are lifestyle changes that can be made to promote a positive healthcare outcome. Functional patterns assessment will allow the healthcare professionals to assist Mr. C to set goals and attain them. References Whitney, S. (2018). Elimination Complexities. Pathophysiology Clinical Applications for Client Health. Retrieved from https://lc.gcumedia.com/nrs410v/pathophysiology-clinical-applicationsfor-client-health/v1.1/#/chapter/3 4 This study source was downloaded by 100000860583932 from CourseHero.com on 01-26-2023 13:09:48 GMT -06:00 https://www.coursehero.com/file/68522917/Case-Study-Mr-C-docx/ CASE STUDY: MR. C National Kidney Foundation (n.d). Coping Effectively: A Guide for P [Show More]

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