CALUMS The Outpatient Clinic with Sleep Apnea & High Blood Pressure Case Study

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.