NRS 410 Assignment: Mr. C. Health Case Study 

NRS 410 Assignment: Mr. C. Health Case Study

NRS 410 Assignment: Mr. C. Health Case Study

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.

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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:

Height: 68 inches; weight 134.5 kg
BP: 172/98, HR 88, RR 26
3+ pitting edema bilateral feet and ankles
Fasting blood glucose: 146 mg/dL
Total cholesterol: 250 mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Serum creatinine 1.8 mg/dL
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:

Describe the subjective and objective clinical manifestations present in Mr. C.
Describe the potential health risks for obesity that are of concern for Mr. C. Explain whether bariatric surgery is an appropriate intervention.
Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems you can 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.)
Explain the stages of renal disease that leads to end-stage renal disease (ESRD). What factors contributed to Mr. C’s ESRD?
Consider ESRD prevention and health promotion opportunities. Describe what type of patient education for ESRD should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
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. Include aspects such as devices, transportation, living conditions, return-to-employment issues.
You are required to cite a minimum of three 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.

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.

Case Study: Mr. C. – Rubric

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Clinical Manifestations of Mr. C.                                                                                                                                 12 points

Criteria Description

Detail of subjective and objective clinical manifestations.

5. Target 12 points

Subjective and objective clinical manifestations are thorough.

4. Acceptable 10.68 points

Subjective and objective clinical manifestations are detailed.

3. Approaching 9.48 points

Subjective and objective clinical manifestations are present.

2. Insufficient 9 points

Subjective and objective clinical manifestations are present but lack detail or are incomplete.

1. Unsatisfactory 0 points

Subjective and objective clinical manifestations are omitted.

Potential Health Risks for Obesity and Bariatric Surgery                                                                                                                         12 points

Criteria Description

Discussion of the potential health risks for obesity and the appropriateness of bariatric surgery as an intervention.

5. Target 12 points

Discussion of the potential health risks for obesity and the appropriateness of bariatric surgery as an intervention are thorough.

4. Acceptable 10.68 points

Discussion of the potential health risks for obesity and the appropriateness of bariatric surgery as an intervention are detailed.

Functional Health Patterns                                                                                                                        18 points

Criteria Description

Discussion of at least five actual or potential problems identified from the functional health patterns assessment, and rationale for each.

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

Explanation of the stages of renal disease that lead to end-stage renal disease (ESRD), and what factors contributed to the patient’s ESRD.

Health Promotion and Prevention Opportunities for ESRD                                                                                                                             24 points

Criteria Description

Description of patient education for the prevention and health promotion opportunities for ESRD, including preventing future events, health restoration, and avoidance of deterioration of renal status.

2. Insufficient 18 points

Description of patient education for the prevention and health promotion opportunities for ESRD, including preventing future events, health restoration, and

    avoidance of deterioration of renal status is present, but lack detail or are                                                                                                                                                                        

Resources for ESRD Patients for Nonacute Care and Multidisciplinary Approach

18 points

Criteria Description

Explanation of the types of resources available for ESRD patients for nonacute care, and the benefit of a multidisciplinary approach including aspects such as devices, transportation, living conditions, return-to-employment issues.

Thesis, Position, or Purpose                                                                                                                          6 points

Criteria Description

Communicates reason for writing and demonstrates awareness of audience.

Development, Structure, and Conclusion                                                                                                                      6 points

Criteria Description

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

Evidence                                                                                                                         6 points

Criteria Description

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

Mechanics of Writing                                                                                                                         3.6 points

Criteria Description

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

4. Acceptable 3.2 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

3. Approaching 2.84 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

2. Insufficient 2.7 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

Format/Documentation                                                                                                 2.4 points

Criteria Description

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.

5. Target 2.4 points

No errors in formatting or documentation are present.

4. Acceptable 2.14 points

Appropriate format and documentation are used with only minor errors.

3. Approaching 1.9 points

Appropriate format and documentation are used, although there are some obvious errors.

2. Insufficient 1.8 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

1. Unsatisfactory 0 points

Total 120 points