Evaluate the Soundness History and Medical Advice for Mr. C., bestowed underneath.
Based on this advice, formulate a omission installed on your evaluation, and accomplished the Critical Thinking Essay assignment, as instructed underneath.
Health History and Medical Information
Mr. C., a 32-year-old solitary courageous, is seeking advice at the outenduring kernel in-reference-to germinative bariatric surgery for his fleshiness. He currently works at a catalog telephone kernel. He reports that he has frequently been dull, smooth as a diminutive child, gaining closely 100 pounds in the developed 2-3 years. Previous medical evaluations possess not implied any metabolic maladys, but he says he has repose apnea and proud class influence, which he tries to moderate by restricting dietary sodium. Mr. C. reports increasing insufficiency of life delay motive, high-flown ankles, and pruritus aggravate the developed 6 months.
Height: 68 inches; consequence 134.5 kg
BP: 172/98, HR 88, RR 26
3+ pitting edema bilateral feet and ankles
Fasting class 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 utterance, critically evaluate Mr. C.'s germinative peculiarity and intrusion(s). Include the following:
Describe the clinical manifestations bestow in Mr. C.
Describe the germinative soundness risks for fleshiness that are of sympathy for Mr. C. Discuss whether bariatric surgery is an withhold intrusion.
Assess each of Mr. C.'s administrative soundness patterns using the advice attached. Discuss at meanest five objective or germinative problems can you demonstrate from the administrative soundness patterns and stipulate the rationale for each. (Functional soundness patterns include soundness-perception, soundness-management, nutritional, metabolic, encircleation, motive-exercise, repose-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
Explain the staging of end-stage renal malady (ESRD) and contributing factors to ponder.
Consider ESRD obstruction and soundness advancement opportunities. Describe what emblem of enduring advice should be stipulated to Mr. C. for obstruction of coming smoothts, soundness replacement, and accident of recompense of renal condition.
Explain the emblem of instrument available for ESRD endurings for nonacute custody and the emblem of multidisciplinary access that would be profitable for these endurings. Ponder aspects such as devices, transportation, help conditions, return-to-employment issues.
You are required to name to a insufficiency of two sources to accomplished this assignment. Sources must be published delayin the developed 5 years and withhold for the assignment criteria and pertinent to nursing manner.