NRS 410 Case Study: Mr. C. Assignment
Grand Canyon University NRS 410 Case Study: Mr. C. Assignment-Step-By-Step Guide
This guide will demonstrate how to complete the NRS 410 Case Study: Mr. C. Assignment assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NRS 410 Case Study: Mr. C. Assignment
Whether one passes or fails an academic assignment such as the Grand Canyon University NRS 410 Case Study: Mr. C. Assignment depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NRS 410 Case Study: Mr. C. Assignment
The introduction for the Grand Canyon University NRS 410 Case Study: Mr. C. Assignment is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for NRS 410 Case Study: Mr. C. Assignment
After the introduction, move into the main part of the NRS 410 Case Study: Mr. C. Assignment assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NRS 410 Case Study: Mr. C. Assignment
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NRS 410 Case Study: Mr. C. Assignment
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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Sample Answer for NRS 410 Case Study: Mr. C. Assignment
Obesity is defined as excess body weight for height and is associated with excess adiposity, which can be exhibited metabolically. It is diagnosed with a body mass index (BMI) of greater or equal to 30 kg/m2 (Gadde et al., 2018). Obesity is associated with a high risk of comorbid conditions such as type 2 diabetes, cardiovascular diseases, gastrointestinal disorders, respiratory problems, musculoskeletal disorders, and depression (Fruh, 2017). This paper will discuss the case study of Mr. C, depicting a 32-year-old male patient with a long term history of obesity. The paper will discuss the health risks and health promotion opportunities for Mr. C and end-stage renal disease.
The 32year old Mr. C who has had the challenge of being overweight since childhood presents to the clinic inquiring about the possibility of undergoing bariatric surgery. He has been experiencing leg
swelling, shortness of breath during physical activity, and pruritus. He is employed at the catalog telephone center and reports to have both high blood pressure and sleep apnea that he has been managing by restriction of sodium intake. His laboratory assessment reveals deranged kidney functions, hyperglycemia, and dyslipidemia whereas his physical assessment shows morbid obesity and high blood pressure. The purpose of this assignment is to explain Mr. C’s clinical manifestation and the risks he faces due to obesity, then discuss the functional health patterns identified in the case study, describe the staging of end-stage renal disease (ESRD) and ESRD prevention strategies that could be employed for Mr. C.
Clinical Manifestations Present In Mr. Chas
Mr. C H a history of obesity since childhood but has no history of metabolic diseases. He has gained approximately 100 pounds over the past 2-3 years. Pertinent positive subjective findings include sleep apnea, high blood pressure, increasing exertional dyspnea, ankle edema, and pruritus. Positive physical exam findings include a height of 68 inches and a weight of 134.5 kg, which adds to a BMI of 46.4, which falls under obesity. Mr. C also has an elevated blood pressure, tachypnea, and 3+ pitting edema on bilateral feet and ankles, which suggest right-sided heart failure. Laboratory tests reveal hyperglycemia and hyperlipidemia. In addition, he has high serum creatinine and BUN levels, which could be a result of impaired kidney function.
Potential Health Risks for Obesity That Are Of Concern for Mr. C.
Obesity puts Mr. C at a high risk of developing numerous chronic conditions which occur as comorbidities of overweight and obesity. Mr. C has potential health risks involving the respiratory, cardiovascular, renal, and metabolic systems. Obesity reduces the lung expansion capacity and chest wall compliance resulting in decreased lung capacity (Gadde et al., 2018). Impairment in the respiratory system resulting in obstructive sleep apnea and Obesity hypoventilation syndrome due to increased work of breathing. Symptoms of concern in the respiratory system include a high respiratory rate of 26, shortness of breath on activity, and sleep apnea. A decreased lung capacity results in reduced oxygen supply to the body tissues, which directly affects the cardiovascular system (Gadde et al., 2018). Consequently, the heart is forced to pump at an increased rate resulting in an increased cardiac output.
A high cardiac output results in high blood pressure, evidenced by Mr. C’s history of high blood pressure and a BP of 172/98. An increased cardiac output results in hypertrophy of the myocardium and eventually, heart failure (Fruh, 2017). Health concerns of heart failure in Mr. C include increasing exertional dyspnea and pitting edema on the lower limbs. High blood pressure and heart failure result in decreased blood supply to the kidneys resulting in impaired kidney function and eventually, kidney failure (Gadde et al., 2018). Mr. Chas a health concern for acute and chronic kidney disease since he has elevated levels of serum creatinine and BUN. High triglycerides and total cholesterol levels and low HDL results in increased resistance of body cells to insulin. This results in hyperinsulinemia and hyperglycemia, which eventually contributes to type 2 Diabetes. Mr. C is at risk of Type 2 Diabetes, evidenced by an elevated fasting blood glucose.
Bariatric surgery is the only treatment approach for obesity that provides marked and relatively sustainable weight loss in persons with obesity and associated comorbidities. Bariatric surgery is indicated if other nonsurgical attempts at weight loss have failed (Wolfe, Kvach & Eckel, 2016). Bariatric surgery is recommended in cases of a BMI greater than 40 or a BMI of 35-40 with obesity comorbidities (Wolfe, Kvach & Eckel, 2016). Bariatric surgery is an appropriate intervention for Mr. C since he has a BMI of 46.4. Besides, he has obesity-associated comorbidities such as Obstructive Sleep Apnea, hypertension, dyslipidemia, Diabetes, Impaired Renal Function, and congestive heart failure.
Assessment of Functional Health Patterns and Actual/Potential Problems
Activity-Exercise Pattern: Mr. C has: Altered tissue perfusion (cardiopulmonary) related to the decreased blood supply, as evidenced by a high respiration rate and shortness of breath with activity. Activity intolerance related to a reduced blood supply to the myocardium, as evidenced by reports of increased shortness of breath with activity. Risk for self-care deficit related to increasing dyspnea with activity. This may result in a decreased ability of Mr. C to perform ADLs and increased dependency on ADLs.
Nutritional-metabolic Pattern: Mr. C has altered nutrition, more than the body’s requirements secondary to a high energy intake than energy expenditure. This is evidenced by reports of an increased weight gain, a history of overweight, and a high BMI. Besides, Mr. C has a potential problem of developing impaired skin integrity as a result of pruritus. Pruritus may result in skin lesions, thus compromising the skin’s integrity and exposing the patient to infections (Fruh, 2017).
Elimination Pattern: Mr. C is at risk of developing an impaired urinary elimination pattern secondary to impaired kidney function. Elevated BUN and creatinine levels suggest reduced kidney function, which may progress to chronic kidney failure and end-stage renal disease.
Sleep-Rest Pattern: Mr. C has an ineffective sleep pattern caused by decreased lung capacity, demonstrated by reports of sleep apnea.
Self-perception/Self-concept Pattern: Risk of Disturbed body image related to large body size. Besides, the disturbed body image may result in lowered self-esteem (Fruh, 2017).
Staging Of End-Stage Renal Disease (ESRD)
ESRD is a chronic illness characterized by a reduced glomerular filtration rate (GFR) of below 15 mL/min. The staging of ESRD is guided by the GFR and albuminuria levels (Benjamin & Lappin, 2018).
Stage 1- There is evidence of kidney damage but a normal GFR above 90 ml/min.
Stage 2- Marked by a GFR of 60-89 ml/min (Benjamin & Lappin, 2018).
Stage 3a- GFR between 45 to 59 ml/min
Stage 3b- GFR between 30 to 44 ml/min (Benjamin & Lappin, 2018).
Stage 4- Marked by a severe reduction in GFR, between 15 to 29 ml/min.
Stage 5 – Evidence of Renal failure and a GFR of below 15 ml/min.
Contributing factors that should be evaluated in ESRD include the presence of proteinuria, dyslipidemia, hyperphosphatemia, and systemic hypertension. Patients should also be assessed for dehydration, uncontrolled diabetes, use of Nephrotoxins, and history of smoking. These factors are known to worsen kidney failure and should be considered when diagnosing and staging ESRD.
ESRD Prevention and Health Promotion Opportunities
ESRD can be prevented by monitoring lipid profile and initiating patients with dyslipidemia on cholesterol-lowering agents such as HMG-CoA reductase inhibitors early in the course of the disease. Preventive care also entails aggressive glycemic control for patients with hyperglycemia, blood pressure control, and cardiovascular risk reduction. Glycemic control helps prevent or delay microvascular complications in the kidneys (Benjamin & Lappin, 2018). Patients should be recommended on smoking cessation and healthy dietary practices to lower the progression of acute kidney disease to ESRD.
Mr. C should be educated on lifestyle modification such as increased physical activity and decreased caloric intake to promote weight loss and blood pressure and glucose levels control. Dietary restrictions should be emphasized, including adhering to a low sodium diet and restricting daily protein intake to slow the GFR decline and improve proteinuria (Lim et al., 2019). He should be recommended on adopting a renal diet, which entails avoiding foods high in phosphorus. Furthermore, he should be educated to avoid nephrotoxic agents such as NSAIDs and aminoglycosides.
Resources Available For ESRD Patients for Non-acute Care
Resources for ESRD patients undergoing non-acute care include dietary counseling to help them adhere to the recommended nutritional guidelines (Johns et al., 2015). Patients are provided with education on treatment options available for ESRD to enable them to make informed choices. A review of medication and adherence is conducted in non-acute care and planning of advanced care (Johns et al., 2015). Besides, patients are provided with resources such as dialysis access placement, and coordination on kidney transplant services is provided.
Multidisciplinary Approach for ESRD Patients
The multidisciplinary approach for ESRD should have a dedicated team of a nephrologist, nurse educator, clinical nurse, nutritionist, specialized pharmacist, and social worker. The nephrologist has a crucial role in evaluating the prognosis of ESRD and reviewing the patient’s treatment plan (Johns et al., 2015). Besides, the nurse educator plays a vital role in educating patients about lifestyle modifications crucial in preventing kidney disease (Benjamin & Lappin, 2018). The clinical nurse has the task of protecting a patient’s arm for future fistula placement in cases of advanced kidney disease by ensuring venipuncture and BP measurements are not performed on the arm (Benjamin & Lappin, 2018). The nutritionist develops and guides patients on the appropriate diet plan specific to their needs.
The pharmacist identifies patients who have a diagnosis of ESRD and provides them with specialized instructions concerning avoiding nephrotoxic medications and agents(Benjamin & Lappin, 2018). Besides, the pharmacist communicates and guides the clinical providers on patient’s medications to restrict drugs that have adverse effects on the kidneys. A social worker assesses a patient’s support system, and the financial capacity required to pay for therapy. They also help ESRD patients to obtain financial resources and essential resources, including housing and transportation services to health facilities.
Conclusion
Mr. C has a history of obesity, which puts him at risk of developing comorbid conditions such as heart failure, obstructive sleep apnea, obesity hypoventilation syndrome, kidney failure, hypertension, and type 2 diabetes. He is a candidate for bariatric surgery based on his high BMI and presence of comorbid conditions. Identified health problems in Mr. C as per the health patterns include altered tissue perfusion, activity intolerance, risk for impaired urinary elimination, disturbed sleep pattern, risk for impaired skin integrity, and risk for disturbed body image. ESRD is staged based on the degree of proteinuria and the glomerular filtration rate. It can be prevented by glycemic and blood pressure control and managing hyperlipidemia. Consequently, patients should be educated on lifestyle modification and dietary restrictions to delay the progression of kidney failure to ESRD.
References
Benjamin, O., & Lappin, S. L. (2018). End-stage renal disease. In StatPearls [Internet]. StatPearls Publishing.
Fruh S. M. (2017). Obesity: Risk factors, complications, and strategies for sustainable long-term weight management. Journal of the American Association of Nurse Practitioners, 29(S1), S3–S14. https://doi.org/10.1002/2327-6924.12510
Gadde, K. M., Martin, C. K., Berthoud, H. R., & Heymsfield, S. B. (2018). Obesity: pathophysiology and management. Journal of the American College of Cardiology, 71(1), 69-84. https://doi.org/10.1016/j.jacc.2017.11.011
Johns, T. S., Yee, J., Smith-Jules, T., Campbell, R. C., & Bauer, C. (2015). Interdisciplinary care clinics in chronic kidney disease. BMC nephrology, 16(1), 161.https://doi.org/10.1186/s12882-015-0158-6
Lim, H. S., Kim, H. S., Kim, J. K., Park, M., & Choi, S. J. (2019). Nutritional Status and Dietary Management According to Hemodialysis Duration. Clinical nutrition research, 8(1), 28–35. https://doi.org/10.7762/cnr.2019.8.1.28
Wolfe, B. M., Kvach, E., & Eckel, R. H. (2016). Treatment of Obesity: Weight Loss and Bariatric Surgery. Circulation Research, 118(11), 1844–1855. https://doi.org/10.1161/CIRCRESAHA.116.30759
Sample Answer 2 for NRS 410 Case Study: Mr. C. Assignment
Health problems such as obesity have immense health impacts on the affected populations. Nurses and other healthcare providers utilize patient-centered evidence-based interventions that enable patients to overcome obesity and its associated complications. Therefore, this paper explores a case study involving an obese patient. It explores health risks, prevention, health issues, and resources available for the patient.
Subjective and Objective Clinical Manifestations
Subjective clinical manifestations refer to the patient’s information about experience with a health problem. The subjective clinical manifestations in the case study include being always heavy even when he was a child, gaining about 100 pounds in the last 2-3 years, sleep apnea, high blood pressure, swollen ankles, shortness of breath with activity, and pruritus over the last six months. Objective clinical manifestations refer to the data that healthcare providers obtain during patient assessment. The objective clinical manifestations in the case study include obesity, hypertension, 3+ pitting edema on ankles and bilateral feet, hyperglycemia, hypercholesteremia, elevated triglyceride levels, and serum creatinine and BUN.
Health Risks
Mr. C is increasingly predisposed to health risks for obesity. One of them is diabetes. The client’s fasting blood sugar level is elevated, translating into either hm being diabetic or prediabetic. The other risk identified from the objective data is hypertension. The patient currently has elevated blood pressure. Obesity causes the deposition of fats in the arteries and other small blood vessels, which increase the risk of other cardiovascular complications such as atherosclerosis (Cercato & Fonseca, 2019). Mr. C is also at a high risk of developing stroke as a complication of cardiovascular events such as hypertension. The patient is also at a risk of kidney failure. His serum BUN and creatine levels are currently elevated, which imply that he has reduced renal functions (Stahl & Malhotra, 2022). The additional health risks that Mr. C is predisposed include obstructive sleep apnea and non-alcohol fatty liver disease.
Bariatric surgery is appropriate for Mr. C. Accordingly, obese patients with commodities are the ideal candidates for bariatric surgery. In addition, patients with a BMI of 40 kg/m2 or above without any medical problems and no excessive risk of bariatric surgery are also ideal candidates for the procedure. The other conditions that influence if a patient can undergo bariatric surgery include the presence of other conditions such as hyperlipidemia, hypertension, type 2 diabetes mellitus, non-alcoholic fatty liver disease, obstructive sleep apnea, asthma, severe urinary incontinence, venous stasis disease, and impaired quality of life would qualify to undergo bariatric surgery (Stahl & Malhotra, 2022). Mr. C meets most of these conditions, hence, bariatric surgery is ideal for him.
Functional Health Patterns
Mr. C has actual and potential health problems that should be prioritized in the nursing care plan. One of the actual health problems is activity intolerance related to excessive body weight gain as evidenced by his shortness of breath with activity. The implication is that his quality of life is lowered since he cannot engage independently in most activities of daily living such as exercising. The second actual health problem is impaired blood glucose control as evidenced by elevated blood glucose level. The elevated blood glucose levels predispose the patient to complications such as renal disease, hypoglycemia, and diabetic retinopathy and neuropathy. The third actual health problem from functional health patterns is impaired renal function as evidenced by elevated BUN and creatinine levels. The impairment could be attributed to hypertension and diabetes, which are due to obesity. This makes it necessary to implement interventions that aim at preserving optimum renal functioning. The fourth actual health problem is impaired cardiac function as evidenced by elevated blood pressure and other markers such as triglyceride and total cholesterol levels. Interventions that ensure optimum cardiac functioning should be adopted (Blüher, 2020). The last actual problem is altered sleep pattern as evidenced by the patient reporting obstructive sleep apnea. Cumulatively, these health problems affect Mr. C’s health and wellbeing.
Stages of Renal Disease
Renal disease occurs in stages that ultimately results in end-stage renal disease (ESRD). The first stage, stage 1 is characterized by glomerular filtration rate of above 90. This stage is asymptomatic but the kidneys may not be functioning optimally as expected. Stage 2 is characterized by glomerular filtration rate of 60-89. This stage is also asymptomatic and often diagnosed when patients come to the hospital for other health problems such as diabetes and hypertension. Stage 3 is characterized by glomerular filtration rate of 30-59. Patients experience symptoms such as fluid retention, fatigue, and alterations in urinary patterns. Stage 4 is when glomerular filtration rate is severe and ranges between 15 and 29. The symptoms experienced in this stage include vomiting, nausea, edema of the extremities, and impaired cognitive function. A glomerular filtration rate of less than 15 is the fifth stage of kidney failure, also known as ESRD (Ammirati, 2020). The factors that contributed to Mr. C developing ESRD include obesity, hypercholesteremia, elevated triglycerides, hypertension, and diabetes.
ESRD Prevention and Health Promotion Opportunities
The health education offered to Mr. C on ESRD prevention should focus on several aspects. One of them is the need for weight loss. Weight loss should be a priority to reverse additional complications such as hypertension and diabetes mellitus type 2. The other aspect of health education that should be of focus is dietary modification. Mr. C she be educated about the importance of avoiding diets rich in sodium. Sodium increases fluid retention, worsening the complications of renal disease and cardiac system. The other aspect of health education is avoiding over the counter medications. Over the counter medications such as acetaminophen are nephrotoxic. As a result, the patient should be educated on the importance of avoiding any medications that may damage the kidneys further. Mr. C should also be educated about the importance of maintaining active physical activity. Accordingly, physical activity should be encouraged, as it promotes weight loss, cardiac functioning, and glycemic control (Gonsalez et al., 2019; Lv & Zhang, 2019). Lastly, Mr. C should avoid alcohol intake or abuse of any substance, which may alter the normal kidney functioning.
Resources for ESRD Patients
Patients with ESRD have access to a wide range of resources they can utilize for their health. They include social support groups, hospice care, home health, and clinical toolkits that have been developed to guide clinicians in providing the care that the affected patients need. The other resource is the ESRD networks that help patients to access their needed services such as dialysis and kidney transplant services.
Conclusion
This paper has explored Mr. C’s case study. It has examined his clinical manifestations and health risks associated with obesity. The paper has also explored the prevention strategies for ESRD and its stages as well as resources available for the patient. Mr. C should implement interventions that minimize the risk of obesity complications. Nurses should also link him with the available community resources.
References
Ammirati, A. L. (2020). Chronic Kidney Disease. Revista Da Associação Médica Brasileira, 66, s03–s09. https://doi.org/10.1590/1806-9282.66.S1.3
Blüher, M. (2020). Metabolically Healthy Obesity. Endocrine Reviews, 41(3), bnaa004. https://doi.org/10.1210/endrev/bnaa004
Cercato, C., & Fonseca, F. A. (2019). Cardiovascular risk and obesity. Diabetology & Metabolic Syndrome, 11(1), 74. https://doi.org/10.1186/s13098-019-0468-0
Gonsalez, S. R., Cortês, A. L., Silva, R. C. da, Lowe, J., Prieto, M. C., & Silva Lara, L. da. (2019). Acute kidney injury overview: From basic findings to new prevention and therapy strategies. Pharmacology & Therapeutics, 200, 1–12. https://doi.org/10.1016/j.pharmthera.2019.04.001
Lv, J.-C., & Zhang, L.-X. (2019). Prevalence and Disease Burden of Chronic Kidney Disease. In B.-C. Liu, H.-Y. Lan, & L.-L. Lv (Eds.), Renal Fibrosis: Mechanisms and Therapies (pp. 3–15). Springer. https://doi.org/10.1007/978-981-13-8871-2_1
Stahl, J. M., & Malhotra, S. (2022). Obesity Surgery Indications And Contraindications. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK513285/
Sample Answer 3 for NRS 410 Case Study: Mr. C. Assignment
Identification of the disease affecting a patient starts from recording objective data and determining the patient’s history (Suer & Sehgal, 2021). The identification process would allow a physician to develop a medical intervention based on the signs and symptoms presented by the patient. The objective data aids in revealing infections in a patient . This paper analyzes the clinical manifestation of Mr. C to examine what he is ailing from and the required measures of treatment.
Clinical Manifestation of Mr. C
The objective data on the patients shows that Mr. C suffers from obesity and is likely to have type 2 diabetes and heart malfunction. The reason behind this projection comes from the BMI of the patient. For instance, the data shows that MR. C weighs 134.5kg and has a height of 68 inches showing that he is obese and susceptible to type 2 diabetes. The blood pressure of the patient is 172/98 implying that he is suffering from uncontrolled hypertension. Despite Mr. C mentioning that he has been avoiding sodium in his diet, its effect has not been effective. The creatinine serum in the blood is 1.8, a BUN of 32, and a 3+ pitting edema bilateral feet and ankles. This sign shows that the patient might be suffering from chronic kidney disease. The cholesterol readings are 250, with the HDL at 30 and the triglycerides at 312. This information indicates the signs of hyperlipidemia on the patient. The history of the patient being heavy since childhood and increasing weight in the last 2-3 years makes him susceptible to depression and heart diseases.
Potential Health Risks and Bariatric Surgery
The increase in weight recorded by the patient is a health risk and should be one of the major concerns for the patient. Mr. C is certain that he is obese and has been experiencing breathing problems. Besides, the high blood pressure and sleep apnea evident on the patient data also increase the risk of diabetes. These signs imply that Mr. C has various potential health risks like chronic kidney failure, high blood pressure, cancer, sleep apnea, and cardiovascular infections. Studies have shown that Bariatric surgery is one of the most effective interventions to treat patients. It will be important in reducing weight and last for more than five years (American Society for Metabolic and Bariatric Surgery, 2019).
The information given by Mr. C further shows that he has been gaining weight rapidly, which has resulted in breathing problems. The patient works in a catalog call center where the main duty is to sit and receive calls for better work. This work does not involve more physical activities. The primary work of the patient promotes obesity. Scholars define obesity as the accumulation and retention of body fat that would increase the physical weight of a person. Besides, these studies have further connected obesity to many health complications such as heart disease, kidney, diabetes, stroke, and hypertension (Lee et al.., 2019). These complications always culminate in death. Mr. C further said that he is unable to lose weight and have control of his pressure. These comments imply that Mr. C is not able to sustain a healthy life.
Functional Health Pattern
Bodyweight is one of the potential problems facing the patient. All the infections diagnosed on the patient rely on his obese nature. Mr. C does work that does not encourage physical exercise. Sitting all day while receiving and answering calls has a limited physical activity that can increase the body’s health status. The patient understands himself; he has a self-concept on the issues affecting him. For instance, he was certain that his body weight had increased in the last three years but did nothing to curb bodyweight (Mayo Clinic, 2019). Self-perception plays a significant role in compelling a person to undertake measures beneficial to them. However, in this case, Mr. C is reluctant about his condition and seems to take everything as normal. The health management measures taken by the patient are poor. The patients look at everything from a normal perspective without realizing that hos condition is tragic and would lead to death. The coping tolerance strategy of the patient is high (Lee et al.., 2019). He does not want to feel the stress of undergoing healthy eating and activities that would aid in correcting their conditions. These functional patterns seem to be worsening the condition of the patient each day.
Staging of End-stage Renal Disease (ESRD) and Contributing Factors to Consider.
ESRD is an end-stage kidney disease that occurs when chronic kidney disease has gradually lost kidney functions to an advanced state. In this stage, the kidney of a patient cannot function as required to meet the body’s needs. The kidney filters end up wasting a lot of fluids from blood excreted as urine. ESRD comes with other infections on the patient, such as type 1 or type 2 diabetes, inflammation of the kidney tubules, polycystic kidney disease, kidney stones, prolonged blockage of the urinary tract, and some cancers. Besides, ESRD further leads to vesicoureteral reflux, which is a condition that causes the urine to flow up into the kidney (Mayo Clinic, 2019).
The ESRD is irreversible, and in most cases, patients always go for a kidney transplant to discard the non-functioning kidneys with healthy kidneys. According to the condition of MR. C, there are various contributing factors to ESRD. The risk that the chronic kidney disease will be progressing to ESRD is evident from the patient (Mayo Clinic, 2019). Some of these conditions include the diseases that the patient is currently fighting. For instance, diabetes comes with poor blood sugar control, kidney disease that will affect glomeruli and the structure in the kidney that ais in blood filtration, high blood pressure, male, high cholesterol, and the age factor.
ESRD Prevention and Health Promotion Opportunities.
Studies have proved that ESRD is a significant health issue that needs effective control before it causes death. Its initial control starts from the management of the contributing factors to reduce its risk. Besides, it would be significant to develop an intervention program that promotes identifying and screening people with a high risk of ESRD. Adopting a lifestyle modification will also be imperative in enabling people to adopt a healthy living that reduces the chances of contracting ESRD (Mayo Clinic, 2019). Nurses need to have the skills meant to deal with ESRD patients. Dialysis and kidney transplant are some of the effective treatments used for kidney transplants.
Mr. C needs to understand how his condition is fatal, and taking things for granted would worsen the situation. A healthy diet is an activity that should be forming part of his practices towards recovery. Besides, the body needs exercise to burn excess fats and reduce the effects of the organs that would soon cease to function with reduced exercise. Undergoing dialysis procedures will also save the deteriorating renal status.
Types resources available for ESRD patients
ESRD patients have access to many resources, and they can receive care from groups and multidisciplinary methods. Besides, these patients can develop their relationship with physicians, nephrologists, emergency response teams, and nutritionists to aid them in fighting for ESRD (DaVita Kidney Care, 2019). Each of these professionals has a significant impact on the team and control of ESRD.
Conclusion
The case presented on Mr. C has elicited various health conditions that he has been facing and their origin. The life of Mr. depends on the health care advice and healthy living practice that would effectively manage weight and limit other chronic infections. Change in the lifestyle and adoption of treatment strategies would be effective in saving Mr. C
References
American Society for Metabolic and Bariatric Surgery (2019). Who is a Candidate for Bariatric Surgery? Retrieved from https://asmbs.org/patients/who-is-a-candidate-for-bariatric-surgery
DaVita Kidney Care. (2019). Kidney and Dialysis Resources. Retrieved from https://pressreleases.davita.com/2019-03-01-Empowering-the-Kidney-Care-Community-Kidney-Disease-Treatment-Options-to-Fit-Many-Lifestyles
Lee, P. C., Ganguly, S., Tan, H. C., Lim, C. H., Chan, W. H., Kovalik, J. P., … & Tham, K. W. (2019). Attitudes and perceptions of the general public on obesity and its treatment options in Singapore. Obesity research & clinical practice, 13(4), 404-407.
Mayo Clinic. (2019). Kidney Disease. Retrieved from -conditions/chronic-kidney-disease/symptoms-causes/syc-20354521.
Suer, M., & Sehgal, N. (2021). Physical Examination and Assessment. In Questions and Answers in Pain Medicine (pp. 27-32). Springer, Cham.