Elimination Complexities-Case Study: Mr C


E​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​valuate 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: 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 1,000 + words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following: Describe the clinical manifestations present in Mr. C. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention. Assess each o​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​f 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.) Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider. 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. 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. You are required to cite to a minimum of 5 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 -7 Style Guide. This assignment uses a rubric. Please review the attached rubric prior to beginning the assignment to become familiar with the expectations for successful completion​‌‍‍‍‌‍‍‌‍‌‌‍‍‍‌‍‌‌‌‍​

Sample Solution

benefit what was intended as a mere security.”
The mortgagee is free to act in accordance with its own interests, unless such acts are restricted by the mortgage deed. The mortgage property is only a security for the money provided by the mortgagee and so it follows that the mortgagee must be diligent in realising the amount due in order that he may restore the property to the mortgagor.

It is suggested that the parties do not have competitive bargaining powers. Lenders can and continue to include terms and conditions in a mortgage deed for collateral advantage to endure redemption . Although the collateral advantage cannot be unfair and unconscionable, or in the nature of a penalty clogging the equity of redemption, or inconsistent with or repugnant to the contractual or equitable right to redeem; there is much freedom in business contracts and Lender’s in possession do attempt to restrict the equitable right to redeem.

In Alexander v West Bromwich Mortgage Co Ltd , a mortgage agreement conferred on the lender a right to unilaterally change the product from a buy to let to a sale unlet should the borrower enforce the specially agreed term; that the borrower had to produce sums it had contracted to repay over a 25 year period on one month’s notice from the Lender. The courts held that the specially agreed term was inconsistent and unreasonable.

During proceedings, the court considered evidence of the parties intentions; the terms by which the parties had bound themselves including what is written in the offer letter, mortgage conditions and the mortgage deed itself. In cases were terms have been found to be substantially greater or different from those necessary to make the property adequate security for the liabilities secured by the mortgage, lenders have not been able to rely on them if they were inconsistent with the purpose of the mortgage.

Inconsistencies in this context does not relate to the rights of each par