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.
GCSE War Poem
Melodies of GCSE war “Light Battle” and “Pre-winter Battle” are for the most part sonnets about war. Alfred Tennyson’s “Light Brigade’s Accusation” composed on fourteenth November 1854 clarifies one thing in the Crimean war. England and France are concerned that Russia will move south, so assaulted Russia in Balaclava. During the war in September 1914, Lawrence Bingyan expressed “for fall”, yet received a one-sided demeanor that shows positive and negative outcomes, specifically. . It is a nation.
We should see the prerequisites of GCSE’s English writing. Understudies need to recollect the “significant substance” of the 15 books of various lengths and various books, Shakespeare plays (the significant thing is code word). With at any rate fiction and show, you realize that you will be controlled – in verse, 13 of the 15 sonnets you recollect won’t show up in your theory. Pick two sections as tests, analyze them, and request that the understudies interface them to a particular point
Clarify how the extraordinary attributes of in any event two works in Wilfred Owen’s sonnets influence one another and impact their responses. The center highlights of Wilfred Owen’s war verse incorporate misuse of war, dread of war, and the physical impact of war. These highlights can be found in Owen’s correspondence with perusers, verse ‘Darce and Decolm Est’ drawing in perusers’ feelings to fighters and ‘Destiny to youth of predetermination’. These sonnets interface and investigate understanding
“Maryal Mountain in this sonnet” clarifies the characteristic picture.
Maybe the most well known contemporary utilization of this sentence is the title of the sonnet “Dulce et Decorum est” by British artist Wilfred Owen during the First World War. Owen’s verse depicts the gas assault during the First World War and is one of his numerous enemy of war sonnets that were not reported until the finish of the war. In the last hardly any lines of this sonnet, Horatian phrases are communicated as “antiquated falsehoods”. Individuals accept and utilize the first of that sonnet to clarify that Owen is attempting to disparage the sonnet by Jessie Pope (who lauded the war and selected in a straightforward devoted verse). “Little accomplice” who is eager about charging and shooting. Like “telephone”
The main sonnet mirrors the picture of war that a great many people know well. This sonnet “Flanders Battlefield” is likely the most renowned and mainstream war sonnet. It was first distributed in British ‘punch’ magazine in December 1915. Very quickly, this sonnet represents the penance of all the battle in World War I. “Flanders Battlefield” was made by a specialist and educator of Canada, John McCrea who worked in the South African War and the First World War. He was moved to the clinical group and relegated to a French medical clinic. He was dynamic in 1918 and kicked the bucket of pneumonia. His sonnet assortment “Flanders Field” and other verse assortments were distributed in 1919. This sonnet is still piece of a commemoration in Canada and different nations.