NRS410V California State Mr Cs Potential Diagnosis & Intervention Case Discussion It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced u

NRS410V California State Mr Cs Potential Diagnosis & Intervention Case Discussion 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.

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 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 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.)
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 two 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. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. *please look into the attached rubric* thank you. Course Code
NRS-410V
Class Code
NRS-410V-OL191
Criteria
Content
Percentage
80.0%
Clinical Manifestations of Mr. C.
10.0%
Potential Health Risks for Obesity and Bariatric
Surgery
10.0%
Functional Health Patterns
15.0%
Staging and Contributing Factors of End-Stage
Renal Disease (ESRD)
10.0%
Health Promotion and Prevention for ESRD
20.0%
Resources for ESRD Patients for Nonacute Care
and Multidisciplinary Approach
15.0%
Organization, Effectiveness, and Format
20.0%
Thesis Development and Purpose
5.0%
Argument Logic and Construction
5.0%
Mechanics of Writing (includes spelling,
punctuation, grammar, language use)
5.0%
Paper Format (use of appropriate style for the
major and assignment)
2.0%
Documentation of Sources (citations, footnotes,
references, bibliography, etc., as appropriate to
assignment and style)
3.0%
Total Weightage
100%
Assignment Title
Case Study: Mr. C.
Unsatisfactory (0.00%)
Clinical manifestations are omitted.
Potential health risks for obesity and whether bariatric
surgery is an appropriate intervention are not discussed.
Actual or potential problems based on the assessment of
functional health patterns of the patient are omitted or are
irrelevant for the patient and his condition. The overall
criteria for this assignment are not met.
Staging and contributing factors for ESRD are omitted or
inaccurate.
Patient education for the prevention of future events, health
restoration, and avoidance of deterioration of renal status is
omitted.
Types of resources available for ESRD patients for nonacute
care, and the beneficial types of multidisciplinary approaches,
are not discussed.
Paper lacks any discernible overall purpose or organizing
claim.
Statement of purpose is not justified by the conclusion. The
conclusion does not support the claim made. Argument is
incoherent and uses noncredible sources.
Surface errors are pervasive enough that they impede
communication of meaning. Inappropriate word choice or
sentence construction is used.
Template is not used appropriately, or documentation format
is rarely followed correctly.
Sources are not documented.
Total Points
120.0
Less Than Satisfactory (75.00%)
Clinical manifestations are partially presented. There are
major omissions and inaccuracies.
A partial summary on the potential health risks for obesity
and whether bariatric surgery is an appropriate intervention
is presented. There are major inaccuracies. More information
is needed. No evidence or rationale is provided to support
discussion.
At least four actual or potential problems identified from the
functional health patterns are presented. The identified
problems are not entirely relevant for the patient and his
condition. Rationale or evidence is required for support.
Staging of ESRD is partially summarized. The contributing
factors for ESRD are vague. There are inaccuracies.
Patient education for the prevention of future events, health
restoration, and avoidance of deterioration of renal status is
partially summarized. There are inaccuracies. Some aspects
are not relevant for the patient and his health status.
An incomplete explanation on the types of resources
available for ESRD patients for nonacute care, and the
beneficial types of multidisciplinary approaches, is presented.
There are major inaccuracies.
Thesis is insufficiently developed or vague. Purpose is not
clear.
Sufficient justification of claims is lacking. Argument lacks
consistent unity. There are obvious flaws in the logic. Some
sources have questionable credibility.
Frequent and repetitive mechanical errors distract the
reader. Inconsistencies in language choice (register), sentence
structure, or word choice are present.
Appropriate template is used, but some elements are missing
or mistaken. A lack of control with formatting is apparent.
Documentation of sources is inconsistent or incorrect, as
appropriate to assignment and style, with numerous
formatting errors.
Satisfactory (79.00%)
Clinical manifestations are summarized. An overview of the
general symptoms is presented. Some findings are
incomplete.
A summary on the potential health risks for obesity and
whether bariatric surgery is an appropriate intervention is
presented. There are some inaccuracies. More evidence or
rationale is needed to support discussion.
At least five actual or potential problems identified from the
functional health patterns are summarized. The identified
problems are generally relevant for the patient and his
condition. Some rationale and evidence is required for
support.
The staging of ESRD and the contributing factors for ESRD are
generally explained. Some information is required; there are
minor inaccuracies.
Patient education for the prevention of future events, health
restoration, and avoidance of deterioration of renal status is
generally described. There are minor inaccuracies. Overall,
the proposed items are relevant for the patient and his health
status. Some evidence and rationale are needed to support
the discussion.
A general explanation on the types of resources available for
ESRD patients for nonacute care, and the beneficial types of
multidisciplinary approaches, is presented. There are minor
inaccuracies. Some additional information is required.
Thesis is apparent and appropriate to purpose.
Argument is orderly but may have a few inconsistencies. The
argument presents minimal justification of claims. Argument
logically, but not thoroughly, supports the purpose. Sources
used are credible. Introduction and conclusion bracket the
thesis.
Some mechanical errors or typos are present, but they are
not overly distracting to the reader. Correct sentence
structure and audience-appropriate language are used.
Appropriate template is used. Formatting is correct, although
some minor errors may be present.
Sources are documented, as appropriate to assignment and
style, although some formatting errors may be present.
Good (89.00%)
Subjective and objective clinical manifestations are described.
Overall, the clinical manifestations are accurate and reflect
observed and perceived signs and symptoms.
A discussion on the potential health risks for obesity is
presented. A discussion on whether bariatric surgery is an
appropriate intervention is presented but needs some
evidence or rationale for support.
Five or more actual or potential problems identified from the
functional health patterns are discussed. The identified
problems are relevant for the patient and his condition.
Overall, the discussion is supported by rationale and
evidence. Some detail is needed for clarity or accuracy.
The staging of ESRD and the contributing factors for ESRD are
explained. Some information or detail is needed for clarity or
detail.
Patient education for the prevention of future events, health
restoration, and avoidance of deterioration of renal status is
described. The proposed items are relevant and appropriate
for the patient and his health status. Evidence and rationale
generally support the discussion.
An explanation on the types of resources available for ESRD
patients for nonacute care, and the beneficial types of
multidisciplinary approaches, is presented. Some detail is
required for clarity.
Thesis is clear and forecasts the development of the paper.
Thesis is descriptive and reflective of the arguments and
appropriate to the purpose.
Argument shows logical progression. Techniques of
argumentation are evident. There is a smooth progression of
claims from introduction to conclusion. Most sources are
authoritative.
Prose is largely free of mechanical errors, although a few may
be present. The writer uses a variety of effective sentence
structures and figures of speech.
Appropriate template is fully used. There are virtually no
errors in formatting style.
Sources are documented, as appropriate to assignment and
style, and format is mostly correct.
Excellent (100.00%)
Subjective and objective clinical manifestations are detailed.
The clinical manifestations are accurate and clearly report the
observed and perceived signs and symptoms.
A detailed discussion of the potential health risks for obesity
is presented. A through and compelling discussion on
whether bariatric surgery is an appropriate intervention is
presented. The discussion is well-developed and supported
by evidence and additional rationale.
Five or more actual or potential problems identified from the
functional health patterns are discussed. The discussion is
insightful, and the identified problems are highly relevant for
the patient and his condition. The discussion is wellsupported by rationale and evidence.
The staging of ESRD and the contributing factors for ESRD are
explained. The information is accurate and reflects
contemporary practice and research.
Patient education for the prevention of future events, health
restoration, and avoidance of deterioration of renal status is
thoroughly described. The proposed items are clearly
presented and highly relevant and supportive of patient and
his health status. Strong evidence and rationale generally
support the discussion.
A clear and detailed explanation on the types of resources
available for ESRD patients for nonacute care, and the
beneficial types of multidisciplinary approaches, is presented.
The explanation demonstrates insight into both resources
and multidisciplinary approaches for nonacute care for ESRD
patients.
Comments
Thesis is comprehensive and contains the essence of the
paper. Thesis statement makes the purpose of the paper
clear.
Clear and convincing argument presents a persuasive claim in
a distinctive and compelling manner. All sources are
authoritative.
Writer is clearly in command of standard, written, academic
English.
All format elements are correct.
Sources are completely and correctly documented, as
appropriate to assignment and style, and format is free of
error.
Points Earned

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