Clinical manifestations present Introduction Mr. C, a si, Lecture notes of Accounting

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Clinical manifestations present Introduction Mr. C, a single 32-year-old man who works at a telephone catalogue centre, is overweight. Mr. C, who has been obese since childhood, has gained about 100 pounds in the past two years, putting his health at risk. His medical history shows that he has hypertension and sleep apnea, but there is no metabolic disease evidence. Mr. C has had breathing problems, pruritus, and swollen ankles for the past six months. Mr. C is looking for information on bariatric surgery to help him lose weight. This thesis paper will describe Mr. C's clinic manifestations concerning his obesity and health-promotion plans. Clinical manifestations present in Mr. C Mr. C's clinical signs must be thoroughly examined because this will aid in his clinical manifestation and develop the best medical plan for his health condition. According to the objective statistics, Mr. C has a BMI of 45.1, which indicates that he is obese. According to his current manifestation, he also has a high blood pressure of 172/98, with a fasting blood glucose value of 146 mg/dl. Mr. C also claims to have swollen ankles and shortness of breath, which he has been experiencing for six months. Mr. C's DHL level is 30 mg/dL, and his serum creatinine level is 1.8 mg/dL. Potential health risks for obesity that concern Mr. C Mr. C's clinical signs indicate several potential health risks, including high blood pressure. Mr. C has inflammation, low-density lipoprotein, cholesterol, and blood sugar levels that are all positively linked with obesity. Mr. C will have a stroke, coronary heart disease, or even cardiovascular complications in this situation if he is not treated (Katsiki, Banach & Mikhailidis, 2019).

Bariatric surgery considerations Mr. C would choose to have bariatric surgery if given the proper support, which is coherent. Many patients who have undergone this surgery can sustain their weight loss for a reasonable period, according to research by Pontiroli, et. al., (2018). Mr. C should choose bariatric surgery because it is the best choice for a patient with a severe obesity condition. However, the surgery has some adverse effects on mental status; on the plus side, the surgery benefits outweigh the disadvantages. Functional health patterns assessment Elimination If Mr. M has an abdominal condition, elimination can be used to eliminate any dietary changes, which can also be done through medication; however, there is no information about his digestive system in his objective data, suggesting a situation where he is suffering from constipation or diarrhoeas. Cognitive perceptual Mr. C is looking for information on bariatric surgery because of his obesity. This is due to his discomfort, necessitating the need to lose weight to be at ease. Relationships Mr. C, based on the information provided, would need assistance while undergoing bariatric surgery. This will make him feel valued and ensure that he has people to look after him after the surgery. However, there is no apparent indication of Mr. C's relationships in this case study. Nutritional Given his weight, it's safe to say Mr. C doesn't live a healthier lifestyle. This is one of the main reasons for his obesity, which puts him at risk of a heart attack or stroke. As a result, he requires bariatric surgery, which will enable him to feel more comfortable and eliminate health issues such as sleep apnea.

Health management Mr. C is well aware that he needs bariatric surgery to get rid of the extra weight because of the circumstances that his weight has put him in. Mr. C's obesity puts him at risk for cardiovascular disease, so he keeps his blood pressure in check by eating a low-sodium diet. He retains his use of CPAP, which helps him with sleep apnea. Staging of end-stage renal disease (ESRD) When chronic kidney disease progresses to the point of ESRD, it is known as an end- stage renal disease (Wang, et. al., 2020). The kidneys' expected to function in the human body is impaired at this stage, as they no longer perform as they should. Kidneys filter excess fluid and waste from the body; when they stop working, this waste will build up in the body, posing a risk of infection. Vomiting, loss of appetite, sleep issues, swelling of the feet and ankles, and diminished mental sharpness are manifestations of chronic kidney disease (Wang, et. al., 2020). High blood pressure, smoking, diabetes with poor blood sugar control, advanced age, and renal disease after a kidney transplant are contributing factors. Patient education provided to Mr. C Mr. C is obese, so he must quickly become accustomed to a schedule of physical activity. This is because exercise is one of the health-promotion plans that experts recommend living a happy and healthy life. Mr. C should limit his leisure activities because they will increase his chances of gaining weight following surgery. He should also be offered a handbook outlining the advantages of leading a healthier lifestyle and the drawbacks and dangers of being obese (Warin & Zivkovic, 2019). ESRD available resources for patients Despite being the primary caregivers, doctors and nurses play a critical role in ensuring that ESRD patients are well cared for. These professionals ensure that the equipment used by ESRD patients, such as dialysis machines and operating theatres, is up and running and in good working order in hospitals, ensuring that no patient misses an appointment.

Friends, family, and the church are also helpful resources for the patients, as they ensure that they are well cared for materially, spiritually, and nutritionally to heal without being stressed (Warin & Zivkovic, 2019). Because it is difficult for doctors to maintain a daily follow-up of their patients due to transportation issues, it would be more cost-effective to follow their patients' progress via video calls as they recover at home with the internet's advent. Conclusion Obesity is a dangerous health condition that can easily cause cardiovascular issues in a patient, as demonstrated by Mr. C's case study. A registered nurse's first responsibility is to learn about the patient's health condition, giving them an idea of what the patient may have been going through. To avoid becoming obese, a lifestyle change is beneficial, particularly in diet and exercise, keeping a person healthy at all times. However, when faced with an obese condition, deciding on the best treatment procedure, such as bariatric surgery, is essential. In such situations, in collaboration with friends and relatives, nurses and physicians should be available to provide the comfort that such a patient requires as they recover. References: Katsiki, N., Banach, M., & Mikhailidis, D. P. (2019). Is type 2 diabetes mellitus a coronary heart disease equivalent or not? Do not just enjoy the debate and forget the patient!. Archives of medical science: AMS , 15 (6), 1357. Doi: 10.5114/aoms.2019.89449. Pontiroli, A. E., Zakaria, A. S., Fanchini, M., Osio, C., Tagliabue, E., Micheletto, G., ... & Folli, F. (2018). A 23-year study of mortality and development of co-morbidities in patients with obesity undergoing bariatric surgery (laparoscopic gastric banding) in comparison with medical treatment of obesity. Cardiovascular diabetology , 17 (1), 1-

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Wang, Q., Wang, Y., Wang, J., Zhang, L., & Zhao, M. H. (2020). White-coat hypertension and incident end-stage renal disease in patients with non-dialysis chronic kidney disease: results from the C-STRIDE Study. Journal of translational medicine , 18 (1), 1-11. Doi: https://doi.org/10.1186/s12967-020-02413-w. Warin, M., & Zivkovic, T. (2019). Fatness, obesity, and disadvantage in the Australian suburbs: unpalatable politics. Springer.