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, as instructed below.
Health History and Medical Information
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.
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
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
sed on weakened health of companies in many countries. They also studied cheating and manipulating cases in financial reports and observed corporate governance of sampled entities. Those reports have confirmed the following: A. The need of having internal auditing function in all companies. B. The internal auditing management has to perform an effective role in governing and evaluating control systems and managing risks. This role of modern auditing is vague and does not define the functions and responsibilities of the internal auditor clearly towards risk management, observation and governing; so it motivates the researcher to study and reveal the role of internal auditing in Libyan industrial companies. 1.2. Issue of study: In the last few years, the increase of bankruptcy, insolvency cases and failure in many companies lead to more interest in internal auditing systems and to the urgent need to activate what is known as company governance. Concerns regarding the necessity of improving the role of internal auditor and adding new functions to the auditor to help in avoiding bankruptcy, insolvency and financial trespasses, particularly after the failure of external auditor in early detection of business risks and in issuing unmodified reports. Being all the time inside the company enables the internal auditor to become more aware of the nature of operations and the level of performance, and also to follow all the actions and all aspects of related activities. The internal auditor also performs a regular test around the year in order to include all types of company operations. So the functions performed by the internal audit of the company have developed. Namely, internal audit become that kind of function which is no longer limited to just testing financial and accounting operations, or even all company operations, it has got the role of testing and evaluating observation systems, and finding and evaluating risks surrounding the activities of the company which reduces related risks in accomplishing the targets of the company. The internal auditing has become a major component of any governing process in the company; it is the function that connects all governing components in the company (management board, auditing committee, external auditor), these various functions have made the internal auditing an activity that adds value. Most professional reports dealing with these developments have confirmed the role of internal auditing in testing and in evaluating observation systems, and in finding out and evaluating treating these risks and governing them. However, the internal audit function in Libya is still concentrating on exercising its traditional role and carrying out the observational function. Therefore, the importance of this role is significant and it should be revealed to industrial companies in Libya in order to illustrate how internal auditing can contribute in supporting the manage>GET ANSWER