Reference no: EM133638727
Problem
Read the case study below. Evaluate the information and formulate a conclusion based on your evaluation. Complete the critical thinking table and submit this completed template to the assignment dropbox.
Case Study: Mr. D.
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 lifespan.
Evaluate the Health History and Medical Information for Mr. D., presented below.
Health History and Medical Information
Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant for the last 5 years and practices the Muslim faith. He reports that he avoids all pork products. His complaints included decreased balance, loss of sensation, fear of falling, and decreased endurance during activities of daily living due to the effects of dialysis treatment. The patient's previous medical evaluation includes end-stage renal disease (ESRD) on dialysis and referral for recommendations for initiating an exercise program. Patient comorbidities include obesity with a body mass index (BMI) of 45, type II diabetes mellitus with long-term insulin use, hypertension, sleep apnea, depression with lack of family support and understanding, and diabetic neuropathy. The patient denies suicidal ideation but does report feelings of loneliness and helplessness. Mr. D. 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: 140/94, HR 84, RR 22
2+ 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
GRF (glomerular filtration rate)-13mL/min
Clinical Manifestations
Describe the clinical manifestations present in Mr. D., focusing on the normal and abnormal findings and how this relates to his current condition.
|
Which additional assessment data are important for nurse
: Client seen at the health department clinic today for reports. Which additional assessment data are most important for the nurse to gather from the client?
|
|
What does head circumference measure in a child
: Kelly is concerned about the growth of her daughter Quinn. At Quinn's last pediatrician appointment. What does head circumference measure in a child?
|
|
Which statement indicates accurate understanding of teaching
: A nurse provides community health services for older adults. Which statement, if made by a resident, indicates an accurate understanding of the teaching?
|
|
What would you do-try to change it or start looking
: what would you do-try to change it or start looking for another job? If you have ever faced such a dilemma before, what did you do? Is there a way
|
|
Describe the clinical manifestation present in mr d focusing
: Describe the clinical manifestations present in Mr. D., focusing on the normal and abnormal findings and how this relates to his current condition.
|
|
What are the people in this particular rural county
: The answer is not just "spend more money" - what are the people in this particular rural county trying to do differently to promote a better education
|
|
Create an annotated outline of your capstone paper
: Create an annotated outline of your capstone paper. While everyone has their own writing style, effective business professionals use outlines to organize
|
|
Which would prescribed to control jims acne might include
: Jim, age 18, has moderately severe acne on his face, chest, and back. Which would be prescribed to control Jim's acne, might include?
|
|
How to move forward with a plan to reduce diabetes
: What values are conflicted? Come up with a recommendation whether and how to move forward with a plan to reduce diabetes in the city question.
|