Elimination Complexity Case Study
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Elimination Complexity Case Study
Obese people are at a higher risk of developing other severe illnesses and health problems. As a result, many are opting for weight reduction surgery to address obesity. Weight reduction surgery, often known as bariatric surgery, alters the digestive tract to help people lose weight. Bariatric surgery has shown to be effective in assisting patients in losing weight and improving health problems and illnesses associated with obesity. This paper seeks to examine Mr. C., who is contemplating bariatric surgery because he suffers from obesity. His medical history and whether bariatric surgery is the best option for him will also be discussed.
Clinical Manifestations
Mr. C has pruritus, 3+ pitting edema in both feet and ankles, and fluid overload, as shown by breathing difficulties. With a BMI of 45, he is deemed obese. The client has a high blood pressure of 172/98 and has tachypneic breathing with 26 breaths per minute. This might be related to fluid overload brought on by acute renal failure. Because of his elevated fasting glucose levels, Mr. C is deemed diabetic. His triglycerides and cholesterol levels are high, and his high-density lipoprotein levels have dropped, putting him at risk for cardiovascular disease. Besides having high cholesterol levels, Mr. C has renal disease, with high levels of blood urea nitrogen at 32 and creatinine at 1.8.
Potential Health Risk and Bariatric Surgery
The patient has a serious health problem as a result of his obesity. Mr. C has been overweight since childhood, implying that he has been struggling with his weight all along. He also claims that he works in a call center, where he does not engage in any physical exercise and spends so much time seated. Mr. C also put on 100 pounds in the last three years. He seems to be lacking the determination to lose some weight. Obesity is caused mostly by a lack of physical exercise (Gray et al., 2018). Regular physical activity will assist with his hypertension, hyperglycemia, and cholesterol, besides weight reduction. Mr. C would be the best fit for bariatric surgery attributable to his obesity-associated medical problems. He should, nevertheless, be prepared to make certain lifestyle changes.
Elimination Complexity Case Study
Actual or Potential Problems and Functional Health Patterns
Mr. C. recognizes that he is ill and requires treatment based on his functional health pattern. He tried eating a low-sodium diet to lower his hypertension, but he still added 100 pounds. He has to eat a diet that is minimal in sugar, fat, and sodium. Mr. C. should boost his physical exercise as well. His health will improve as a result of these lifestyle changes. Additionally, sleep apnea has disrupted his sleep routine. Heart disease, sexual dysfunction, and diabetes are all linked to sleep apnea. Due to his abnormal renal function, pruritis, and pitting edema, he could have difficulty with elimination. Chronic renal disease is a gradual, incurable condition that leads to renal failure (Whitney, 2018). Because of his high blood pressure and excessive cholesterol, he is at risk of having a stroke. The most common risk factor for heart disease is high blood pressure (Fan et al., 2020). Mr. C might also be suffering from anxiety or depression, which is most probably the result of emotional stress and low self-esteem due to his inability to cope with his obesity problem.
Staging of ESRD and Contributing Factors
There are five stages of end-stage renal disease. The glomerular filtration, or GFR, measures kidney function and decreases as it worsens. Kidney damage is present in Stage 1 with normal operation and a Glomerular filtration rate of 90 or greater. With a GFR of 89-60% in Stage 2, there is a slight reduction in renal function. Renal functioning is lost moderately to severely in Stage 3. The GFR varies between 30 and 59 percent. With a GFR of 15-29 percent in stage 4, there is a significant loss of renal function. The patient must brace for dialysis in Stage 5. The kidneys have now completely lost their functionality. The GFR is less than a quarter of a percent. Age, tobacco use, sex, race, chronic diseases, diabetes, and hypertension are major contributing factors for end-stage renal disease. With time, these significant contributors eventually injure the kidneys.
Prevention and Health Promotions
A healthy lifestyle is the first step in preventing ESRD. Obesity, hypertension, and diabetes can all be managed with the right nutrition and physical activity. For Mr. C.’s education to be meaningful, he must be examined for his willingness to modify his lifestyle. In his situation, edu