A patient has just received her first dose of imatinib and the nurse on the oncology unit is amending the patient’s care plan accordingly. What nursing diagnosis is most appropriate in light of this addition to the patient’s drug regimen?
February 10, 2020Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
February 10, 2020n
nnHealth HistorynnMr. 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.nnObjective Data:nn1. Height: 68 inches; weight 134.5 kgnn2. BP: 172/98, HR 88, RR 26nn3. 3+ pitting edema bilateral feet and anklesnn4. Fasting blood glucose: 146 mg/dLnn5. Total cholesterol: 250 mg/dLnn6. Triglycerides: 312 mg/dLnn7. HDL: 30 mg/dLnn8. Serum creatinine 1.8 mg/dLnn9. BUN 32 mg/dlnnCritical Thinking EssaynnIn 900-words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:nn1. Describe the clinical manifestations present in Mr. C.nn2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.nn3. 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.)nn4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.nn5. 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.nn6. 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.nnYou are required to cite to three sources to complete this assignment. Sources must be published within the last 5 years. Also, you must have an abstract and a conclusion with a minimum of 5 sentences to wrap up this case study.nn
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