Case Study: Mr. C. 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 Essay assignment, as instructed below. Health History and Medical Information Health History 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. Objective Data: 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 Critical Thinking Essay 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 assignment. Sources must be published within the last 5 years and appropriate for th.

1. Case Study: Mr. C.
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 Essay
assignment, as instructed below.
Health History and Medical Information
Health History
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.
Objective Data:
Height: 68 inches; weight 134.5 kg

2. 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
Critical Thinking Essay
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-

3. 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 assignment. Sources must be published within the
last 5 years and appropriate for the assignment criteria and
relevant to nursing practice.
Prepare this assignment according to the guidelines found in the
APA Style Guide, located in the Student Success Center. An
abstract is not required.
This assignment uses a rubric. Please review the rubric prior to
beginning the assignment to become familiar with the
expectations for successful completion.

4. View Rubrics
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Case Study: Mr. C.
No of Criteria: 11 Achievement Levels: 5
CriteriaAchievement
LevelsDescriptionPercentageUnsatisfactory0.00 %Less Than
Satisfactory75.00 %Satisfactory79.00 %Good89.00
%Excellent100.00 %Content80.0
Clinical Manifestations of Mr. C.10.0Clinical manifestations
are omitted.Clinical manifestations are partially presented.
There are major omissions and inaccuracies.Clinical
manifestations are summarized. An overview of the general
symptoms is presented. Some findings are
incomplete.Subjective and objective clinical manifestations are
described. Overall, the clinical manifestations are accurate and
reflect observed and perceived signs and symptoms.Subjective
and objective clinical manifestations are detailed. The clinical
manifestations are accurate and clearly report the observed and
perceived signs and symptoms.Potential Health Risks for
Obesity and Bariatric Surgery10.0Potential health risks for
obesity and whether bariatric surgery is an appropriate
intervention are not discussed.A partial summary on the
potential health risks for obesity and whether bariatric surgery
is an appropriate intervention is presented. There are major
inaccuracies. More information is needed. No evidence or
rationale is provided to support discussion.A summary on the
potential health risks for obesity and whether bariatric surgery
is an appropriate intervention is presented. There are some
inaccuracies. More evidence or rationale is needed to support
discussion.A discussion on the potential health risks for obesity
is presented. A discussion on whether bariatric surgery is an
appropriate intervention is presented but needs some evidence
or rationale for support.A detailed discussion of the potential

5. health risks for obesity is presented. A through and compelling
discussion on whether bariatric surgery is an appropriate
intervention is presented. The discussion is well-developed and
supported by evidence and additional rationale.Functional
Health Patterns15.0Actual or potential problems based on the
assessment of functional health patterns of the patient are
omitted or are irrelevant for the patient and his condition. The
overall criteria for this assignment are not met.At least four
actual or potential problems identified from the functional
health patterns are presented. The identified problems are not
entirely relevant for the patient and his condition. Rationale or
evidence is required for support.At least five actual or potential
problems identified from the functional health patterns are
summarized. The identified problems are generally relevant for
the patient and his condition. Some rationale and evidence is
required for support.Five or more actual or potential problems
identified from the functional health patterns are discussed. The
identified problems are relevant for the patient and his
condition. Overall, the discussion is supported by rationale and
evidence. Some detail is needed for clarity or accuracy.Five or
more actual or potential problems identified from the functional
health patterns are discussed. The discussion is insightful, and
the identified problems are highly relevant for the patient and
his condition. The discussion is well-supported by rationale and
evidence.Staging and Contributing Factors of End-Stage Renal
Disease (ESRD)10.0Staging and contributing factors for ESRD
are omitted or inaccurate.Staging of ESRD is partially
summarized. The contributing factors for ESRD are vague.
There are inaccuracies.The staging of ESRD and the
contributing factors for ESRD are generally explained. Some
information is required; there are minor inaccuracies.The
staging of ESRD and the contributing factors for ESRD are
explained. Some information or detail is needed for clarity or
detail.The staging of ESRD and the contributing factors for
ESRD are explained. The information is accurate and reflects
contemporary practice and research.Health Promotion and

6. Prevention for ESRD20.0Patient education for the prevention of
future events, health restoration, and avoidance of deterioration
of renal status is omitted.Patient education for the prevention of
future events, health restoration, and avoidance of deterioration
of renal status is partially summarized. There are inaccuracies.
Some aspects are not relevant for the patient and his health
status.Patient education for the prevention of future events,
health restoration, and avoidance of deterioration of renal status
is generally described. There are minor inaccuracies. Overall,
the proposed items are relevant for the patient and his health
status. Some evidence and rationale are needed to support the
discussion.Patient education for the prevention of future events,
health restoration, and avoidance of deterioration of renal status
is described. The proposed items are relevant and appropriate
for the patient and his health status. Evidence and rationale
generally support the discussion.Patient education for the
prevention of future events, health restoration, and avoidance of
deterioration of renal status is thoroughly described. The
proposed items are clearly presented and highly relevant and
supportive of patient and his health status. Strong evidence and
rationale generally support the discussion.Resources for ESRD
Patients for Nonacute Care and Multidisciplinary
Approach15.0Types of resources available for ESRD patients
for nonacute care, and the beneficial types of multidisciplinary
approaches, are not discussed.An incomplete explanation on the
types of resources available for ESRD patients for nonacute
care, and the beneficial types of multidisciplinary approaches,
is presented. There are major inaccuracies.A general
explanation on the types of resources available for ESRD
patients for nonacute care, and the beneficial types of
multidisciplinary approaches, is presented. There are minor
inaccuracies. Some additional information is required.An
explanation on the types of resources available for ESRD
patients for nonacute care, and the beneficial types of
multidisciplinary approaches, is presented. Some detail is
required for clarity.A clear and detailed explanation on the

7. types of resources available for ESRD patients for nonacute
care, and the beneficial types of multidisciplinary approaches,
is presented. The explanation demonstrates insight into both
resources and multidisciplinary approaches for nonacute care
for ESRD patients.
Organization, Effectiveness, and Format20.0
Thesis Development and Purpose5.0Paper lacks any
discernible overall purpose or organizing claim.Thesis is
insufficiently developed or vague. Purpose is not clear.Thesis is
apparent and appropriate to purpose.Thesis is clear and
forecasts the development of the paper. Thesis is descriptive
and reflective of the arguments and appropriate to the
purpose.Thesis is comprehensive and contains the essence of the
paper. Thesis statement makes the purpose of the paper
clear.Argument Logic and Construction5.0Statement of purpose
is not justified by the conclusion. The conclusion does not
support the claim made. Argument is incoherent and uses
noncredible sources.Sufficient justification of claims is lacking.
Argument lacks consistent unity. There are obvious flaws in the
logic. Some sources have questionable credibility.Argument is
orderly but may have a few inconsistencies. The argument
presents minimal justification of claims. Argument logically,
but not thoroughly, supports the purpose. Sources used are
credible. Introduction and conclusion bracket the
thesis.Argument shows logical progression. Techniques of
argumentation are evident. There is a smooth progression of
claims from introduction to conclusion. Most sources are
authoritative.Clear and convincing argument presents a
persuasive claim in a distinctive and compelling manner. All
sources are authoritative.Mechanics of Writing (includes
spelling, punctuation, grammar, language use)5.0Surface errors
are pervasive enough that they impede communication of
meaning. Inappropriate word choice or sentence construction is
used.Frequent and repetitive mechanical errors distract the
reader. Inconsistencies in language choice (register), sentence
structure, or word choice are present.Some mechanical errors or

8. typos are present, but they are not overly distracting to the
reader. Correct sentence structure and audience-appropriate
language are used.Prose is largely free of mechanical errors,
although a few may be present. The writer uses a variety of
effective sentence structures and figures of speech.Writer is
clearly in command of standard, written, academic
English.Paper Format (use of appropriate style for the major
and assignment)2.0Template is not used appropriately, or
documentation format is rarely followed correctly.Appropriate
template is used, but some elements are missing or mistaken. A
lack of control with formatting is apparent.Appropriate template
is used. Formatting is correct, although some minor errors may
be present.Appropriate template is fully used. There are
virtually no errors in formatting style.All format elements are
correct.Documentation of Sources (citations, footnotes,
references, bibliography, etc., as appropriate to assignment and
style)3.0Sources are not documented.Documentation of sources
is inconsistent or incorrect, as appropriate to assignment and
style, with numerous formatting errors.Sources are documented,
as appropriate to assignment and style, although some
formatting errors may be present.Sources are documented, as
appropriate to assignment and style, and format is mostly
correct.Sources are completely and correctly documented, as
appropriate to assignment and style, and format is free of error.
Total Percentage 100