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.
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 kgBP: 172/98, HR 88, RR 263+ pitting edema bilateral feet and anklesFasting blood glucose: 146 mg/dLTotal cholesterol: 250 mg/dLTriglycerides: 312 mg/dLHDL: 30 mg/dLSerum creatinine 1.8 mg/dLBUN 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.
The historical backdrop of Spain mirrors the impact of specific societies and religions on Spanish populace, language, customs and style of life. In the Middle Ages (around 411 AD) Spain was involved by the German clans and further the nation was vanquished by the Visigoths (416 AD) (Collins, 1995). Notwithstanding, the point of this exposition is to examine the effect of the Islamic attack on Spain, as the Muslims has considerably affected the nation up to the present day. In 711-714 the Umayyad line held onto the Spanish territory close Cordoba (Rahman, 1989); after forty years Abd al-Rahman I made an Umayyad Emirate. However, it was in the tenth century under the decision of Abd al-Rahman III (912-961) that the Muslims figured out how to increase Spain’s success and riches (Goodwin, 1990). Abdal-Rahman III joined a few zones of al-Andalus and improved military, assessment and law frameworks. In the eleventh century the Emirate was separated into a few kingdoms with novel societies and conventions. After the rot of the Umayyad administration, other Islamic traditions assumed responsibility for Spain, for example, the Almoravides, the Almohades and the Nasrids (Taha, 1989). Toward the part of the bargain century the Christian rulers held onto the power in Granada and put a conclusion to the Muslim decision. Other Spanish spots, for example, Seville and Cordoba, were freed from the Muslims by Ferdinand of Aragon and Isabella of Castile in the thirteenth century. Be that as it may, the Islamic impact has protected in Spain till these days, however Isabella made everything to crush Islam and kill any hints of the Muslims. The Islamic intrusion decidedly influenced numerous everyday issues in Spain, for example, culture, instruction, religion, financial matters, science, society and family. Al-Andalus, as the Muslims called Spain, had gained the focal position among different civic establishments of the old world since the triumph of Cordoba by the Umayyad line (Chejne, 1974). Specifically, the Muslims made around 2,000 open showers and mosques for various social gatherings and actualized a few schools for poor youngsters in Cordoba. Albeit some Spanish locales contradicted the Muslim decision, industry and exchange were significantly exceptional by the Umayyads (Harvey, 1990). Spanish libraries contained in excess of 400,000 books and the avenues of Cordoba were lit up, in contrast to such European capitals as Paris and London. As Hillenbrand (1999) puts it, Cordobain its prime had no friend in Europe for the comforts of enlightened life. Its homes were plentifully provided with hot and cold running water, its boulevards were lit during the evening (p.175). Distinctive religious gatherings, for example, Christians, Muslims and Jews, effectively collaborated with one another. As indicated by Ghazanfar (2004), there existed no detachment between science, knowledge, and confidence; nor was East isolated from the West, nor the Muslim from the Jew or the Christian (p.2). Such religious resistance can be clarified by the way that the Muslims did not go about as oppressors, at the same time, rather, they attempted to improve the living states of every single social class in Spain. Therefore, Christians and Jews involved the main positions during the Muslim decision (Hopfe, 1998). This serene conjunction of three religions had proceeded till the fifteenth century (Thomson, 1989), adding to numerous parts of life in Spain. For example, in the eleventh century Arabic language was used in Spanish science and writing, while Spaniards started to gain proficiency with the Muslims’ language to familiarize with Arabic compositions (Shubert, 1992). A few Christians and Jews acquired Arabic culture and religion, bit by bit changing into Mozarabs, individuals who were Arabized (Watt, 1965). Numerous uneducated Spanish individuals figured out how to peruse and compose, ascertain and explore (Houston, 1964). As the Muslims saved some Roman and Greek abstract works, Spanish Christians filled in as interpreters for these vital original copies. Engineering, theory, arithmetic and different sciences additionally flourished under the decision of the Umayyad tradition because of their faith in Allah and the laws of the Qur’an, the sacred book of the Muslims that highlighted the intensity of learning (Fakhry, 1983). As the Muslims made endeavors to get God, they additionally attempted to reveal reality with regards to human instinct by leading various inquires about and logical examinations (Saud, 1994). For example, the Muslims substituted the Roman number framework existed in Spain for the Arabic number framework that has been broadly used in variable based math, number-crunching and business from that point forward. What’s more, space science, medication, science and science started to flourish in Spain after the Islamic intrusion (Lewis, 1993). Among the most celebrated Spanish rationalists, essayists, specialists and researchers of the Muslim time are Al-Kwarizmi, Ibn Rushd, Ibn Zuhr, Al-Razi and Ibn Sina (Chejne, 1974). Ibn Sina’s therapeutic treatise Al-Qanun had been contemplated in numerous European instructive foundations for around 300 years and had been viewed as extraordinary compared to other medicinal works (Vernet, 1992). One of the best Muslim researchers of Spain was Abu Zakariyah al-Awwam Ishibili who made a methodology of uniting and offered names to in excess of 500 plants (Ghazanfar, 2004). Pedro Alfonzo, a Spanish Muslim researcher who was keen on cosmology, asserted that his desire was to raise again to life the learning of that science which is in such a regrettable state among those informed in the Latin way (Hermes, 1977, p.72). Because of such a propelled phase of logical improvement, numerous European researchers touched base to Spain to get learning in different sciences and to translate Latin writings. Concerning financial matters, the Muslims made the silk business in Al-Andalus, slowly changing Spain into perhaps the biggest nation for silk creation. The nation was likewise occupied with the generation of silk, cotton, pepper, hides, timekeepers, paper, maps and cleansers. Further Spain added to the fine textures producing in Europe. Horticulture was inadequately created in Spain in view of a primordial water system framework (White, 1970; Semple, 1971); yet the Muslims substituted this old framework for another improved water system strategy that brought about the thriving of plantations and the expansion of rice crops in such territories as Granada and the Valenican huerta (Dickie, 1968). The Muslims used the technique for Syrianization to improve farming of Spanish towns, particularly Valencia and Seville (Burns, 1973). The new framework enabled Spaniards to strengthen crops with the assistance of fake water supply (Smith, 1966, p.442). Up to the present day this water system framework has been constrained by an old Muslim court (Tribunal of the Waters); today this Tribunal is held once per week and is planned for illuminating questionable rural issues. Because of these enhancements, Spanish individuals started to develop different plants and trees, for example, oranges, lemons, artichokes, apricots, olive and actualized a propelled arrangement of nature assurance (Imamuddin, 1965, p.84). Prior to the Islamic attack, Spanish developed winter crops, yet the Muslims figured out how to actualize Indian harvests that were developed in an ice free season. Subsequently, numerous Arabic words were acquainted in Spanish language with reflect various parts of the water system framework; for example, alberca-al-birka implies a pool and acequia-al-saqiya implies a water system discard. These days a few blooms bear the Arabic names, such asbellota-balluta for oak seed, alazor-al-asfur for safflower and al-fasfasa foralfalfa. Different words mirror the effect of the Muslims on cultivating: tahona-tahuna (flour-factory), aldea-al-day’s (town), and rabadan-rabb al-da’n (head-shepherd). As the Muslims were fixated on nature, they used their imaginative aptitudes to make impressive nurseries and structures that have stood out of individuals till these days (Blair and Bloom, 1994). Such surprising spots as the Alhambra of Granda, the Mosque of Cordoba and the Alcazar of Seville are the visual heritage of the Muslims in Spain (Barrucand and Bednorz,1992; Ettinghausen and Grabar, 1987). These mind blowing structural structures unmistakably uncover the Muslims’ advancements in the fields of engineering plan and style(King, 1978; Grabar, 1978; Rodriguez, 1992). Lamentably, practically all Islamic structural landmarks were crushed toward the part of the arrangement century; just the Alhambra stayed whole (Fletcher, 1987). Numerous popular authors and specialists portrayed the Alhambra in their works (Ching, 1979). For example, Washington Irving made Tales of the Alhambra when he visited this spot in Spain. In spite of the devastation of numerous Islamic structures (Barrucand and Bednorz, 1992), another Islamic mosque for Spanish Muslims hasbeen as of late implicit Granada because of Islam recharging in 1989. The Muslims can supplicate in the mosque and get instruction in such sciences as prescription and law. Today the quantity of the Muslims in Spain ways to deal with onemillion individuals who unequivocally guard their rights and their confidence. Some Spanish Muslims keep on living in the Albaican quarter in Granada, where the Muslims lived in the 10-15 centuries. In any case, the strains between Spanish Muslims and Spanish Christians are somewhat convoluted, albeit Spanish government understands that it is essential to improve the relations between these two religious gatherings. Investigating the effect of the Islamic attack on the historical backdrop of Spain, the paper recommends that the Muslims impressively influenced such territories of Spanish life as financial matters, culture, science, design, workmanship and religion. They figured out how to improve the nation’s horticulture and assembling, adding to its flourishing and riches; they actualized many propelled frameworks dependent on logical discoveries, particularly Arabic number arrangement of estimation, the light framework and the water system strategy. The Muslims moved their insight in medication, variable based math, science, cosmology, design, craftsmanship, nature and innovation to Spanish individuals who further grant>