Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in 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. Patient’s previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating 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. 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 t

Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in 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. Patient’s previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating 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. 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 t

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.
Subjective Mr. D has the following subjective findings:

 

Decreased balance

Loss of sensation

Decreased activity endurance

Feelings of loneliness and helplessness

Exertional dyspnea

Sleep apnea

Ankle edema

Pruritus
Objective Mr. D has the following objective findings

 

Risk of fall

Morbid Obesity:BMI-46.4

Tachypnea

High blood pressure-140/94

Bilateral 2+ pitting ankle and feet edema

Hyperlipidemia

Hyperglycemia

Elevated creatinine and BUN levels

Decreased glomerular filtration rate (GFR)
Potential Health Risks for Diabetes WithEnd-Stage Renal Disease

 

Identify the potential health risks for a diabetic with ESRD and the impacts of nonadherence.
Identify the potential health risks for a diabetic with end-stage renal disease (ESRD) that are of concern for Mr. D. Mr. D has a medical history of Type II Diabetes and ESRD, which puts him at risk of various health risks.

 

Coronary heart disease: This is a significant health risk of ESRD and diabetes. Mr. D has obesity, hyperlipidemia, and HTN, which further increases the risk for Coronary heart disease.

Metabolic Acidosis: Mr. D is at risk of developing Metabolic Acidosis caused by the accumulation of phosphates, sulfates, and other organic anions that cause an increase in the anion gap (Zheng et al., 2020).

Hyperkalemia: Mr. D is at risk of hyperkalemia, which develops when GFR falls below 20-25 mL/min, as the kidneys’ ability to excrete potassium decreases (Zheng et al., 2020).

Order A Similar Paper

Our Advantages

Quality Work

Unlimited Revisions

Affordable Pricing

24/7 Support

Fast Delivery

Order Now

Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in 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. Patient’s previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating 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. 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 t

Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in 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. Patient’s previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating 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. 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 t

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.
Subjective Mr. D has the following subjective findings:

 

Decreased balance

Loss of sensation

Decreased activity endurance

Feelings of loneliness and helplessness

Exertional dyspnea

Sleep apnea

Ankle edema

Pruritus
Objective Mr. D has the following objective findings

 

Risk of fall

Morbid Obesity:BMI-46.4

Tachypnea

High blood pressure-140/94

Bilateral 2+ pitting ankle and feet edema

Hyperlipidemia

Hyperglycemia

Elevated creatinine and BUN levels

Decreased glomerular filtration rate (GFR)
Potential Health Risks for Diabetes WithEnd-Stage Renal Disease

 

Identify the potential health risks for a diabetic with ESRD and the impacts of nonadherence.
Identify the potential health risks for a diabetic with end-stage renal disease (ESRD) that are of concern for Mr. D. Mr. D has a medical history of Type II Diabetes and ESRD, which puts him at risk of various health risks.

 

Coronary heart disease: This is a significant health risk of ESRD and diabetes. Mr. D has obesity, hyperlipidemia, and HTN, which further increases the risk for Coronary heart disease.

Metabolic Acidosis: Mr. D is at risk of developing Metabolic Acidosis caused by the accumulation of phosphates, sulfates, and other organic anions that cause an increase in the anion gap (Zheng et al., 2020).

Hyperkalemia: Mr. D is at risk of hyperkalemia, which develops when GFR falls below 20-25 mL/min, as the kidneys’ ability to excrete potassium decreases (Zheng et al., 2020).

Order A Similar Paper

Our Advantages

Quality Work

Unlimited Revisions

Affordable Pricing

24/7 Support

Fast Delivery

Order Now

Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in 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. Patient’s previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating 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. 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 t

Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in 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. Patient’s previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating 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. 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 t

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.
Subjective Mr. D has the following subjective findings:

 

Decreased balance

Loss of sensation

Decreased activity endurance

Feelings of loneliness and helplessness

Exertional dyspnea

Sleep apnea

Ankle edema

Pruritus
Objective Mr. D has the following objective findings

 

Risk of fall

Morbid Obesity:BMI-46.4

Tachypnea

High blood pressure-140/94

Bilateral 2+ pitting ankle and feet edema

Hyperlipidemia

Hyperglycemia

Elevated creatinine and BUN levels

Decreased glomerular filtration rate (GFR)
Potential Health Risks for Diabetes WithEnd-Stage Renal Disease

 

Identify the potential health risks for a diabetic with ESRD and the impacts of nonadherence.
Identify the potential health risks for a diabetic with end-stage renal disease (ESRD) that are of concern for Mr. D. Mr. D has a medical history of Type II Diabetes and ESRD, which puts him at risk of various health risks.

 

Coronary heart disease: This is a significant health risk of ESRD and diabetes. Mr. D has obesity, hyperlipidemia, and HTN, which further increases the risk for Coronary heart disease.

Metabolic Acidosis: Mr. D is at risk of developing Metabolic Acidosis caused by the accumulation of phosphates, sulfates, and other organic anions that cause an increase in the anion gap (Zheng et al., 2020).

Hyperkalemia: Mr. D is at risk of hyperkalemia, which develops when GFR falls below 20-25 mL/min, as the kidneys’ ability to excrete potassium decreases (Zheng et al., 2020).

Order A Similar Paper

Our Advantages

Quality Work

Unlimited Revisions

Affordable Pricing

24/7 Support

Fast Delivery

Order Now

Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in 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. Patient’s previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating 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. 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 t

Mr. D. is a 65-year-old male nonadherence diabetic with end-stage renal disease receiving dialysis. He is a retired certified public accountant in 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. Patient’s previous medical evaluation includes end stage renal disease (ESRD) on dialysis and referral for recommendations for initiating 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. 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 t

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.
Subjective Mr. D has the following subjective findings:

 

Decreased balance

Loss of sensation

Decreased activity endurance

Feelings of loneliness and helplessness

Exertional dyspnea

Sleep apnea

Ankle edema

Pruritus
Objective Mr. D has the following objective findings

 

Risk of fall

Morbid Obesity:BMI-46.4

Tachypnea

High blood pressure-140/94

Bilateral 2+ pitting ankle and feet edema

Hyperlipidemia

Hyperglycemia

Elevated creatinine and BUN levels

Decreased glomerular filtration rate (GFR)
Potential Health Risks for Diabetes WithEnd-Stage Renal Disease

 

Identify the potential health risks for a diabetic with ESRD and the impacts of nonadherence.
Identify the potential health risks for a diabetic with end-stage renal disease (ESRD) that are of concern for Mr. D. Mr. D has a medical history of Type II Diabetes and ESRD, which puts him at risk of various health risks.

 

Coronary heart disease: This is a significant health risk of ESRD and diabetes. Mr. D has obesity, hyperlipidemia, and HTN, which further increases the risk for Coronary heart disease.

Metabolic Acidosis: Mr. D is at risk of developing Metabolic Acidosis caused by the accumulation of phosphates, sulfates, and other organic anions that cause an increase in the anion gap (Zheng et al., 2020).

Hyperkalemia: Mr. D is at risk of hyperkalemia, which develops when GFR falls below 20-25 mL/min, as the kidneys’ ability to excrete potassium decreases (Zheng et al., 2020).

Order A Similar Paper

Our Advantages

Quality Work

Unlimited Revisions

Affordable Pricing

24/7 Support

Fast Delivery

Order Now

Custom Written Papers at a bargain

Place Your Order Now

© 2021 HomeWorkShark