Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.
Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

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. 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 the assignment criteria and relevant to nursing practice

Marisa, a petite, Caucasian, 15 year old, just learned this morning that her 55-year-old grandmother, with whom she has lived since the death of her parents, was diagnosed with osteoporosis after visiting her doctor because of chronic hip and wrist pain.

For the past year, Marisa’s life has been one tragedy after another. Her happily married parents were killed in a car crash nine months earlier on the way home from their sixteenth-anniversary surprise party. Her boyfriend of two years moved to a different state a few months back and ended their relationship shortly after. To make things worse, her first year in high school was disastrous. Not only did she fail algebra, but she also didn’t make the soccer team as she had hoped.

Marisa’s grandmother lives far from where Marisa used to live, and because she is an only child, Marisa often finds herself feeling lonely and on the brink of depression. The only person she feels she can count on besides her grandmother is her best friend, Tara. She told Tara about her grandmother’s disease as soon as she found out. Marisa has no idea what osteoporosis is or what it does to the body. All she knows is that her grandmother is the only close living relative she has, and she can’t fathom losing another loved one.

Your task

You must define osteoporosis and its general effects on the body. In addition, the following concepts must be addressed in detail. The research will be shared with the class. Ultimately, you must address the specific type of therapy, if any, that Marisa’s grandmother might use and the risks and benefits of her choice.

Bone Physiology:

1. Describe bone physiology and the bone remodeling cycle. Be sure to emphasize the two types of bone tissue and the roles of osteoblasts and osteoclasts.
2. Explain the relationship between calcium and bones.
3. Explain how the body controls calcium levels in the bones and blood. Be sure to describe the roles of parathyroid hormone (PTH) and calcitonin in detail.
4. Explain specifically how osteoporosis affects the bone matrix and the normal bone remodeling cycle.

Risk Factors:

5. Discuss what scientists know about the genetics behind osteoporosis.
6. Explain the relationship between calcium and bones.
7. List as many risk factors for this disease as you can, both controllable and uncontrollable.

Signs and Symptoms:

8. What are the symptoms or telltale signs of osteoporosis?

The assignment focuses on children who are growing up with Williams Syndrome. This is a little-known disorder that is in some ways the “opposite” of autism.  These children have highly developed language skills and are often very social, but they struggle with many other cognitive tasks.

First, watch the following video clip: (sorry-you have to watch a brief ad!)

Williams: https://www.youtube.com/watch?v=gF4DiqEdN3w

(try using Chrome for best viewing results)

Then, write down at least 3 things you found interesting from the clip (include some detail about each).

Next, find recent general information about Williams Syndrome by finding sources through Google.

In your own words, summarize at least 2 recent sources (each summary needs to be at least (more is good!) four full sentences -just to give you an idea of expectation- include some detail) about Williams and include the complete citation for the sources at the beginning of each summary. (So if you find a VERY brief source- that will not work for this assignment).

Now, connect the information you have learned about Williams Syndrome to something (can be a more general concept) from the textbook or PPs for CH. 3.  Give detail from the  PPs or text to make your connection clear.

Finally, tell me how things are going for you in the course so far (include any questions or concerns).

20 points total

Describe the main structures of the brain stem, the midbrain, and the forebrain, including the basal ganglia, the limbic system, and the cerebral cortex. What functions and behaviors are these regions known to control?