What health risks associated with obesity does Mr. C. have Discussion 5

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Question description

The case scenario provided will be used to answer the discussion questions that follow. Case Scenario

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has high blood pressure, which he tries to control with sodium restriction and sleep apnea. He current works at a catalog telephone center.

Objective Data

  • Height: 68 inches; Weight 134.5 kg
  • BP: 172/96, HR 88, RR 26
  • Fasting Blood Glucose: 146/mg/dL
  • Total Cholesterol: 250mg/dL
  • Triglycerides: 312 mg/dL
  • HDL: 30 mg/dL

Critical Thinking Questions

  1. What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?
  2. Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10m1 suspension (500mg / 5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

  1. Assess each of Mr. C.'s functional health patterns using the information given (Hint: 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).
  2. What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

Tutor Answer

faseehkhan66
School: UC Berkeley

HI, please take last DQ. Hope you will hire again.

NRS410V-T5DQ1

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an
appropriate intervention? Why or why not? Health risks associated with Mr. C’s
obesity include hypertension, sleep apnea, and elevated levels of cholesterol,
triglycerides, and blood sugars. If Mr. C. does not lose weight he is at even higher risks
for diabetes, cardiovascular disease, as well as cerebrovascular disease (National
Institutes of Health, 2016). With the blood sugars being what they are now, most likely
Mr. C. is either pre-diabetic or diabetic itself. Mr. C would benefit from bariatric surgery
considering he is morbidly obese with co-morbidities that can at best be eliminated due to
weight loss. The American Society for Metabolic and Bariatric Surgery (ASMBS) states
that a high reduction in mortality rates with bariatric surgery are due to the highly
significant improvement in those diseases that are caused or worsened by obesity
(ASMBS, 2016). This includes high blood pressure, diabetes, heart disease, among
others.
Mr. C. has been diagnosed with peptic ulcer disease and the following medications
have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15
mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b)
Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10ml
suspension (500mg / 5mL) 1 hour before meals and at bedtime.
The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10
p.m. Plan an administratio...

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