Case Scenario bariatric surgery

User Generated

znyyhthl82

Health Medical

Description

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 sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center.

Objective Data

  1. Height: 68 inches; Weight 134.5 kg
  2. BP: 172/96, HR 88, RR 26
  3. Fasting Blood Glucose: 146/mg/dL
  4. Total Cholesterol: 250mg/dL
  5. Triglycerides: 312 mg/dL
  6. HDL: 30 mg/dL

Critical Thinking Questions

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?

Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:

  1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
  2. Ranitidine (Zantac) 300 mg PO at bedtime.
  3. 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 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.

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Explanation & Answer

Attached.

1
OBESITY CASE STUDY
Obesity Case Study
Student’s Name
Institution

2
OBESITY CASE STUDY

OBESITY CASE STUDY
Health Risks Associated with Obesity
The health conditions that Mr. C can suffer from due to his obesity include diabetes due
to the increase in the level of glucose in the body, elevated cholesterol, hypertension or increased
blood pressure, sleep apnea and elevated triglycerides. (Ford, 2015). Other conditions that he
may suffer from may include cardiovascular disorders such as the coronary artery disease (CAD)
and congestive heart failure. Some cases of stroke are also caused by obesity.
Is bariatric surgery an Appropriate Intervention?
Bariatric surgery is a series of surgical procedures performed on people that are obese so
that they can lose weight. The procedures seek to reduce the stomach size using a gastric band or
by removing a portion of the stomach. (Korenkov, 2012). Bariatric surgery is recommended for
patients who have a BMI of above 40 and weigh more than 100 pounds. Also patients with a
BMI of 35 and above and that po...


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