Writing

Please respond with a paragraph to the following question, add citations and references:


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

Some health risks associated with obesity that Mr. C. has are diabetes, heat disease, stroke, cancer, gallbladder disease, osteoarthritis, gout, and asthma (Barger, 2017). Mr. C. already has sleep apnea, hypertension, and a new diagnosis of peptic ulcer disease. According to the American Society for Metabolic and Bariatric Surgery (“Benefits of Bariatric Surgery,” 2019 ), Mr. C. would qualify and be a good candidate for bariatric surgery because his body mass index (BMI) is >40. Mr. C. is 32 years old, is 5’6’, weighs 296 pounds and has a BMI of 47. Bariatric surgery is an appropriate intervention for Mr. C. as it has been show n to help improve or resolve many obesity related conditions that Mr. C. already has such s hypertension and is at risk for developing such as diabetes.

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.

Mr. C. should take his Sucralfate/Carafate 10 m L at 0600, 1100, 1700 , and at bedtime. He should take his Mylanta 15 mL at 1000, 1500, 2100, and at bedtime. His Zantac should be taken at bedtime.

Assess each of Mr. C.’s functional health patterns using the information given.

Health Perception / Health Management Pattern – Mr. C. is seeking information on his own about weight loss surgery. He admits to struggling with being overweight since he was a child and says he has gained 100 pounds in the past couple of years. He is trying to manage his HTN with his own dietary modifications and does not seek expert opinion for proper management.

Nutritional / Metabolic Pattern- Mr. C. weighs 296 pounds which puts him at a BMI of 47 and in the heavily overweight category. His current diagnosis are HTN, sleep apnea, and peptic ulcer disease and based upon recent abnormal lab work may also have diabetes and hyperlipidemia. He currently takes 3 medications for peptic ulcer disease. He reportedly eats 3 meals and 1 snack daily.

Elimination Pattern- Mr. C.’s elimination pattern may be altered now with the 3 new medications Mylanta, Zantac, and Sucralfate/Carafate that he has been put on. Common side effects of most medications can be constipation or diarrhea.

Activity / Exercise – Mr. C. works at a catalog telephone center and likely sits for most of the day. Being heavily obese can make daily ADL’s limited and very difficult.

Sleep / Rest – Mr. C. has sleep apnea which interferes with getting a good full night of sleep due to frequent awakening from apneic episodes.

Cognitive / Perceptual – Mr. C. is able to sustain a job and can communicate without any problems based upon his job at a telephone center. He may have sensory problems following his disease process especially if he has diabetes which can result from neuropathy. His vision and taste sensory may be affected. Side effects from some of his medication may also present with some of these problems.

Self Perception /Self Concept Pattern- Mr. C. is not comfortable or happy with being overweight. He refers to himself as always being a heavy person even as a child.

Role-Relationship Pattern- Mr. C. is a 32-year-old single man. He may be single due to not being happy with himself due to being overweight causing some low self-esteem issues.

Sexuality-Reproductive Pattern- May be affected by low libido and dysfunctional sexual patterns due to his weight and multiple medications which can affect his sexual relationships.

Coping / Stress Tolerance Pattern- Mr. C. may be using food to cope with stress which has led to his weight gain.

What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

Mr. C. mentions he has hypertension . He likely was diagnosed sometime in the past and says was trying to control with sodium restrictions. His blood pressure reading was elevated at 172/96.

If peptic ulcer disease erodes the gastric mucosa and leads to bleeding, Mr. C. may become anemic due to loss of blood from his gastrointestinal tract.

From the laboratory results provided, Mr. C.’s fasting blood glucose was 146/mg/dL which could be potential for diabetes.

Mr. C. is at risk for heart disease due to an elevated total cholesterol of 250mg/dL and t triglycerides of 312 mg/dL . With time, too much cholesterol in the blood builds up in the walls of the arteries causing a narrowing resulting in a decrease or blocked blood flow to the heart which can lead to a heart attack.

Barger, R. (2017). Obesity: Health Risks Associated with Obesity. Retrieved from https://www.onhealth.com/content/1/health_risks_as…

Benefits of Bariatric Surgery. (2019). Retrieved from https://asmbs.org/patients/benefits-of-bariatric-s…


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