The case scenario provided will be used to answer the discussion questions that
ID: 122719 • Letter: T
Question
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 sleep apnea and high blood pressure, which he tries to control with sodium restriction. 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 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: Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime. Ranitidine (Zantac) 300 mg PO at bedtime. 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. 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.) What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.
Explanation / Answer
Mr.C have the health risk of
his BMI 47.8 so he comes under morbid obesity.
Bariartic surgery could be appropriate for Mr.C whose BMI 47.8 .But it may be suggests only after other nonsurgical attempts at weight control have failed.
Administration schedule:
functional Health patterns:
Health perception:
Nutrition-Metabolic pattern:
Elimination pattern:
Acitivity-Exercise pattern:
Sleep-rest pattern:
Cognitive perceptual pattern:
Actual or Potential Health problems:
1.Heart Disease: High blood pressure is a major risk for heart disease and stroke.Overweight contributes to angina and sudden death occur without any signs and symptoms.
2.Type 2 Diabetes: Overweight people are twice likely to develop type 2 diabetes than normal weight.
3.Cancer: Overweight mens are higher risk for colorectal cancer and prostate cancer.
4.Osteoarthritis: Carrying extra pounds cause extra pressure on joints and leads to osteoarthritis.
5.Gout: More common in overweight people and risk of developing disorders increases with higher body weight.
Magnesium Hydroxide/Aluminium Hydroxide 15ml 9am 3pm 9pm zantac 300mg 10pm sucralfate/carafate 6am 11am 5pm 10pmRelated Questions
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