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.

Solution:

There is a plethora of risks associated with obesity when it comes to the case of Mr.C. However the main ones include hypertension, type II diabetes, and heart disease.  In regards to hypertension, Djalalinia, Qorbani, Peykari, and Kelishadi (2015) have explained that obesity typically leads t narrowing of arteries due to high levels of cholesterol. This as a result leads to development of high blood pressure. In relation to type II diabetes, Ross, Blair, de Lannoy, Després, and Lavie (2015) have confirmed that most people who are obese are usually at a higher risk of developing type II diabetes. This is due to the fact that they are not able to control the levels of sugar in the blood. Lastly, when it comes to heart diseases, Bray, Frühbeck, Ryan, and Wilding (2016) have explained that extra weight usually makes one likely to have high blood pressure as well as high levels of cholesterol…….Please click the icon below to purchase full solution at $5