Risks Associated with Obesity HW

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

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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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.