Jul 18, 2017 Research papers

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

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Case Scenario


Max Points: 20.0

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 high blood pressure, which he tries to control with sodium restriction and sleep apnea. 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

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

2.Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) 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


Case Scenario Name Institution Date The likely health risk associated with obesity that the 32 year old Mr. C could be suffering from is hypertension. Even though he tries to control it using the sodium restrictions and the sleep apnea, it seems as if the condition has been persistent. It is evidenced by almost 100 pounds that he gained in the last two to three years. This condition is serious and if not taken good care of, it may end up making the force of the blood to push against the walls of his arteries as the heart pumps his blood. The rising of this pressure may stay high over some long period of time and this will have a lot of damage to his body. Seeking medical advice at the outpatient center regarding the condition of his health is a huge step towards the right direction because if ignored, this condition will inevi


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