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

Case scenario | Nursing homework help

Questions for Critical Thinking

  1. Is there any health risk associated with being obese? What is the best intervention for obesity? Why?

Due to his obesity, Mr. C. may be at high risk of developing a variety of health problems, such as sleep apnea and high blood pressure. He also has metabolic disorders like diabetes and dyslipidemia. Also, his objective data shows high fasting glucose and total cholesterol as well as high levels of HDL cholesterol. Because Mr. C. has an excessive amount of weight and obesity, bariatric surgery could be a good option. This decision must be made carefully after considering the risks and benefits, along with a complete assessment of Mr. C’s overall health.

  1. The following medication has been prescribed for Mr. C., who was diagnosed with pepticultric disease. Magnesium/aluminum hydroxylide (Mylanta), 15 mg PO one hour before bed and three hours after eating. Ranitidine, (Zantac), 300mg PO at bedtime. Sucralfate/Carafate 1g (or 10ml) suspension (500mg/5mL) 1 hour prior to meals and 1 hour at bedtime. Patients report eating at 7, noon and 6 p.m. and having a nighttime snack at 10, ten p.m.

The most therapeutic and acceptable administration schedule for Mr. C.’s medications would be:

  • Magnesium hydroxide/aluminum hydroxyxide (Mylanta), 15mL PO at six a.m. (10 a.m.), two p.m. (6 p.m.), and ten p.m.
  • Ranitidine (Zantac), 300 mg PO before bed.
  • Sucralfate/Carafate 1g or 10ml suspension (5mL) one hour before meals (6:00 a.m. noon, 6:06 p.m.), and bedtime (10:01 p.m.).

This schedule will provide consistent and regular Mylanta dosing. It is designed to reduce symptoms and acid reflux. Ranitidine and Sucralfate/Carafate should be used to protect against any further stomach damage, both at night and during meals.

  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.) Which potential or actual problems are you able to identify? Give at most five possible problems, and the reasons for them.

a. Nutritional-Metabolic Pattern: Mr. C.’s objective data shows elevated fasting blood glucose, total cholesterol, and triglycerides, as well as low HDL cholesterol levels. In the past two years, he is reported to have gained over 100 pounds. All of these factors could indicate poor metabolic and nutritional health. He is at increased risk for developing metabolic disorders like dyslipidemia and diabetes. b. Activity-Exercise Pattern: Mr. C.’s sedentary job and lack of exercise may contribute to his weight gain and poor metabolic health. He may also have a reduced cardio fitness due to his high blood pressure and fast heart beat. c. The Sleep-Rest pattern: Mr. C. says he has sleep apnea. This could have contributed to his fatigue, and possibly reduced sleep quality. d. Self-Perception-S

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