470

P4

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

 

 

Ashley Pittman 

 

1 posts

 

Re:Topic 5 Mandatory Discussion Question

 

Health risks associated with obesity include Diabetes, hypertension, sedentary lifestyle, high cholesterol and sleep apnea.  According to the American Society for metabolic surgery, Mr. C is a candidate for bariatric surgery.  Qualifying criteria includes BMI >40 or >100 lbs. overweight.  Mr. C has a BMI of 45.  Other qualifying factors include a BMI of >35 with comorbidities such as Diabetes Mellitus, Hypertension, sleep apnea, osteoarthritis, lipid abnormalities, gastrointestinal or heart disorders.  Along with a qualifying BMI, Mr. C has qualifying



comorbidities. 

 

Mylanta 1000, 1500, 2100

 

Zantac 2100

 

Sucralfate/Carafate 0600, 1100, 1700, 2100

 

 

 

Health management: Mr. C attempts to manage his HTN with a low sodium diet, being seen for bariatric surgery.  Seems to understand that he needs to take action in weight loss

 

Nutritional – metabolic: Attempts to follow a low sodium diet, eats 3 meals per day with an evening snack, fasting blood glucose 146, high cholesterol, 100# weight gain in 2-3 years

 

Elimination: no information provided

 

Activity-exercise: No report of physical activity, works at a call center where he probably sits during his shift

 

Sleep-rest: Reportedly has sleep apnea

 

Cognitive-perceptual: No apparent cognitive deficit, maintains job, alert and oriented according to his ability to request medical



treatment

 

Self-perception – self-concept: Seemingly aware of need to take action regarding his health and weight loss.  

 

Role-relationship: No information provided

 

Sexuality – reproductive: No information provided

 

Coping – stress tolerance: No specific information provided, but given his weight gain over the past 2-3 years I would say he has poor coping skills and stress may be a cause of weight gain. 

 

Problems for Mr. C include:

 

Hypertension- Need further assessment and treatment

 

Sleep apnea- CPAP treatment to have more restful sleep at night

 

DM- Need further assessment and labs to diagnose and treat.  Possibly needs Metformin as uncontrolled diabetes can cause complications following surgical procedures

 

Sedentary lifestyle- Mr. C needs to understand that surgery alone will not fix his weight



problem and he must also make lifestyle changes in order for it to be successful

 

High cholesterol- statin and consultation with dietician. 

 

Diabetes alone can cause serious complications following surgery.  If you couple diabetes with the above mentioned problems Mr. C is at an increased risk for infection as well as major health concerns.  Some of the mentioned concerns are myocardial infarction, stroke, heel pressure sores, post-op wound infection and UTI.  Based on this evidence and Mr. C’s medical history, I would recommend that the problems are addressed prior to surgery to improve his outcome. 

 

Tidy, D. C. (2016, February 12). Precautions with Patients with Diabetes Undergoing Surgery. Retrieved August 29, 2017, from https://patient.info/doctor/precautions-for-patients-with-diabetes-undergoing-surgery

 

 

 


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