1465

P6

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

 

Maria Isabel Manlutac 

 

1 posts

 

Re:Topic 5 Mandatory Discussion Question

 

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

 

     Obesity is defined as excess adipose tissue measured by body mass index (BMI) which is =/>30 (CDC, 2016). It can lead to cardiovascular, respiratory, musculoskeletal, gastrointestinal, psychosocial and problems. At a current weight of 134.5 kg and Ht of 68 inches, Mr.C’s BMI is 46.4, which put him in the category III:  “severe” or morbid obesity (CDC, 2016). Having elevated blood sugar, cholesterol and Triglycerides in addition to low HDL predisposes him to



cardiovascular disease including Diabetes Type 2, Hypertension, and Coronary Heart Disease. Bariatric surgery is currently the only treatment that has been found to have a successful and lasting impact for sustained weight loss for severely obese individual. I believe that bariatric surgery is an appropriate intervention.  Mr. C meets the criteria for surgery which include BMI ≥40, Type 2 Diabetes, heart disease and sleep apnea. There is no evidence/s of untreated depression, psychosis, binge eating disorders, bulimia, drug and alcohol abuse, severe cardiac disease with anesthetic risk, coagulation problem, or inability to comply with nutritional requirements on Mr. C’s history that will disqualify him for the surgery (NIDDK, 2016).

 

 

 

Medication Administration

 

  1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.  ----- Take at 10am, 3pm

    and 9pm
  2. Ranitidine (Zantac) 300 mg PO at bedtime. ----- take at 10 pm
  3. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime. ---- take at 6 am, 11 am, 5 pm, and 10:30 pm.

 

Sucralfate can make it harder for the body to absorb other medications you take by mouth. If your doctor does recommend using an antacid, avoid taking it within 30 minutes before or after taking sucralfate. Therefore, Sucralfate should be taken 30 mins after Zantac (Healthwise, 2013).

 

 

 

Functional Health Assessment

 

Pattern of health perception and health management

Seeks solution for his current medical problem especially being morbidly obese.

Follows low salt diet


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Nutritional Metabolic Pattern

Eats 4X /day including late night snacking before bedtime

Follows low salt diet

High cholesterol, triglyceride levels

High Fasting blood sugar

Pattern of Elimination

Taking Mylanta and antacids can cause, diarrhea, constipation or bloating

Pattern of Activity and Exercise

Works at catalog telephone center

Most probably sitting at work all day

Cognitive Perceptual Pattern

A/O X 4

Works at catalog telephone center

Pattern of Sleep and Rest

Patient with history of sleep apnea


width="319">

Pattern of self-perception and self-concept

Morbid obesity

Looking for solution to lower body weight

Role relationship pattern

32 year-old, single

Sexuality-reproductive pattern

32 year-old, single

Pattern of coping and stress tolerance

Presently diagnosed of peptic ulcer disease which can be a sign of stress

Pattern of value and belief

Overweight since childhood

 

 

 

 

 

What actual or potential problems can you identify? Describe at least five problems and provide the rationale for



each.

 

  1. Mr.C’s fasting plasma glucose (FPG) is elevated at 146. A FPG of ≥126 is one criteria of being diagnose of diabetes mellitus (DM) type II. In addition, obesity is the most powerful risk factor of developing DM type II.
  2. Cardiovascular problems- Mr.C’s blood pressure and cholesterol levels are high which predisposes him to cardiovascular problems such as coronary vascular disease (CVD) that may lead to myocardial infarction.
  3. Respiratory problems such as obesity hypoventilation syndrome due to increased work of breathing. In addition, Mr.C is already suffering from sleep apnea.
  4. Potential musculoskeletal problems such as osteoarthritis due to the stress on the weight-bearing joints such as hips and knees.
  5. Obesity causes 100,000 cases of cancer in the US each year. It is the most important known preventable cause of cancer. The types of cancer most strongly linked to excess body far are cancer of the breast, endometrium,

    kidney, colon/rectum, pancreas, esophagus, and gallbladder (Lewis et al., 2011).

 

 

 

 

 


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