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
- 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
- Ranitidine (Zantac) 300 mg PO at bedtime. —– take at 10 pm
- 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).
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Functional Health Assessment |
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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 |
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Pattern of Elimination |
Taking Mylanta and antacids can cause, diarrhea, constipation or bloating |
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Pattern of Activity and Exercise |
Works at catalog telephone center Most probably sitting at work all day |
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Cognitive Perceptual Pattern |
A/O X 4 Works at catalog telephone center |
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Pattern of Sleep and Rest |
Patient with history of sleep apnea |
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Pattern of self-perception and self-concept |
Morbid obesity Looking for solution to lower body weight |
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Role relationship pattern |
32 year-old, single |
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Sexuality-reproductive pattern |
32 year-old, single |
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Pattern of coping and stress tolerance |
Presently diagnosed of peptic ulcer disease which can be a sign of stress |
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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.
- 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.
- 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.
- Respiratory problems such as obesity hypoventilation syndrome due to increased work of breathing. In addition, Mr.C is already suffering from sleep apnea.
- Potential musculoskeletal problems such as osteoarthritis due to the stress on the weight-bearing joints such as hips and knees.
- 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).
