Question description

 

Please do a paragraph about this post with this instruction .

post most have 4 or more sentences .

you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings

Mr. C. is morbidly obese at 296.5 pounds putting him at risk for cardiac issues as well as other medical problems such as diabetes, sleep apnea and nutritional deficiencies.

• Hypertension. His blood pressure is 172/96
• Sleep apnea related to obesity
• Hyperlipidemia as evident by:

1. Total cholesterol of 250mg/dL,
2. Triglycerides of 312mg/dL,
3. HDL of 30mg/dL

• Diabetes. His glucose is 146mg/dL

The ideal cholesterol levels for a man are less than 200mg total, 40-50mg or higher for HDL and less than 100mg of LDL, Normal triglycerides are Less than 150 mg/dL.

Extra calories are turned into triglycerides and stored in fat cells for later use (American Heart Association 2016). If you eat more calories than your body needs, your triglyceride level may be high.

Is bariatric surgery an appropriate intervention? Why or why not?

Bariatric surgery would be an appropriate intervention for Mr. C. due to his health problems. Although he does not state he attempted weight loss with diet and exercise, he does state he has been overweight since childhood; leading us to believe he has had difficulty with weight and diet control all his life. Bariatric surgery does not replace healthy habits, but it might make it easier for him to consume fewer calories and become more active. He is only 32 years old and is at very high risk of mortality due to his obesity and comorbidities. According to The American Society for Bariatric Surgery, young overweight people tend to die sooner than their lean counterparts. Obesity is dangerous to health because of the associated increased prevalence of cardiovascular risk factors such as hypertension, diabetes mellitus, high triglycerides, hyperinsulinemia and low levels of high density lipoprotein (HDL) cholesterol (American Society for Bariatric Surgery). Cardiovascular risk is reduced greatly with weight loss and reduction. Bariatric surgery is not taken lightly by doctors. The patient needs to meet certain medical guidelines to qualify for weight-loss surgery. They have an extensive screening process to see if you qualify. You must also be willing to make permanent changes that lead to a healthier lifestyle and will be required to participate in long term follow up plans regarding your diet, exercise, lifestyle and health.

There are risks with any type of surgery especially with obese patients. The fact Mr. C. is obese and has sleep apnea puts him at greater risk for aspiration and respiratory complications during surgery.

Administration schedule that will be most therapeutic and acceptable to the patient.

• 6:00 a.m. Sucralfate/Carafate 1g or 10ml suspension (500mg/5mL)
• 10:00 a.m. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO
• 11:00 a.m. Sucralfate/Carafate 1g or 10ml suspension (500mg/5mL)
• 3:00 p.m. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO
• 5:00p.m. Sucralfate/Carafate 1g or 10ml suspension (500mg/5mL)
• 9:00 p.m. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO and

Sucralfate/Carafate 1g or 10ml suspension (500mg/5mL)

• 10:00 p.m. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO and Ranitidine (Zantac) 300 mg PO.

I do not see how anyone could follow this schedule and be compliant with it. There should be another medication consideration for him that would help and be easier to follow.

Assess each of Mr. C.'s functional health patterns using the information given.

1) Pattern Nutrition and Metabolic: Altered nutrition: intake exceeds the body’s needs.

2) Pattern of Activity and Exercise: Impaired physical mobility. Has desk job. No mention of physical activity.

3) Inefficient breathing pattern related to apnea and obesity.

4) Altered gas exchange related to sleep apnea.

5) Standard of Rest and Sleep: Altered sleep patterns related to sleep apnea and obesity.

6) Self-perception and self-concept pattern: Fear, Sense of powerlessness, Situational low self-esteem, and body image disorder related to obesity.

7) Ineffective individual coping related to destructive behavior toward himself and low self-esteem, as evidence by long term obesity 100-pound weight gain in 2 years.

8) At risk for Impaired skin integrity related to obesity and poor circulation, diabetes and decreased mobility and lack of exercise.

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

• Diabetes. His glucose is 146mg/dL. Can lead to complications affecting your eyes, kidneys, nerves and heart.
• Sleep apnea. Can cause or lead to obesity, fatigue, cardiac issues and death.
• Obesity. His weight is 296.5 pounds which is a Body Mass Index (BMI) of 45.1, which puts him in the morbidly obese range. increases your risk of diseases and health problems, such as heart disease, diabetes and high blood pressure.
• Hypertension. Increases risk of heart attack and stroke. Can cause damage to blood vessels.
• Hyperlipidemia. May lead to atherosclerosis, which increases your risk of heart attack and stroke.
• Excess weight seems to promote inflammation in the gut. This predisposes him to gastric ulcers.

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Status NEW Posted 18 Jun 2017 08:06 AM My Price 10.00

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