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Pages:
2 pages/β‰ˆ550 words
Sources:
2 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Term Paper
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 10.37
Topic:

Disorders of Digestive and Musculoskeletal System

Term Paper Instructions:

The case scenario provided will be used to answer the discussion questions that follow.
Case Scenario
Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has high blood pressure, which he tries to control with sodium restriction and sleep apnea. He current works at a catalog telephone center.
Objective Data
Height: 68 inches; Weight 134.5 kg
BP: 172/96, HR 88, RR 26
Fasting Blood Glucose: 146/mg/dL
Total Cholesterol: 250mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Critical Thinking Questions
What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?
Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.
The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.
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).
What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

Term Paper Sample Content Preview:

Disorders of Digestive and Musculoskeletal System
Name
Institution
Disorders of Digestive and Musculoskeletal System
Mr. C exhibits many signs of being at risk of developing health problems associated with over-weight. Although at the moment he has not been diagnosed with metabolic diseases, he may end up getting the ailments if he does not take the appropriate measures to mitigate the situation. Mr. C currently suffers from an out of control blood pressure of 172/96, which he has failed to seek medication for. His HR and RR are so high, and he suffers sleep apnea, which indicates he has excess fat accumulation around his neck. Compared to the recommended fasting blood sugar of between 70-115, he has 146, which is so high. Mr. C has high cholesterol level of 250 although a healthy person is supposed to have below 200. Besides, an ideal HDL for a healthy person is 50 or more; however, Mr. C has HDL of 30, which is too low. His triglycerides are high at 312 mg/dL although the healthy one should be around 150. The health complications exhibited by Mr. C are attributed to his obesity, which could have been highly contributed by his sedentary job at the telephone center (Bray & Ryan, 2006). With his BMI of 40, Mr. C has the Class 3 obesity, and exhibits all the signs and symptoms of metabolic syndrome.
With his obesity and weight related health complications, bariatric surgery would be an appropriate intervention for Mr. C. by considering a bariatric surgery, Mr. C would have made a vital decision capable of changing his life for the better. According to the ASMBS, bariatric surgery offers one of the best ways to effectively treat severe obesity (ASMBS. (N.D). It further helps to maintain the optimal weight in the future, besides being effective in resolving various obesity-related health complications such as HBP, sleep apnea, Type 2 diabetes and heart diseases among others, making it appropriate for Mr. C. For the surgery to be successful in, many factors such as the psychological state of the patient among others have to be screened to confirm the possibility of the intervention to solve the health issues. In this regard, the patient should be confirmed to possess the will to effect the lifestyle changes needed to make the surgery effective and successful (Bray & Ryan, 2006).
Mr. C medications are dependent on...
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