Clinical Manifestations Present in Mr. C.

Case Study: Mr. C.
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Introduction
Mr. C. is a 32-year-old single man who works at a catalog telephone center. He was seeking information about bariatric surgery as a solution for his obesity. He reported being heavy even as a child, and he has also gained 100 pounds over the last 2-3 years. He experienced sleep apnea, shortness of breath with activity, swollen ankles, and pruritus during the previous six months. He also has high blood pressure that he tries to manage by restricting sodium intake.
Clinical manifestations present in Mr. C.
Mr. C. is morbidly obese, and he reports having gained approximately 100 pounds over the last 2-3 years. He also has high fasting blood sugar levels of 146mg/dl associated with type 2 diabetes. His blood pressure reads 172/98 indicative of stage 2 hypertension. The total cholesterol and triglycerides are high at 250mg/dl and 312mg/dl, respectively. The HDL level is lower than expected at 30mg/dl. His heart rate is okay, but the respiratory rate is higher than expected at 26 breaths per minute. The BUN and serum creatinine levels are high at 32mg/dl and 1.8 mg/dl, respectively.
Potential Health Risks for Obesity
There are various health risks associated with obesity. Mr. C is likely to develop type 2 diabetes, coronary heart disease, sleep apnea, hypertension, dyslipidemia, and some types of cancer due to obesity (CDC, 2021). Bariatric surgery is an appropriate intervention for Mr. C. as he meets the criteria.
Indications of bariatric surgery include having a body mass index (BMI) of >40kg/m(2) with or without coexisting conditions or a BMI of >35kg/m(2) with a coexisting condition such as hypertension, sleep apnea, type 2 diabetes and hyperlipidemia (Stahl & Malhotra, 2021). Mr. C. has a BMI above 40 and suffers from hypertension, sleep apnea, and elevated blood sugar levels.
Assessment of Mr. C’s Functional Health Patterns.
In the health perception function, Mr. C. is aware of the risks of obesity, and he seeks information on bariatric surgery as a solution. He is concerned about his hypertension and has resulted in restricting dietary sodium to control it. Mr. C. tried to manage his high blood pressure by limiting sodium intake in the health management function. Looking at the nutritional health aspect, Mr. C. has elevated sugar levels, high cholesterol and triglycerides, and low HDL levels. He is also obese and reports having gained 100 pounds over the past 2-3 years. Previous medical evaluations indicated no metabolic diseases. There is no information has been provided concerning elimination.
The activity-exercise health pattern shows that Mr. C. has a sedentary lifestyle working at a catalog telephone center. In the sleep-rest function, Mr. C. reports having sleep apnea. Based on cognitive-perceptual/self-perception/ self-concept, the patient is aware of the problems brought about by his weight and therefore goes to the hospital to seek a solution. He also keeps track of his weight, and he noticed a gain of approximately 100 pounds over the past 2-3 years. Looking into the role-relationship/ sexualit...