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2 pages/β‰ˆ550 words
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APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
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Topic:

Obesity Case Study. Health, Medicine, Nursing Case Study

Case Study 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 sleep apnea and high blood pressure, which he tries to control with sodium restriction. 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:
Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
Ranitidine (Zantac) 300 mg PO at bedtime.
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.
1.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.)
2.What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

Case Study Sample Content Preview:

Obesity Case Study
Your Name
Your Subject and Section
August 4, 2018
Introduction
Nowadays, one of the greatest health risks worldwide is obesity. This is associated to the increase in the production of food with high sodium and fat content as well as beverages that contain high glucose content. Apart from this, obesity imposes a high risk of incurring cardiovascular diseases (Akil, L. & Ahmad, H.A., 2012). According to Kim S.H. et al (2015), the most commonly used anthropometric index to define obesity is the body mass index (bmi) which is defined as the ratio between the mass and double the height (kg/m2). The World Health Organization, BMI of greater than or equal to 30 is considered as obese while a BMI of greater than or equal to 25 is considered as overweight.
What are the health risks associated with obesity that Mr. C have?
1 Hypertension
Based on the case presented, Mr. C has been suffering from a long-term, uncontrolled obesity which greatly increased in the past 2-3 years (100 lbs). His BMI is computed as 45.4 kg/m2. There is a direct association between weight gain and the blood volume and an increase in the blood volume results to an increase in the pressure exerted to the arterial walls (Mayo Clinic, 2018). In addition to this, obesity is linked to an increase in blood cholesterol which is also a factor that increases blood pressure.
Mr. C has a BP of 172/96mmHg. However, according to the American Heart Association (2018), the normal blood pressure is less than 130/80 mmHg.
Mr. C probably has a secondary hypertension which is a high blood pressure secondary to another medical condition (Mayo Clinic, 2018). Secondary hypertension can be also due to sleep apnea. In here, the body does not get enough oxygen due to the repeated severe snoring which makes breathing difficult. The decrease in oxygen supply damages the lining of the blood vessel walls. This in turn decreases the efficiency and effectivity of the blood vessels to regulate the blood pressure. Furthermore, an overactive nervous system releases certain chemicals that increase the blood pressure when a person suffers from sleep apnea.
2 Diabetes
A fasting blood glucose of less than 100 mg/dL (5.6 mmol/L) is normal while prediabetes has a fasting blood sugar level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L). Mr. C has an FBS of 146 mg/dL which makes him diabetic (> or equal to 126 mg/dL) (Mayo Clinic, 2018).
3 Atherosclerosis
A cholesterol level of greater than or equal to 190 mg/dL in adults is considered as hypercholesterolemia (Nall, 2018). In addition to this, Wedro, B. (2018) states that the normal triglyceride level is less than 150 mg/dL. An increase in one or both of these imposes a great risk of having atherosclerosis.
Is bariatric surgery an appropriate intervention?
According to the American Society for Metabolic and Bariatric Surgery (2018), bariatric surgery is a procedure that helps a patient to lose weight by decreasing the amount of food the stomach can hold, causing malabsorption of nutrients, or by a combination of both gastric restriction and malabsorption. This presents a risk in incurring hormonal imbalance.
Bariatric surgery is not recommended for this patient because the ...
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