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Essay Available:
Pages:
2 pages/β‰ˆ550 words
Sources:
1 Source
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Case Study
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 8.64
Topic:

Obesity and Peptic Ulcer Disease

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.
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

Case Study Sample Content Preview:

Obesity Case Study
Your Name
Your Subject and Section
Introduction
Obesity has always been a persistent problem for most Americans. According to the Murray, Ng, and Mokdad (n.d.) about 160 million Americans are facing the problem of obesity. In spite of this, many Americans are still inclined towards the consumption of foods and beverages that are high in sodium, glucose, and fat. In turn, most of these people who suffers from this disease are significantly increasing their risk of developing cardiovascular diseases that are usually fatal. In this article, the case of Mr. C. would be analyzed, specifically in terms of the topic of obesity.
Is bariatric surgery an appropriate intervention?
According to the American Society for Metabolic and Bariatric Surgery (2018), bariatric surgery can increase the risk of having a hormonal imbalance but it helps a patient lose weight. This is done by reducing the amount of food that the stomach can accommodate which causes malabsorption of nutrients.
Bariatric surgery is not recommended for this patient because the patient already suffering from a lot of known unknown conditions which might increase the risk of having a complication during a surgery. Aside from this, the condition can still be reversed in a natural way by doing regular exercise every day for at least 30 minutes, either bouts of 10 minutes or continuously and a healthy diet (low sodium, glucose, and fat diet).
Peptic ulcer is the result of the ulceration caused by high acidity of stomach juices and/or the helicobacter pylori bacteria which causes inflammation of the stomach lining (Healthline, 2018).
Obesity is defined as having a BMI of greater than or equal to 30 while a value 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
Mr. C’s BMI is computed as 45.4 kg/m2. An increase in weight due to fat and muscle mass requires an increase in the blood volume which in turn increases the pressure exerted to the walls of the arteries and therefore, increasing the blood pressure.
The American Heart Association (2018) states that the normal blood pressure is less than 130/80 mmHg while his BP is 172/96mmHg which makes him hypertensive.
Mr. C probably has a secondary hypertension because of the presence of sleep apnea. Sleep apnea is characterized by severe snoring which increases the difficulty of getting enough oxygen for the cells. This results to the damage of the lining of the blood vessel walls which makes the blood pressure regulation less effective.
2 Diabetes
The normal value of fasting blood sugar is less than 100 mg/dL (5.6 mmol/L). Prediabetes is 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
Hypercholesterolemia in adults is characterized by a cholesterol level of greater than or equal to 190 mg/dL (Nall, 2018). Furthermore, Wedro, B. (2018) states that the normal triglyceride level is less than 150 mg/dL. Both of these are risk factors for atheros...
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