Potential Health Risks for Obesity and ESRD Staging and Contributing Factors

Case Study: Mr. C.
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Case Study: Mr. C.
This report evaluates the clinical manifestations, potential obese patients’ health risks with bariatric surgery, examines actual or potential functional health patterns’ problems, delineates end-stage renal disease (ESRD) staging and contributing factors, including health enhancement opportunities and ESRD prevention, and the available resources for ESRD patients.
Clinical Manifestations
Mr. C shows various clinical manifestations that indicate morbid overweightness. This incorporates having hypertension or high blood pressure (HBP) with a BP of 172/98. This suggests that the patient has stage 2 hypertension. Also, Mr. C is suffering from sleep apnea – a typical manifestation among individuals morbidly obese. In addition, Mr. C also reported breathing problems when conducting activities of daily living. Lastly, the fasting glucose of146mg/dl indicates Mr. C has uncontrolled blood glucose since the average fasting glucose level ranges between 70-115mg/dl.
Potential Health Risks for Obesity and Bariatric Surgery Appropriateness
Mr. C’s BMI indicates that he is morbidly overweight. In that context, Mr. C has a significant risk of various severe medical conditions such as HBP, stroke, diabetes, gallstones, gallbladder diseases, heart disease, cancer, gout, and osteoarthritis. In addition, Mr. C has health risks related to breathing problems, mainly because of sleep apnea, shortness of breath when conducting daily living activities, and a high probability of developing asthmatic complications (Centers for Disease Control and Prevention, 2017).
Accordingly, bariatric surgery would be an appropriate intervention for the patient to control glucose levels. Bariatric surgery is a weight-loss operation that changes the digestive system to assist the patient in losing weight through mitigating nutrients absorption (Nguyen & Varela, 2017). Mr. C is increasingly obese, thus prompting the need to conduct this surgery. His BMI of 40kg/m2 relates to his weightiness, making it necessary to perform the surgery. However, the surgical procedure could have adverse implications on the patient for a particular rationale. Mr. C has had weight problems from his childhood years, making it more challenging to manage his weight. Therefore, a Bariatric surgical procedure would be highly recommended given the patient’s medical history and clinical manifestations.
Mr. C’s Functional Health Patterns
Mr. C’s obesity problem reiterates that he does not participate in constant physical exercise. Given that he works at the catalog telephone center, his daily workout entails walking from home to the workplace and back. That said, failure to conduct regular and appropriate physical exercise could be attributed to his 100 pounds gain within the past two to three years. In addition, inactivity could be attributed to increased excessive fat that has culminated in sleep apnea. Research indicates that physical exercise is recommended to burn extra calories into energy and thus effectively avoids overweightness (Jakicic et al., 2018). The high-fat build-up is linked to the rising cholester...