Clinical Manifestation, Risks for Obesity, and Resources Available for ESRD Patients

Mr. C.’s Case Study
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Mr. C.’s Case Study
Describe the Clinical Manifestations Present in Mr. C.
Mr. C’s clinical manifestations include sleep apnea, highlighted as a primary outcome in people with high body mass index (BMI). In this case, using his height of 68 inches and weight of 134.5 kilograms to calculate BMI reveals that it is way beyond the normal range of 18.5 – 24.9 kg/m2 at 44.9 kg/m2. Other signs indicate he has been suffering from an accumulation of fluids, as demonstrated by 3+ pitting edema. He also presents an elevated heart rate and blood pressure. Moreover, his fasting blood is high at 146 mg/dL when the normal one should be below 100 mg/dL. A 250 mg/dL of total cholesterol is also beyond the maximum of 200 mg/dL standard. Additional indicators such as triglyceride and HDL usually are below 150 mg/dL and above 50 mg/dL. However, Mr. C fails to meet these expectations. He also has other poor clinical manifestations in serum creatinine and BUN against the normal ones. These clinical manifestations are fundamental in informing diagnosis and plan of care.
Describe the Potential Health Risks for Obesity That Are of Concern for Mr. C. Discuss Whether Bariatric Surgery is an Appropriate Intervention
Mr. C’s health history and objective data indicate that he is obese. According to Ormanji et al. (2020), obesity has become a concerning health issue due to its rapidly increasing prevalence. It is increasingly associated with severe health risks, including hypertension, cancers, and heart-related conditions. The authors also add that it causes sleep apnea, metabolic disorders, and other long-term comorbidities. The vulnerability triggered by excessive weight gain makes it an urgent medical issue in a patient like Mr. C. Ormanji et al. (2020) indicate that the challenges associated with diet therapy to address this problem sustainably have prompted the bariatric surgery craze. It is a sought procedure for patients with severe obesity, ≥35 kg/m2, and a comorbid illness such as sleep apnea and hypertension, making it appropriate for Mr. C. (Nguyen et al., 2016). Moreover, a patient whose BMI is beyond 40 kg/m2 without accompanying conditions qualifies. Thus, patient-specific data indicate that he meets all the indications criteria for the surgery.
Assess each of Mr. C.’s Functional Health Patterns Using the Information Given. Discuss at Least Five Actual or Potential Problems Can You Identify from the Functional Health Patterns and Provide the Rationale for Each
Health-perception. The information recorded in the outpatient center indicates that Mr. C. only presented himself to the facility due to his awareness about his weight situation. He felt that he was constantly a heavy person, prompting his inquiry about bariatric surgery to address this issue. Thus, his perception pushed him to search for medical solutions.
Nutritional. Mr. C. demonstrates that he is aware of dietary therapies he can exploit to improve his health status (Ormanji et al., 2020). For instance, he reduces his intake of foods with a high sodium to control the high blood pressure. However, the...