Obesity Health Risks and Assessment of Bariatric Intervention

Your Name
Course: NURSING
Course No.:NS4532
Professor
University/College
The first bariatric pre-surgery assessment test is BMI determination. Mr C’s BMI Calculation will be done using the following Formula: weight (kg) / [height (m)]2
1 inch = 0.0254 meters
68 inches = 1.7272 meters
BMI = 134.5Kg/[1.7272]2
=134.5/5.15 =26
BMI = 26Kg/m2
Mr. C’s BMI of 26Kg/m2 is < 50. This is simply an indicator that he is overweight. Adding weight is not an automatic indicator of obesity. It’s evident that Mr. C has a predefined perception that he is obese, even though the assessment suggests otherwise. Thus he is not eligible for bariatric surgery as his BMI classification falls within the overweight range of 25.0-29.9Kgs. Bariatric surgery eligibility weight bracket is 30.0 –39.9Kg/m2 which indicates that the patient is obese or >40Kg/m2 which would indicate extreme obesity. Thus Mr. C is neither obese nor extremely obese. Based on his BMI, bariatric surgery would be an inappropriate intervention. Given that he has failed the BMI test, it would be baseless to even determine his waist circumference. However, it would be necessary to review his family and lifestyle history to determine factors such as parental overweight/obesity, pre-existing conditions, weight management history and age of overweight onset. Given that he gained 100 pounds within the previous 2-3 years could be an indicator of a sudden change in lifestyle. There is high probability that Mr. C could have suffered from a certain stress disorder that may have necessitated a change in lifestyle. Based on the objective data, it can be concluded that Mr. C has never been obese and that he only became overweight in the previous 2-3 years. Thus thorough psychosocial assessment should be conducted to ascertain what factors could have prompted him to add on weight.
Mr. C’s overweight condition could be due to eating disorders. More assessment would be necessary to determine his eating behavior and whether he suffers from either binge eating disorder, bulimia nervosa or night eating disorder. Other secondary causes of obesity such as corticosteroid use, Cushing syndrome, other genetic syndromes, growth hormone deficiency, hypogonadism, insulimona should be assessed. The assessment of Age related risks suggests that Mr. C does not fall within a high risk group. Males aged >=45 years represent a high risk group while Mr. C is only 30 Years old. There is absence of absolute risk as his BMI of 26Kg/m2 is less than 35Kg/m2, required for diagnosis of advanced stage comorbidities that would suggest eligibility for a bariatric surgical procedure. He could be suffering from sleep apnea as suggested by the medication he is currently taking. Analysis of objective data suggests no relative risks such as gallstones, osteoarthritis, gynecologic abnormalities. However, there is probability that he suffered from a certain stress incontinence which could have prompted a change in lifestyle or eating behavior. A review o...