bariatric surgery Essay Assignment Paper
Mr. C’s Case Study
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Mr. C’s Case Study
Mr. C, a 32-year-old telephone order center employee, is overweight. Mr. C, who has been overweight since infancy, has put on approximately 100 lbs in the last two years, jeopardizing his health. His health history reveals hypertension and sleep difficulties, but no indication of metabolic illness. For the last six months, Mr. C has experienced respiratory difficulties, pruritus, and swollen feet. Mr. C wants to learn more about bariatric surgery and how it might help him shed pounds. Mr. C’s clinic symptoms about his obesity and health promotion strategies will be described in this paper.
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Clinical manifestations
Mr. C’s clinical symptoms must be carefully investigated in order to assist in his medical manifestation and the development of the appropriate medical strategy for his health problem. The client has a BMI of 45, which implies that he is obese, as per objective data. He also exhibits a high blood pressure of 172/97 and a fasting blood sugar level of 146 mg/dl, as per his present manifestation. Mr. C also alleges to have been suffering from swollen feet and breathlessness for the last six months. Mr. C has a DHL of 30 mg/dL and a serum creatinine of 1.8 mg/dL.
Potential health risks for obesity
Mr. C’s clinical indications point to a number of health concerns, especially high blood pressure. Mr. C has high levels of irritation low-density cholesterol, insulin, and blood sugar, all of which are related to obesity. If Mr. C’s condition is not addressed, he will develop a stroke, heart disease, or possibly cardiovascular problems (Katsiki et al., 2019).
Bariatric Surgery Considerations
If given the appropriate assistance, Mr. C would opt to undergo bariatric surgery, which is reasonable. Many individuals who have had this procedure are able to maintain their weight reduction for a long time. Mr. C should get bariatric surgery since it is the greatest option for someone who is very obese. However, the operation has certain negative consequences on mental health; on the positive side, the benefits of the procedure exceed the drawbacks.
Functional health patterns assessment
Elimination- If Mr. M does have an abdominal problem, elimination may be utilized to remove any dietary alterations, which can potentially be done via medication; nevertheless, his objective data has no details regarding his digestive tract, indicating that he is experiencing constipation or dysentery.
Cognitive perceptual-Because of his weight, Mr. C is searching for information about bariatric surgery. This is related to his pain, which necessitates losing weight in order to be at peace.
Relationships- Considering the information, given Mr. C will need support throughout his bariatric surgery. This will help him feel important and guarantee that he is cared for following the operation. In this given scenario, nevertheless, there is no evidence of Mr. C’s relationships.
Nutritional- Considering his weight, it’s fair to assume Mr. C leads a sedentary lifestyle. One of the major causes of his obesity is that he is overweight, putting him at danger of a cardiac arrest. As a consequence, he needs bariatric surgery, which will help him feel more at ease and remove health problems like sleep disorders.
Health management- Mr. C is fully aware that he requires bariatric surgery in order to lose the weight he has gained as a result of his obesity. Mr. C’s weight places him at risk of developing cardiovascular illness, thus he consumes a low-sodium diet to keep his blood pressure in control. He continues to use a CPAP machine to treat his sleep disorder.
Staging of end-stage renal disease (ESRD)
End-stage renal disease (ESRD) occurs when severe kidney disease develops to the extent of ESRD (Wang, et. al., 2020). At this point, the kidneys’ anticipated function in the human system is compromised, since they are no longer performing as they should. Kidneys filter the body’s surplus fluid and waste; if they cease functioning, this waste will pile up in the body, presenting an infection risk. Severe kidney disease causes vomiting, lack of appetite, sleep problems, inflammation of the knees and ankles, and a loss of mental acuity (Wang, et. al., 2020). Associated factors include hypertension, smoking, diabetes with inadequate blood sugar management, old age, and renal failure after a kidney transplant.
Patient education
Mr. C is overweight; therefore, he has to get used to a physical exercise routine right away. This is because among of the health promotion strategies that professionals suggest for leading a good and healthy life is exercising. Mr. C’s recreational activities should be limited since they will enhance his risks of gaining weight after surgery. He should also be given a guidebook explaining the benefits of living a healthy lifestyle as well as the disadvantages and risks of being overweight (Warin & Zivkovic, 2019).
ESRD available resources for patients
These experts make sure that ESRD patients’ devices, including dialysis machinery and operating rooms, are in good working condition. In health facilities, they must be in excellent functioning condition to ensure that no patient fails an appointment. Acquaintances, family, and the community are also valuable resources for patients because they guarantee that they are properly cared for in terms of material, emotional, and nutritional needs so that they may recover without being disturbed (Warin & Zivkovic, 2019). Since physicians find it difficult to keep track of their clients on a daily basis owing to transportation difficulties, it would be cheaper to monitor their progress through video chats while they recuperate at home now that the internet is available.
Conclusion
Obesity is a hazardous medical issue that, as Mr. C’s case study shows, may quickly create cardiovascular problems in a patient. The first duty of a nurse practitioner is to understand the patient ‘s medical problem so that they may get a sense of what the patient has gone through. A lifestyle adjustment, especially in food and exercise, is helpful to prevent getting fat and to maintain a person healthier at all times. When confronted with an obesity problem, however, choosing on the appropriate treatment option, like as bariatric surgery, is critical. Nurses and doctors should be present in such circumstances to offer the reassurance that such a patient needs while they recover, in cooperation with friends and family.
References
Katsiki, N., Banach, M., & Mikhailidis, D. P. (2019). Is type 2 diabetes mellitus a coronary
heart disease equivalent or not? Do not just enjoy the debate and forget the patient!. Archives of medical science: AMS, 15(6), 1357. Doi: 10.5114/aoms.2019.89449.
Wang, Q., Wang, Y., Wang, J., Zhang, L., & Zhao, M. H. (2020). White-coat hypertension and incident end-stage renal disease in patients with non-dialysis chronic kidney disease: results from the C-STRIDE Study. Journal of translational medicine, 18(1), 1-11. Doi: https://doi.org/10.1186/s12967-020-02413-w.
Warin, M., & Zivkovic, T. (2019). Fatness, obesity, and disadvantage in the Australian suburbs: unpalatable politics. Springer.
Question
Evaluate the Health History and Medical Information for Mr. C., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 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 by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.
Objective Data:
Height: 68 inches; weight 134.5 kg
BP: 172/98, HR 88, RR 26
3+ pitting edema bilateral feet and ankles
Fasting blood glucose: 146 mg/dL
Total cholesterol: 250 mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Serum creatinine 1.8 mg/dL
BUN 32 mg/dl
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:
Describe the clinical manifestations present in Mr. C.
Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
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. (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.)
Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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