P4

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

Ashley Pittman 

1 posts

Re:Topic 5 Mandatory Discussion Question

Health risks associated with obesity include Diabetes, hypertension, sedentary lifestyle, high cholesterol and sleep apnea.  According to the American Society for metabolic surgery, Mr. C is a candidate for bariatric surgery.  Qualifying criteria includes BMI >40 or >100 lbs. overweight.  Mr. C has a BMI of 45.  Other qualifying factors include a BMI of >35 with comorbidities such as Diabetes Mellitus, Hypertension, sleep apnea, osteoarthritis, lipid abnormalities, gastrointestinal or heart disorders.  Along with a qualifying BMI, Mr. C has qualifying comorbidities. 

Mylanta 1000, 1500, 2100

Zantac 2100

Sucralfate/Carafate 0600, 1100, 1700, 2100

Health management: Mr. C attempts to manage his HTN with a low sodium diet, being seen for bariatric surgery.  Seems to understand that he needs to take action in weight loss

Nutritional – metabolic: Attempts to follow a low sodium diet, eats 3 meals per day with an evening snack, fasting blood glucose 146, high cholesterol, 100# weight gain in 2-3 years

Elimination: no information provided

Activity-exercise: No report of physical activity, works at a call center where he probably sits during his shift

Sleep-rest: Reportedly has sleep apnea

Cognitive-perceptual: No apparent cognitive deficit, maintains job, alert and oriented according to his ability to request medical treatment

Self-perception – self-concept: Seemingly aware of need to take action regarding his health and weight loss.  

Role-relationship: No information provided

Sexuality – reproductive: No information provided

Coping – stress tolerance: No specific information provided, but given his weight gain over the past 2-3 years I would say he has poor coping skills and stress may be a cause of weight gain. 

Problems for Mr. C include:

Hypertension- Need further assessment and treatment

Sleep apnea- CPAP treatment to have more restful sleep at night

DM- Need further assessment and labs to diagnose and treat.  Possibly needs Metformin as uncontrolled diabetes can cause complications following surgical procedures

Sedentary lifestyle- Mr. C needs to understand that surgery alone will not fix his weight problem and he must also make lifestyle changes in order for it to be successful

High cholesterol- statin and consultation with dietician. 

Diabetes alone can cause serious complications following surgery.  If you couple diabetes with the above mentioned problems Mr. C is at an increased risk for infection as well as major health concerns.  Some of the mentioned concerns are myocardial infarction, stroke, heel pressure sores, post-op wound infection and UTI.  Based on this evidence and Mr. C’s medical history, I would recommend that the problems are addressed prior to surgery to improve his outcome. 

Tidy, D. C. (2016, February 12). Precautions with Patients with Diabetes Undergoing Surgery. Retrieved August 29, 2017, from https://patient.info/doctor/precautions-for-patients-with-diabetes-undergoing-surgery