Obesity is a condition where one accumulates excess fat that presents with considerable threats to health. Obesity is measured in terms of body index mass (BMI). It is associated with an increase of many health difficulties that include; type II diabetes, cardiac disease, hypertension, cancers, breathing problems like sleep apnea and gout. In the case scenario, Mr. C has developed sleep apnea whereby he stops breathing for short episodes during sleep. He also has high blood pressure that is connected to overweight and obesity in several ways. People like Mr. C who has an extensive body have high blood pressure because the heart needs to supply blood to his body cells harder. The kidneys that are damaged by excess fat regulate blood pressure.
This type of surgery is not an appropriate intervention for Mr. C because of its significant risks. However, it is essential to consider the risks versus the benefits of the same. It has risks such as excessive bleeding, pain, infection at the incision site and leakage to the gastrointestinal system. Considering that he is diagnosed with peptic ulcer disease, this makes it, even more, worse because of blood leakage to the digestive system during surgery (Olsen, Maciejewski & Arteburn, 2015).
An administration schedule most therapeutic for the patient
The patient has been reported to have peptic ulcer disease and has been given some medications. He is on magnesium hydroxide, ranitidine, and sucralfate. Mr. C's medication regimen can be challenging to manage because of the doses and compliance rate. Therefore, it would be sensible to give the patient shorter regimen drugs since he will be able to take them every time without skipping any of the medication. This also reduces the risk of over-dosing and under-dosing. Keeping the medication consistent leads to a well-planned administration schedule. Research has shown that magnesium decreases the efficacy of sucralfate. Therefore, it is advisable to administer them half an hour apart. The medication regimen becomes even more complicated when the issue with the hours to take the drugs.
Mr. .C reports that he takes his meals at 7 a.m., noon, and 6 p.m. My administration schedule for this patient would be as follows;Before breakfast 6 a.m.- sucralfate After breakfast 10 a.m.- magnesium hydroxide
Before lunch 11 a.m.- sucralfateAfter lunch 1 a.m.-magnesium hydroxide
Before dinner 5 p.m.-sucralfate9 p.m.-ranitidine and sucralfate10 p.m.- magnesium hydroxide and a piece of snack before sleeping
In this case scenario, it would be nice to use an alternative regimen that will be easier for the patient to comply with to avoid drug over-dose and under-dose.
Assessment of functional health patterns
Hypertension is one of the technical health patterns likely to be experienced by this patient. Health education on blood pressure would benefit this patient despite the fact he has learned how to restrict sodium intake. Talk to the patient about the factors that increase the blood pressure and how to control them. Therefore, a weekly blood pressure recording is very essential. Educate the patient also on lifestyle. The patient works at a telephone care center where he sits down the whole day. Here there is exposure to sedentary lifestyles where the patient has minimal physical activity. A little increase in how he carries his physical exercises would help in sleep patterns as well as stress management mechanisms.
Diet management would help in case of hyperlipidemia noticed in the laboratory values. Adding to supplements and medications helps fight the risk of this hyperlipidemia. Nutritional deficits in this patient are of significant concern because of his obesity state. It is vital to educate the patient on dietary management on which food to eat and which to restrict. The drug regimen of Mr. C is rigorous making the compliance somehow tricky. Advise him on the importance of taking the medication to avoid the problems with non-compliance.
Generally, the patient from this case study would benefit a lot from bariatric surgery but further consultation about his health patterns would be necessary. The reason for doing this is to evaluate the benefits versus risks of performing the procedure. The patient could benefit a lot from motivation and education on how to lose weight naturally rather than going for surgical procedures that may complicate his health status. Explain to the patient the risks of undergoing surgery and the expected outcome and complications. Assess the causes of extreme obesity and associated factors including the difficulties. Obesity affects many people worldwide and is associated with immediate health problems followed by later health problems including early mortality. In adults, bariatric surgery is associated with prolonged weight control and co-morbidities in an improvement of obesity. Some examples of these co-morbidities are obstructive sleep apnea, high blood pressures, and diabetes most especially the type two type. Dyslipidemia is also a co-morbidity of obesity (Ettinger, 2016).
Ettinger, S., (2016). Nutritional Pathophysiology of Obesity and its Comorbidities: A Case- Study Approach. Elsevier Science. 334. Print. Retrieved from: https://books.google.co.ke/books?isbn=0128030348.
Olsen, M., Maciejewski, M., & Arteburn, D, et al. (2015). Association between Bariatric Surgery and Long-term Survival. JAMA.
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