Please do a paragraph about this post with this instruction .
post most have 4 or more sentences .
you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings
Mr. C has many signs of being at risk related to his weight. He has out of control high blood pressure at 172/96, and he is not taking medication regularly. The patient is also experiencing sleep apnea every night. He has a sedentary job in a catalog telephone center. His fasting blood sugar is 146, and the healthy range is 70-115. His cholesterol levels are elevated with his total at 250, HDL level is 30, and that is considered very poor, and triglycerides are 312. His weight to height gives him a BMI of 40, which makes him a Class 3 on the class of obesity.
Is bariatric surgery an appropriate intervention?
Bariatric surgery would be appropriate for him as has a BMI 40 or greater and has weight-related illnesses. He would also qualify as BMI 25 or greater with his weight-related illness. Bariatric surgery is a life-altering decision that can be chosen lightly. A patient is screened for many factors; a psychological evaluation is also needed to ensure the patient can make the permanent changes as a result of bariatric surgery. The NIH recognizes that bariatric surgery in the only effective treatment to combat severe obesity and maintain weight loss in the future. It can help or resolve many obesity-related conditions such as Type 2 Diabetes, High Blood pressure, heart disease and others, including sleep apnea.In addition to improvements in life and longevity, surgical weight loss improves the quality of life including mobility, self-esteem, work outcomes, social interactions and sexual function.
His medications are dependent on Mr. C’s mealtimes. He will need to take his Carafate at 6 am, Mylanta at 10 am, Carafate at 11 am, Mylanta at 1500, Carafate at 1800 and Mylanta, Zantac and Carafate at 2200.
Mr. C functional patterns include:
Health management- he has been ignoring his health by not taking medication for his high blood pressure. He needs to become involved in his own care and become an active participant in his health before he would be accepted into a Bariatric program
Nutritional management- because of the rather rapid weight gain over the past 2-3 years, Mr. C has not had a healthy diet, and his blood sugars are elevated as well. He is at risk of developing or has developed and is undiagnosed with Type 2 diabetes. He needs to learn healthy eating habits and how to shop for healthy foods.
Role-relationship-Mr. C works in a telephone Catalog Center and s single. It is possible he has little social interaction with actual people outside of his workplace. He probably is uncomfortable with his size since he initiated the conversation about bariatric surgery. He may have improvement after losing weight as the NIH study states the singlehood is decreased after significant weight loss.
Stress tolerance-Mr. C is single, and he has sleep apnea and high blood pressure. This is a dangerous combination for stress. He needs to be treated for his symptoms, including sleep apnea for his health and longevity.Active/exercise- Mr. C weight 295.9 lbs. It is easy to imagine that he is not very physically fit or doing much exercise. He has a respiratory rate of 26 and HR of 88. He needs to start a simple exercise/walking plan to get in the habit of moving in preparation for his surgery. Usually, there is a goal weight that must be lost before the operation. Exercise is key to this program.