Please respond with a paragraph to the following question, add citations and references:
Mr. C. has high blood pressure which can lead to a stroke or heart disease. He also has reported sleep apnea. Based off his lab work, it appears he may also have type 2 diabetes along with high cholesterol. High blood pressure and diabetes can also have detrimental effects on the kidneys. They can lead to kidney failure down the road. With bariatric surgery, the sleep apnea, high blood pressure, and diabetes all have the potential to be reversed and in the normal range with significant weight loss. Mr. C.’s BMI is almost 50 which is morbidly obese. The benefits of the surgery will outweigh the risks with all of his comorbidities.
“Peptic ulcers are open sores that develop on the inside lining of your stomach and the upper portion of your small intestine” (Mayo Clinic, 2018, para. 1). It is important to take prescribed medications as directed in order to minimize symptoms that come with peptic ulcer disease.
Based off Mr. C.’s wake, sleep, and eating schedule, Mylanta should be taken at 10am, 3pm, 9pm, and at 10pm in order to not wake up in the middle of the night to take meds after his night time snack. The raniditine should be taken at bedtime at 10pm. The carafate should be taken at 6am, 11am, 5pm, and at about 8pm because raniditine and carafate should be taken at least 2 hours apart in order to have the best absorption (Ogbru, n.d.).
Mr. C.’s functional health patterns assessment is as follows:
- Health perception- He aware of his gaining weight and the need for intervention, however he may lack education on a healthy diet and lack of exercise. He is aware that monitoring sodium intake can help manage his blood pressure.
- Health management (nutrition/metabolic)- Mr. C. eats 3 meals per day with a snack at bedtime. With his peptic ulcer disease, he should not be eating right before bed. His food choices may need to be evaluated in order to see if healthier versions are needed. Again, he does well identifying the need for a low sodium intake. He may need to see a diabetic educator and/or a nutritionist for further diet modifications based off his illnesses.
- Elimination- Mr. C. may be urinating frequently due to diabetes and constipation can occur without a proper diet and some exercise.
- Activity/exercise- There is no mention of Mr. C.’s exercise pattern. He is a telephone center so that may be a sedentary job.
- Sleep/rest- Mr. C. reports sleep apnea. It is typical to feel tired due to lack of oxygenation that occurs with sleep apnea. He reports going to bed at 10pm and wakes at 6am so this is 8 hours of rest, however, it may not feel restful due to the sleep apnea.
- Cognitive/perceptual- Mr. C. is aware of his declining health and the need to seek medical opinions. He works fulltime and is able to do his daily job tasks as evidenced by the fact that he does have a job.
- Self-perception/concept- Mr. C. has noticed he has rapidly gained 100lbs and needs medical intervention. He reports he has been heavy since childhood, possible self-esteem issues may be present.
- Role/Relationship- Mr. C. does not mention having a relationship or a family. It is not known if he gets out to socialize with other people or not
- Sexuality/Reproductive- No mention of Mr. C.’s sex health. He is at risk for a decrease libido due to medical issues, being morbidly obese, and at risk for infertility due to his diabetes and other comorbidities.
- Coping/Stress intolerance- There is not much information on how Mr. C. copes, but with his rapid weight gain, he may use food as an outlet.
Mr. C. is facing a few problems. He is at risk for heart disease as evidenced by high cholesterol and blood pressure. He is also at risk for kidney disease as evidenced by high blood pressure, obesity, and diabetes. Mr. C. also has nutritional imbalance as evidenced by a BMI close to 50 with rapid weight gain. He may have activity intolerance due to obesity and a sedentary job. Mr. C. is also at risk for low self esteem as evidenced by the 100lb weight gain and discussion about always being heavy since childhood.
With the bariatric surgery, Mr. C. will need a lot of education and resources for his journey ahead. He will need education on a proper diet before and then again after his surgery along with different exercises and an exercise schedule to maximize his benefits of the surgery. This will also allow to help manage his existing comorbidities and also to eventually have them go away.
References
Ogbru, O. (n.d.). Carafate (sucralfate). Retrieved from https://www.medicinenet.com/sucralfate/article.htm…
Peptic ulcer. (2018). Retrieved from https://www.mayoclinic.org/diseases-conditions/pep…