Obesity Case Study
Obesity is a dangerous condition to have a diagnosis for anyone. The danger arises from the multiple life-threatening risks associated with obesity. This paper will discuss some of the risk factors associated with a client; Mr. C, the need for or not for bariatric surgery for the customer’s obesity. The paper will further plan, and administration schedule that will best suit Mr. C. Finally the paper will assess the functional health patterns of Mr. C identifying the actual and potential problems.
Mr. C has a Body Mass Index of above 40 which means that he is not only obese but extremely obese. The state of extreme obesity puts him at increased risk for High blood pressure. The client is further at risk of Type 2 diabetes, coronary heart disease, and stroke (Pollock, 2015). Mr. C is seeking information about an elective bariatric surgery. Mr. C would be a good candidate for bariatric surgery because he has all the indications for someone who wants to take part in the procedure. Mr. C is severely obese because his BMI (calculated from his weight and height) is well over 40. Secondly, he has high blood pressure which is most likely a result of his obesity. Mr. C also complains of sleep apnea which is secondary to his condition of extreme obesity (Maciejewski et al., 2016). Having a bariatric surgery will help reduce the stated health problems, so he is a good candidate for the operation.
Administration schedule
Name: Mr. C
Age: 32 years old
The amount ordered by the doctor:
Time of Administration:
- Magnesium hydroxide at 15 ml orally at 10 a.m.., 3 p.m., 9 p.m. and 10 p.m.
- Ranitidine 300mg orally at 10 p.m.
III. Sucralfate 10 ml at 6 a.m., 11 a.m., 6 p.m. and at 9 p.m.
Doctors name:
Signature of Nurse who administered the drug:
Signature of Nurse who checked the medication: (Lehne, 2010)
Actual and Potential Problems from Assessment of Functional Health Patterns
First and foremost from the nutritional/ metabolic pattern, it is notable that Mr. C has a weight of 134.5 kg. He is overweight that puts him at a health risk for multiple conditions. Calculation of his BMI further reveals that he is extremely obese. There is also a problem with his stress and coping patterns; he is asking about bariatric surgery because he feels he has gained a hundred pounds which could not be a good thing. The client’s self-pattern is disturbed. He must also be a disturbed image about himself self no wonder he wants surgery to correct it (Weber, 2008). The role relationship pattern also assessment also reveals problems since he is 32 years old, unmarried and single.
Moreover, an evaluation of the client’s sleep rest pattern shows more problems. He says he has sleep apnea, a condition which interferes with his sleeping time. He must be lacking sufficient rest (Weber, 2008). What’s more, he works as at a telephone catalog; his workplace is indicative of a sedentary lifestyle; Much so since there is no report of exercise in the subjective data.
In conclusion, it is important to note that obesity is a serious health condition as indicated above. Obesity has several life-threatening health risks associated with it. Stroke, hypertension, coronary heart disease and diabetes mellitus are some of the risks Mr. C is associated with. This paper has finally created at a suitable administration schedule and done a comprehensive functional health patterns assessment identifying the problems.
References
Lehne, R. (2010). Pharmacology for nursing care (1st ed.). St. Louis, Mo.: Saunders/Elsevier
Maciejewski, M., Arterburn, D., Van Scoyoc, L., Smith, V., Yancy, W., & Weidenbacher, H. et al. (2016). Bariatric Surgery and Long-term Durability of Weight Loss. JAMA Surgery, 151(11), 1046. http://dx.doi.org/10.1001/jamasurg.2016.2317.
Pollock, N. (2015). Childhood obesity, bone development, and cardiometabolic risk factors. Molecular And Cellular Endocrinology, 410, 52-63. http://dx.doi.org/10.1016/j.mce.2015.03.016
Weber, J. (2008). Nurses’ handbook of health assessment (1st ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams and Wilkins.
