Case Study: Mr. C.
Obesity has reached epidemic levels in the United States, and nearly three-quarters of American adults are either obese (42.4%) or overweight (30.7%) (Overweight & Obesity Statistics, 2023). As a result, an increasing number of these individuals are evaluating the appropriateness of medical management (Greco et al., 2021) or bariatric surgery for their condition (?lyas-ner et al., 2023). The purpose of this paper is to provide an evaluation of the health history and medical information for Mr. C., a 32-year-old male seeking information about possible bariatric surgery for obesity.
1. Describe the subjective and objective clinical manifestations present in Mr. C.
The case study indicates that Mr. C. presents with a history of high blood pressure, shortness of breath, rapid weight gain, sleep apnea, swollen ankles, and pruritus. The objective data about Mr. C shows obesity (BMI of 45.2), elevated blood pressure, pitting edema, high fasting blood glucose, dyslipidemia, elevated serum creatinine, and elevated blood urea nitrogen (BUN). These clinical manifestations suggest a potential diagnosis of obesity-related health issues, including cardiovascular complications and renal dysfunction. Therefore, because bariatric surgery is recommended only when individuals BMI exceeds 40, classifying his condition as extreme obesity and a potential candidate for this procedure (Overview of Bariatric Surgery, 2023).
2. Describe the potential health risks for obesity that are of concern for Mr. C. Explain whether bariatric surgery is an appropriate intervention.
It is well documented that Mr. Cs obesity increases his risk of cardiovascular diseases, diabetes, and renal dysfunction. Bariatric surgery may be appropriate to address Mr. C.'s severe obesity and associated health risks. It can lead to substantial weight loss and improve obesity-related comorbidities. However, thorough assessment of Mr. C.'s physical and mental health, readiness for lifestyle changes, and potential surgical risks is essential before considering bariatric surgery. For instance, although every surgical candidates situation is unique, there are some common risk factors that are associated with bariatric surgery that must be taken into account (Akpinar et al., 2023).
3. Assess each of Mr. C.'s functional health patterns using...
…dietary restrictions, fluid management, and early recognition of symptoms. Likewise, Mr. C should understand the essentiality of regular follow-ups and kidney function monitoring.6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Include aspects such as devices, transportation, living conditions, return-to-employment issues.
ESRD patients require a multidisciplinary approach involving nephrologists, dietitians, social workers, and mental health professionals. Resources such as dialysis centers, home dialysis options, transportation services, and support groups are available in Mr. Cs community. In addition, nephrology clinics can provide Mr. C with guidance concerning his needed dietary restrictions as well as appropriate medication management practices. Likewise, vocational rehabilitation programs can help Mr. C address his return-to-employment issues. Finally, it is also important to point out that far too many people, even those faced with life-threatening conditions, may be reluctant to take advantage of these types of community-based resources, making the need for regular follow-up care also essential for Mr. Cs…
References
Akpinar, E. O., Ghaferi, A. A., Liem, R. S. L., Bonham, A. J., Nienhuijs, S. W., Greve, J. W. M., & Marang-van de Mheen, P. J. (2023). Predicting serious complication risks after bariatric surgery: external validation of the Michigan Bariatric Surgery Collaborative risk prediction model using the Dutch Audit for Treatment of Obesity. Surgery for Obesity and Related Diseases: Official Journal of the American Society for Bariatric Surgery, 19(3), 212–221.
Greco, A., Zentner, A., & Brotto, L. A. (2021). Comparison of Medical Management versus Bariatric Surgery for Obesity Management: Effects on Sexual Function. Journal of Sex & Marital Therapy, 47(7), 721–730.
?lyas-Öner, R., Özda?, S., Sar?ayd?n, M., & Aslan, S. (2023). The impact of bariatric surgery on obesity-related infertility. European Review for Medical and Pharmacological Sciences, 27(7), 2865–2870.
Overview of Bariatric Surgery. (2023). Mayo Clinic. Retrieved from https://www.mayoclinic. org/tests-procedures/bariatric-surgery/about/pac-20394258.
Overweight & Obesity Statistics. (2023). National Institutes of Health. Retrieved from https://www.niddk.nih.gov/health-information/health-statistics/overweight-obesity.
However, there are alternate therapies that may be considered first. Providing an anti-obesity drug to overweight patients with diabetes has been estimated to cost $8,327. Certain studies have indicated that there may be available a variety of cost-effective anti-obesity interventions (Cawley 2006: 74). Furthermore, extreme obesity usual requires a multi-dsici0plamnry approach and more than surgery is often required to complete the process (Folope, et.al. 2008). For decades, the psychological literature
PICO Question: Bariatric Surgery As the obesity rate continues to be an issue of great concern in America, the question arises as to the best ways to reduce the BMIs of individuals already suffering from the condition, as well as how to enact preventative means. Although the ideal is for people to never become obese at all, the fact remains that there is a need to develop proactive measures to facilitate
health risks associated with obesity does Mr. C. have? It is evident according to the data that it is Mr. C is suffering from the threat of cardiovascular complaints such as congestive heart failure (CHF), coronary artery disease (CAD), diabetes. stroke. Separately from all of that, Mr. C suffers from having the high risk for hypertension. Also, minor probabilities for gallbladder disease, cancer, and osteoarthritis gout, and gallbladder disease. Bariatric surgery
, 2010). The Long Magenstrasse with pyloroplasty as functional Gastric Bypass (LMGBP) procedure is that such surgery. This surgery has been found to reduce the occurrence of side effects connected with gastric restrictive and malabsorptive surgery, particularly on quality of life and long-term nutritional insufficiency. This surgery has shown to result in significant weight loss, together with its moderate surgical risk, very low complication profile, and the satisfaction of patients. This
Post Bariatric Surgery Outcomes Importance of Patient Education: Deciding When and Improving Post Bariatric Surgery Outcomes Obesity is one of the national and international problems affecting growth and development of the economies because of its influence on the health conditions of society members. Obesity and overweight contribute significantly to number of death cases in the context of the United States and across the global under the influence of globalization. There are various
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