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
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…
