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  • Nursing Pathophysiology

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    Jenny Jennifer
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    The BMI for Mr. C is 45.0855 and this indicates that he is obese. For Mr. C, the associated health risks are high blood pressure which he confesses to have. Owing to the high total cholesterol level of 250mg/dL and very low HDL of 30 mg/dL, the patient has a very high risk of developing heart disease as this indicates high level of LDL (Korenkov, 2012). The risk of heart disease or stroke is also increased with high triglycerides levels since the patient is already obese. Stroke and heart disease result from buildup of fat on the artery walls and atherosclerosis. Mr. C is also suffering from sleep apnea which is as a result of breathing problems. Due to abnormal results of fasting blood glucose levels of 146/mg/dL Mr. C is suffering from diabetes since this value is more than 126mg/dL which is the normal value. The high fasting glucose levels is also associated with overactive thyroid gland, pancreatitis and pancreatic cancer (Korenkov, 2012). Bariatric surgery is a weight loss surgery and in the case of Mr. C who is dangerously obese, losing weight through surgery is the best option (Korenkov, 2012). In addition, Mr. C reveals that his high body weight has been since he was a small child and went through into adulthood. Through the removal of a portion of the stomach by sleeve gastrectomy or re-routing the small intestine through gastric bypass surgery, Mr. C will experience reasonable weight loss. This way, Mr. C is guaranteed of long term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors and mortality rate reduction (Korenkov, 2012). The bariatric surgery is recommended by the US national Institute of Health to males with a BMI of at least 40 and Mr. C is eligible since he has a BMI of 45 coupled with serious diabetes. Administration schedule for Peptic ulcer disease Magnesium hydroxide tablets: 400-800mg orally once a day Ranitidine 150 mg orally once a day at bedtime Sucralfate tablet: 1gm four times daily on an empty stomach i.e. before meals and at bedtime (Goroll and Mulley, 2012) Functional health patterns Health –perception – health management In terms of Health-perception, Mr. C indicates having accepted his condition since he was a young boy. However, he has failed to manage his health as indicated in his eating habits that include a snack at night just before he goes to bed. He has also not revealed any involvement in physical exercise activities. Activity- exercise Although Mr. C is understands the nature of his job that involves little or no movements, he takes three meals each day and a snack yet engages in no physical exercise (Goroll and Mulley, 2012). In addition, nutrition wise, Mr. C has his eating schedule including a snack each day which is taken at 10.0pm. This means that the body accumulates the fats eaten in the snack due to low metabolic activities at night as is characterized by high total cholesterol levels while sleep apnea is an indication that Mr. C’s accumulation of fats is causing to him some breathing problems. Coping-stress The presence of Peptic ulcers is an indication of the presence of stress in Mr. C. The fact that in just three years he has an added weight of 100 pounds causes Mr. C to rethink about living healthy and bariatric surgery is his best option. Self-perception Since he has been obese, Mr. C perceives that the quickest way to get rid of the recently accumulated fats and causing him to be obese is through surgery without even trying out exercises or changing eating habits. He perceives that the option of having surgery is quick yet he does not take the responsibility to reduce his weight through a weight loss program. Role-relationship As a 32 year old male, there he has no family and has no one to advise him on proper nutritional habits. As a result, he eats readymade food in restaurants and rarely eats nutritious meals. References Goroll, A. and Mulley, A. (2012). Primary Care Medicine: Office Evaluation and M

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    20129 Nursing Pathophysiology

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    The BMI for Mr. C is 45.0855 and this indicates that he is obese. For Mr. C, the associated health risks are high blood pressure which he confesses to have. Owing to the high total cholesterol level of 250mg/dL and very low HDL of 30 mg/dL, the patient has a very high risk of developing heart disease as this indicates high level of LDL (Korenkov, 2012). The risk of heart disease or stroke is also increased with high triglycerides levels since the patient is already obese. Stroke and heart disease result from buildup of fat on the artery walls and atherosclerosis. Mr. C is also suffering from sleep apnea which is as a result of breathing problems. Due to abnormal results of fasting blood glucose levels of 146/mg/dL Mr. C is suffering from diabetes since this value is more than 126mg/dL which is the normal value. The high fasting glucose levels is also associated with overactive thyroid gland, pancreatitis and pancreatic cancer (Korenkov, 2012). Bariatric surgery is a weight loss surgery and in the case of Mr. C who is dangerously obese, losing weight through surgery is the best option (Korenkov, 2012). In addition, Mr. C reveals that his high body weight has been since he was a small child and went through into adulthood. Through the removal of a portion of the stomach by sleeve gastrectomy or re-routing the small intestine through gastric bypass surgery, Mr. C will experience reasonable weight loss. This way, Mr. C is guaranteed of long term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors and mortality rate reduction (Korenkov, 2012). The bariatric surgery is recommended by the US national Institute of Health to males with a BMI of at least 40 and Mr. C is eligible since he has a BMI of 45 coupled with serious diabetes. Administration schedule for Peptic ulcer disease Magnesium hydroxide tablets: 400-800mg orally once a day Ranitidine 150 mg orally once a day at bedtime Sucralfate tablet: 1gm four times daily on an empty stomach i.e. before meals and at bedtime (Goroll and Mulley, 2012) Functional health patterns Health –perception – health management In terms of Health-perception, Mr. C indicates having accepted his condition since he was a young boy. However, he has failed to manage his health as indicated in his eating habits that include a snack at night just before he goes to bed. He has also not revealed any involvement in physical exercise activities. Activity- exercise Although Mr. C is understands the nature of his job that involves little or no movements, he takes three meals each day and a snack yet engages in no physical exercise (Goroll and Mulley, 2012). In addition, nutrition wise, Mr. C has his eating schedule including a snack each day which is taken at 10.0pm. This means that the body accumulates the fats eaten in the snack due to low metabolic activities at night as is characterized by high total cholesterol levels while sleep apnea is an indication that Mr. C’s accumulation of fats is causing to him some breathing problems. Coping-stress The presence of Peptic ulcers is an indication of the presence of stress in Mr. C. The fact that in just three years he has an added weight of 100 pounds causes Mr. C to rethink about living healthy and bariatric surgery is his best option. Self-perception Since he has been obese, Mr. C perceives that the quickest way to get rid of the recently accumulated fats and causing him to be obese is through surgery without even trying out exercises or changing eating habits. He perceives that the option of having surgery is quick yet he does not take the responsibility to reduce his weight through a weight loss program. Role-relationship As a 32 year old male, there he has no family and has no one to advise him on proper nutritional habits. As a result, he eats readymade food in restaurants and rarely eats nutritious meals. References Goroll, A. and Mulley, A. (2012). Primary Care Medicine: Office Evaluation and M

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    Nursing Pathophysiology

    Uploaded by

    Jenny Jennifer
    The BMI for Mr. C is 45.0855 and this indicates that he is obese. For Mr. C, the associated health risks are high blood pressure which he confesses to have. Owing to the high total cholesterol level of 250mg/dL and very low HDL of 30 mg/dL, the patient has a very high risk of developing heart disease as this indicates high level of LDL (Korenkov, 2012). The risk of heart disease or stroke is also increased with high triglycerides levels since the patient is already obese. Stroke and heart disease result from buildup of fat on the artery walls and atherosclerosis. Mr. C is also suffering from sleep apnea which is as a result of breathing problems. Due to abnormal results of fasting blood glucose levels of 146/mg/dL Mr. C is suffering from diabetes since this value is more than 126mg/dL which is the normal value. The high fasting glucose levels is also associated with overactive thyroid gland, pancreatitis and pancreatic cancer (Korenkov, 2012). Bariatric surgery is a weight loss surgery and in the case of Mr. C who is dangerously obese, losing weight through surgery is the best option (Korenkov, 2012). In addition, Mr. C reveals that his high body weight has been since he was a small child and went through into adulthood. Through the removal of a portion of the stomach by sleeve gastrectomy or re-routing the small intestine through gastric bypass surgery, Mr. C will experience reasonable weight loss. This way, Mr. C is guaranteed of long term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors and mortality rate reduction (Korenkov, 2012). The bariatric surgery is recommended by the US national Institute of Health to males with a BMI of at least 40 and Mr. C is eligible since he has a BMI of 45 coupled with serious diabetes. Administration schedule for Peptic ulcer disease Magnesium hydroxide tablets: 400-800mg orally once a day Ranitidine 150 mg orally once a day at bedtime Sucralfate tablet: 1gm four times daily on an empty stomach i.e. before meals and at bedtime (Goroll and Mulley, 2012) Functional health patterns Health –perception – health management In terms of Health-perception, Mr. C indicates having accepted his condition since he was a young boy. However, he has failed to manage his health as indicated in his eating habits that include a snack at night just before he goes to bed. He has also not revealed any involvement in physical exercise activities. Activity- exercise Although Mr. C is understands the nature of his job that involves little or no movements, he takes three meals each day and a snack yet engages in no physical exercise (Goroll and Mulley, 2012). In addition, nutrition wise, Mr. C has his eating schedule including a snack each day which is taken at 10.0pm. This means that the body accumulates the fats eaten in the snack due to low metabolic activities at night as is characterized by high total cholesterol levels while sleep apnea is an indication that Mr. C’s accumulation of fats is causing to him some breathing problems. Coping-stress The presence of Peptic ulcers is an indication of the presence of stress in Mr. C. The fact that in just three years he has an added weight of 100 pounds causes Mr. C to rethink about living healthy and bariatric surgery is his best option. Self-perception Since he has been obese, Mr. C perceives that the quickest way to get rid of the recently accumulated fats and causing him to be obese is through surgery without even trying out exercises or changing eating habits. He perceives that the option of having surgery is quick yet he does not take the responsibility to reduce his weight through a weight loss program. Role-relationship As a 32 year old male, there he has no family and has no one to advise him on proper nutritional habits. As a result, he eats readymade food in restaurants and rarely eats nutritious meals. References Goroll, A. and Mulley, A. (2012). Primary Care Medicine: Office Evaluation and M

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    20129 Nursing Pathophysiology

    20129 Nursing Pathophysiology The BMI for Mr. C is 45.0855 and this indicates that he is obese. For Mr. C, the associated health risks are high blood pressure which he confesses to have. Owing to the high total cholesterol level of 250mg/dL and very low HDL of 30 mg/dL, the patient has a very high risk of developing heart disease as this indicates high level of LDL (Korenkov, 2012). The risk of heart disease or stroke is also increased with high triglycerides levels since the patient is already obese. Stroke and heart disease result from buildup of fat on the artery walls and atherosclerosis. Mr. C is also suffering from sleep apnea which is as a result of breathing problems. Due to abnormal results of fasting blood glucose levels of 146/mg/dL Mr. C is suffering from diabetes since this value is more than 126mg/dL which is the normal value. The high fasting glucose levels is also associated with overactive thyroid gland, pancreatitis and pancreatic cancer (Korenkov, 2012). Bariatric surgery is a weight loss surgery and in the case of Mr. C who is dangerously obese, losing weight through surgery is the best option (Korenkov, 2012). In addition, Mr. C reveals that his high body weight has been since he was a small child and went through into adulthood. Through the removal of a portion of the stomach by sleeve gastrectomy or re-routing the small intestine through gastric bypass surgery, Mr. C will experience reasonable weight loss. This way, Mr. C is guaranteed of long term loss of weight, recovery from diabetes, improvement in cardiovascular risk factors and mortality rate reduction (Korenkov, 2012). The bariatric surgery is recommended by the US national Institute of Health to males with a BMI of at least 40 and Mr. C is eligible since he has a BMI of 45 coupled with serious diabetes.

    20129 Nursing Pathophysiology

    Administration schedule for Peptic ulcer disease Magnesium hydroxide tablets: 400-800mg orally once a day Ranitidine 150 mg orally once a day at bedtime Sucralfate tablet: 1gm four times daily on an empty stomach i.e. before meals and at bedtime (Goroll and Mulley, 2012) Functional health patterns Health perception health management In terms of Health-perception, Mr. C indicates having accepted his condition since he was a young boy. However, he has failed to manage his health as indicated in his eating habits that include a snack at night just before he goes to bed. He has also not revealed any involvement in physical exercise activities. Activity- exercise Although Mr. C is understands the nature of his job that involves little or no movements, he takes three meals each day and a snack yet engages in no physical exercise (Goroll and Mulley, 2012). In addition, nutrition wise, Mr. C has his eating schedule including a snack each day which is taken at 10.0pm. This means that the body accumulates the fats eaten in the snack due to low metabolic activities at night as is characterized by high total cholesterol levels while sleep apnea is an indication that Mr. Cs accumulation of fats is causing to him some breathing problems. Coping-stress The presence of Peptic ulcers is an indication of the presence of stress in Mr. C. The fact that in just three years he has an added weight of 100 pounds causes Mr. C to rethink about living healthy and bariatric surgery is his best option.

    20129 Nursing Pathophysiology

    Self-perception Since he has been obese, Mr. C perceives that the quickest way to get rid of the recently accumulated fats and causing him to be obese is through surgery without even trying out exercises or changing eating habits. He perceives that the option of having surgery is quick yet he does not take the responsibility to reduce his weight through a weight loss program. Role-relationship As a 32 year old male, there he has no family and has no one to advise him on proper nutritional habits. As a result, he eats readymade food in restaurants and rarely eats nutritious meals.

    20129 Nursing Pathophysiology

    References Goroll, A. and Mulley, A. (2012). Primary Care Medicine: Office Evaluation and Management of Adult patient. Philadelphia, USA: Lippincott Williams & Wilkins. Korenkov, M. (2012). Bariatric Surgery: Technical variations and complications. London: Springer-Verlag Hans Huber.

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