1. The health risks present in Mr. C that are associated with his obesity includes hypertension and sleep apnea. His lab values indicate possible diabetes, elevated cholesterol, elevated triglycerides, and low HDL (Medscape, 2014). These lab values, associated with his obesity, put him at substantial risk for heart disease. Bariatric surgery would be a viable option for Mr. C. His BMI is 47.8 and according to Edelman, C., Kudzma, E., Mandle, C. (2014), “A BMI of 40 or more meets the criteria for bariatric surgery in psychologically stable individuals. In persons with comorbidity, bariatric surgery may be suggested with a BMI of 35 or greater. The focus of professional advice is conservative at first, recommending careful diet appraisal and increase in exercise patterns.”
2. Planning a medication schedule to treat Mr. C’s peptic ulcer disease is crucial in order to maintain adherence to prescribed regimen. The best schedule for Mr. C is: 6 a.m.: Carafate dose. 7 a.m. breakfast. 10 a.m. Mylanta dose. 11 a.m. Carafate dose. 12 p.m. lunch. 3 p.m. Mylanta dose. 5 p.m. Carafate dose. 6 p.m. dinner. 9 p.m. Mylanta, Zantac, and Carafate doses. 10 p.m. Snack and bedtime.
3. Five potential problems in Mr. C’s functional health pattern include: health management, nutritional-metabolic, activity-exercise, self-perception/ self-concept, and sleep-rest. Health management is a problem because he is attempting to control his high blood pressure with sodium restriction alone, which is not working due to his BP of 172/96. Further education should be given related to better ways to manage his health. He may also be diabetic due to his fasting glucose of 146. Mr. C would require education to manage and control this new diagnosis. Nutritional-metabolic is a problem even though his medical records do not indicate any metabolic disease because he is not meeting his body’s metabolic needs as evidenced by the 100-pound weight gain in the last 2-3 years. Education should be given on diet and making better food choices. Activity-exercise is a problem due to the perceived sedentary lifestyle. Mr. C is currently employed at a call center where there is likely to be a large amount of sitting without activity. Mr. C should be encouraged to increase his activity and exercise more. Self-perception/ self-concept is a potential problem for Mr. C as he stated he has always been heavy, even as a small child. He may have issues changing his current lifestyle because he thinks he is always going to be that person. He may feel like he cannot be anything else and should therefore be encouraged and supported as he works to better himself. Sleep-rest is a definite problem as he stated he has sleep apnea. This is common in obese individuals and limits the amount of restful sleep he gets. Further information should be gathered to better assess the other functional health patterns in order to gain deeper understanding of other possible issues (Gordon, 2013).