NRS 410 Bariatric Surgery Discussion   

NRS 410 Bariatric Surgery Discussion 

The case scenario provided will be used to answer the discussion questions that follow. Case Scenario

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has high blood pressure, which he tries to control with sodium restriction and sleep apnea. He current works at a catalog telephone center.

Objective Data

• Height: 68 inches; Weight 134.5 kg
• BP: 172/96, HR 88, RR 26
• Fasting Blood Glucose: 146/mg/dL
• Total Cholesterol: 250mg/dL
• Triglycerides: 312 mg/dL
• HDL: 30 mg/dL

Critical Thinking Questions

1. What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?
2. Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10m1 suspension (500mg / 5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

1. Assess each of Mr. C.’s functional health patterns using the information given (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance).
2. What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

ESSAY GUIDELINES -:

Write a 1000-1500-word essay addressing each of the following points. Be sure to completely answer all the questions for each bullet point. There should be two main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper.

Support your ideas with at least three (3) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Length: 1000-1500 words; answers must thoroughly address the prompts in a clear, concise manner.

Evaluation Criteria for Paper

(10%) Resources used as rationale for approaches and as sources of content

_____ 5. (20%) write paper in a scholarly manner
(4%) Format includes title page, body of paper, & reference page, with pages numbered

_____ 5. (20%) Write the Paper in a scholarly manner
(4%) Format includes title page, body of paper, & reference page, with pages numbered