The smootht scenario granted allure be used to response the argument questions that supervene.
Mr. C., a 32-year-old sole man, is seeking counsel at the outresigned character touching feasible bariatric surgery for his embonpoint. He reports that he has frequently been afflictive, smooth as a little offshoot, but he has gained about 100 pounds in the definite 2–3 years. Previous medical evaluations accept not implied any metabolic distempers, but he says he has slumber apnea and violent race exigency, which he tries to regulate delay sodium exclusion. He present works at a catalog telephone character.
Height: 68 inches; Weight 134.5 kg
BP: 172/96, HR 88, RR 26
Fasting Race Glucose: 146/mg/dL
Total Cholesterol: 250mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Critical Thinking Questions
What soundness risks associated delay embonpoint does Mr. C. accept? Is bariatric surgery an mismisappropriate interposition? Why or why not?
Mr. C. has been diagnosed delay peptic ulcer distemper and the superveneing medications accept been ordered:
Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour antecedently bedtime and 3 hours behind mealtime and at bedtime.
Ranitidine (Zantac) 300 mg PO at bedtime.
Sucralfate/Carafate 1 g or 10ml deprivation (500mg / 5mL) 1 hour antecedently meals and at bedtime.
The resigned reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an government catalogue that allure be most hygienic and desirable to the resigned.
Assess each of Mr. C.'s negotiative soundness patterns using the counsel given. (Hint: Negotiative soundness patterns embrace soundness-perception – soundness administration, nutritional – metabolic, conclusion, activity-exercise, slumber-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – urgency tolerance.)
What developed or possible problems can you realize? Describe at last five problems and yield the rationale for each.