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 c) Sucralfate / Carafate 1 g or 10ml
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. 3) 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). What actual or
potential problems can you identify? Describe at least five problems and provide the
rationale for each.
The health risks associated with obesity that Mr. C have include; high body weight and high
blood pressure that he tries to restrict with sodium restriction and sleep apnea. Bariatric surgery
is an appropriate intervention to help him reduce his weight. This surgery aims at restricting the
intake of food and decreasing food intake in the stomach and the intestines. However, this
surgery will become important if Mr. C is diagnosed again to establish whether he indeed is
suffering from severe obesity.
CASE SCENARIO 2
Because Mr. C goes to bed at around 10, hence the most therapeutic and acceptable
administration schedule for his medication will be as follows. He will have to take
magnesium/aluminum hydroxide (Mylanta) 15 ml po, Ranitidne (Zantac) 300gmg PO and
Sucralfate/carafate 1g or 10ml suspension (500mg/5ml) when he is going to bed. But he will also
have to take Magnesium hydroxide/aluminum hydroxide(Mylanta) 15 mL PO at 9pm , 10am and
at 3pm and Sucralfate /Carafate 1 g or 10ml suspension (500mg / 5mL) at 6am, 11am and 6pm.
Functional health patterns are essential in helping establish a comprehensive nursing data.
Various health patterns done include, health perception and health management as data was
collected and tests carried out to find out the wellbeing of Mr. C and some of his habits that
would be detrimental to his health. Nutrition and metabolism checks were also done and
established that there was no metabolic problem (Kishar, 2012). Excretion or elimination
patterns were also done and there was no problem such as diarrhea or urinary retention. On sleep
and rest, there was no dysfunction pattern or fatigue. Self-perception and self-concept was also
evaluated to identify the attitude of Mr. C. Through this functional health pattern, the problem
identified was lack of physical exercise, low self-esteem, problem with coping with stress, and
ulcers. This is because, Mr. C. was assessed and was more stressed about his health in general
something that made him have a low-self esteem.
CASE SCENARIO 3
Kishar, J. (2012). N 340 Women’s Health & Illness in The Expanding Family & N345 Clinical