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Case study on Nursing - Assignment PDF

   

Added on  2021-04-21

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Running head: NURSING CASE STUDYNursing case studyName of the student:Name of the university:Author note:

2NURSING CASE STUDYTable of ContentsIntroduction:3Aetiology and pathophysiology of the patient’s presenting condition:3Pathophysiology of the patient’s post-operative deterioration:5Interdisciplinary healthcare:7Conclusion:8References:9

3NURSING CASE STUDYIntroduction:Obesity is one of the greatest public health priorities of the nation and almost half of thepopulation of the developing nations are suffering from obesity or are at risk for the disease.There are various external and internal factors that contribute to the development of the obesityin the most of the individuals and each of the factors differ in different patients, their lifestyleand genetic predisposition plays a very important role in the development of such healthconditions. That is the reason many of the patients and health care providers opt for the sleevegastrectomy, however for many of the patents that are extremely obese have the chance ofpostoperative complications (Gill et al., 2010). This assignment will attempt to discover thefactors associated with the sleeve gastrectomy surgeries and the underlying pathophysiology ofpost operative complications.Aetiology and pathophysiology of the patient’s presenting condition:Gastrectomy can be defined as the surgery where some or the other part of the stomach isremoved out of the patient body in an attempt to treat acute or chronic diseases of the stomach oras a intervention option targeted at weight loss for patients with morbid obesity. Gastrectomy is asimple surgical procedure and can be of three different types (Himpens, Dobbeleir & Peeters,2010). According to the case study, the patient had been suffering from morbid obesity whichmight have contributed to the type 2 diabetes she had been also diagnosed with. According to theresearch, close to 90% of the people suffering type 2 diabetes also have morbid obesity. Hencethe aetiology of the type two diabetes of the patient in the case study, Kathleen Johnson, is alsolinked to morbid obesity.

4NURSING CASE STUDYElaborating more on the possible etiology or pathophysiology route of the type 2 diabetesand obesity, there is a significantly important the link between the both of the co-morbodities.The endoplasmic reticulum stress is a very important aspect that leads directly to the occurenceof impaired insulin optimization and usage in the body, which, in turn direct culminates to theincidence of type 2 diabetes. It has to be mentioned that as the patient, Kathline had beenextreme obese at the BMI of 40 above, the chances of her endoplasmic reticulum stress beingover activated is extremely high. According to the Lemanu et al. (2013), this particularphenomenon initiates a chain reaction in the body that triggers aberrant glucose production in thelover of the patient. As it is a key facilitating factor leading to eventual insulin resistance in thepatients, for Kathline Jones as well this is the most plausible pathophysiology of her obesity andresultant type 2 Diabetes.Along with that it has been mentioned here as well, that the patient in the case study hadTobacco addiction and well, as the psychological burden of her obesity and her altered bodyimage she smoked one packet of cigarette a day in an attempt to cope with the stress. Along withthat, Kathleen also had an alcohol addiction with drinking four beers and several glasses ofwhisky a day. It has to be understood that excessive tobacco usage has a graded effect on theaggravation of both obesity and type 2 diabetes. Along with that alcohol addiction also pay a keyrole in further complicating the obesity and diabetes management of the patient. In case ofKathleen, the patient under consideration in the case study, the added risk of caffeine addictioncontributed to counteracting the benefits she might have had attained for her dieting and alteredthe desired outcome of the self management if both of her Comorbid disorders that sheattempted. And hence the patient had been instructed to have sleeve gastrectomy surgery in a

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