(Solution) Nursing Case Study

Running head: NURSING CASE STUDY
Nursing Case Study of Kathleen Jones
Name of the Student:
Name of the University:
Author Note:

NURSING CASE STUDY1
The excess intake of the energy when exceeds the energy expenditure, then it leads to a
condition called obesity. The aetiology of obesity can be designated as the accumulation of the
adipose tissue and leads to increase in mass of the body. It is also vital to mention that the small
energy imbalance on a daily basis can also lead to gain in body weight (Baqai & Wilding, 2015).
The deregulation of the glucose and the lipid metabolism along with the insulin resistance and
the lipotoxicity are the pathophysiological conditions of obesity. The effects of untreated obesity
are type 2 diabetes, cardiovascular diseases, hypertension, hyperlipidaemia, osteoarthritis and
joint pain. The causes of obesity are overeating, diet having a high content of carbohydrates,
genetics, physical inactivity, anti-depressant medications, and psychological factors like stress,
social issues and diseases like hyperthyroidism. Surgery alone offers the most viable option for
treatment of obesity through the long-term weight loss and also provide the maintenance options
for the morbidly obese persons. The surgical treatments help in the treatment of obesity that is
associated with comorbid conditions and surgeries for weight loss are termed as bariatric
surgeries (Zhang et al., 2014).
The case is based on Kathleen Johnson who is aged 45 years and works as a part-timer in
a library which involves the returning of books to the shelves. Kathleen has type 2 diabetes and
is overweight with a BMI of 40 kg/m2. Kathleen tries hard to control her diet in order to control
her obesity and type 2 diabetes. Kathleen is the only person in the family that can look after her
father who has dementia. Kathleen also admits that she consumes four bottles of beer every
night, and along with several glasses of whiskey and the smoking of cigarettes every day and
several cups of coffee. Kathleen says that the reason for her addiction is to manage the stress that
arises from managing her father, her appearance, and diabetes. The point of discussion starts
when Kathleen was admitted to a hospital for the sleeve gastrectomy surgery for the purpose of

NURSING CASE STUDY2
weight loss. Kathleen was transferred to the ward after 2 hours of a post-anaesthetic room
(PARU) and uneventful recovery.
Kathleen Johnson is having type 2 diabetes and is over overweight with a BMI of 40
kg/m2. The aetiology of both the type 2 diabetes and obesity can be attributed to the unhealthy
lifestyle of Kathleen Johnson. According to the case study of Kathleen Johnson, she works in a
library as a part-timer and she returns books to the shelves. Thus, there is a high chance that a
person who is performing less physical activity is sure to gain more weight. The sedentary work
life is one of the major contributing factors for the Kathleen Johnson in gaining more weight (Al-
Nakeeb et al., 2012). Kathleen Johnson has a BMI of 40 kg/m2 which is considered as a severe
obese condition and severity level falls within the class III of obesity. The severe obese condition
leads to different kinds of diseases and diabetes is among them (Kitahara et al., 2014). It has
been also found that Kathleen is experiencing stress due to the care she is providing to her father
had dementia. According to win et al. (2017), interview conducted revealed that the caregivers
experience stress when caring for a family member suffering from dementia. Kathleen has
mentioned herself that she in order to reduce her stress levels she takes four bottles of beer every
single night and several glasses of whiskey and also she smokes a single pack of cigarettes a day.
The levels of stress not only build up from the concern of caring her but it also arises from her
diabetic condition and her obese condition. According to Sinha & Jastreboff (2013), people of
often become addicted to alcohol and is one of the main reason to cope up with the stress
according to the people that are addicted to alcohol. There is a strong relationship with the
stressful events in that leads a person to become addicted to alcohol and smoking. Addiction to
smoking and alcohol not only increases a person's BMI but also affects body's internal
physiology. Stress affects both the BMI and the weight gain, it affects the insulin resistance,