Patient Case Study: Analysis of Health Problems and Treatment Plans

This discussion post presents an analysis of a patient case study, focusing on a patient with a BMI indicating acute obesity, elevated blood pressure, and diabetes. The post identifies potential health risks, including stroke and cardiovascular disorders, and proposes bariatric surgery as a primary intervention, highlighting its effectiveness in managing diabetes and blood pressure. The author also addresses potential problems stemming from the patient's sedentary lifestyle, hyperlipidemia, and the need for chronic illness management, self-management education, and nutritional guidance. The post emphasizes the importance of a balanced diet and medication schedules and provides references to support the analysis.

Running head: DISCUSSION POST
DISCUSSION POST
Name of the Student:
Name of the University:
Author Note:

1DISCUSSION POST
Response 1:
On the basis of the objective data of Mr. C, the BMI can be calculated to be 45.1 which
states that Mr. C is acutely obese. In addition to this, the blood pressure is also elevated and the
client is suffering from Diabetes in relation to the recorded blood glucose level during fasting.
Therefore, it can be mentioned that because of the high blood pressure and the high cholesterol
level, the client is susceptible to suffer from a stroke and can even develop serious cardiovascular
disorder including coronary blockage. In addition to this, the client is also susceptible to renal
failure, gallbladder disease, pancreatic cancer, Gout and even Osteoarthritis (Ahima & Lazar,
2013). The primary intervention goal for the patient would include weight loss.
In this regard, it can be said that opting for the bariatric surgery could be considered
feasible for the client. The surgery is also known as the gastric bypass surgery and includes the
removal of a part of the stomach in order to shorten the length of the stomach. Studies have
proven the surgery to be extremely effective in controlling the symptoms of Diabetes II and at
the same time regulating the BMI (Angrisani et al., 2013). Further, the surgery would also help
in controlling the blood pressure of the patient and reduce the risks of a stroke and other diseases
as mentioned above.
Administration schedule:
Magnesium hydroxide/aluminium hydroxide (Mylanta) (15ml): 10AM, 9PM and 10PM
Ranitidine (Zantac) (300mg): 10PM
Sucralfate/Carafate (500mg/5mL): 11AM, 9PM and 10PM

2DISCUSSION POST
Response 2:
The potential problems that can be identified on the basis of the patient information
include the following:
Sedentary lifestyle: The case study mentions that the client leads a sedentary lifestyle which is
characterized by a lack of physical activity. This delays the digestion process and thus leads to
insulin imbalance that could worsen the functioning of the digestive system
Hyperlipidema and increased risk of coronary artery disease: As is evident from the patient
information, the patient has increased level of lipid and cholestrol [Total Cholesterol: 250mg/dL
Triglycerides: 312 mg/dL against the normal 100-129mg/dL and less than 150 mg/dL
respectively (Oregon.providence.org, 2019)] which needs to be controlled in order to avoid risks
of coronary artery disease. Consumption of a balanced diet and Omega-3 fatty acids can help in
keeping the cholesterol level in control.
Chronic illness management: The medical condition of the patient requires chronic illness
management so as to support the patient with effective tools and improve the quality of the
physical health. As has already been mentioned, the patient has high blood glucose level
[146/mg/dL against 100 mg/dL] (American Association, 2019), therefore the patient needs to
consume a balanced diet and lose body weight in order to regulate the blood-glucose level. Thus,
engaging in a chronic illness management workshop would help him learn strategies that could
help him monitor his health, for eg. Monitoring blood glucose level through acucheck
Self-management: The case study mentions that the patient has to take a lot of medicines for the
recovery process. Imparting patient education to manage the nature of the physical health

3DISCUSSION POST
condition through taking medication at the correct timing and appropriate doses could help in
avoiding adverse reactions.
Nutrition management: The client must consume a healthy diet in order to recover sooner. A
nutritionist could be engaged to plan a balanced meal diet for the patient that could assist the
patient with a faster recovery. The nutritionist would critically draft a meal plan along with the
calorie intake in order to ensure a healthy diet

4DISCUSSION POST
References:
Ahima, R. S., & Lazar, M. A. (2013). The health risk of obesity—better metrics
imperative. Science, 341(6148), 856-858. DOI: 10.1126/science.1241244
American Association (2019). Blood Glucose Testing. [online] American Diabetes Association.
Available at: http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-
glucose-control/?loc=hottopics [Accessed 4 Feb. 2019].
Angrisani, L., Santonicola, A., Iovino, P., Formisano, G., Buchwald, H., & Scopinaro, N. (2015).
Bariatric surgery worldwide 2013. Obesity surgery, 25(10), 1822-1832. DOI:
https://doi.org/10.1007/s11695-015-1657-z
Oregon.providence.org (2019). Lipid profile (cholesterol and triglycerides) | Providence
Oregon. [online] Oregon.providence.org. Available at: https://oregon.providence.org/our-
services/l/lipid-profile-cholesterol-and-triglycerides/ [Accessed 4 Feb. 2019].