Case Study: Analyzing Mr. C.'s Health, Treatment, and Implications

This case study focuses on Mr. C., a 32-year-old man with obesity, sleep apnea, and high blood pressure. The assignment requires an analysis of his health risks, the appropriateness of bariatric surgery, and the development of a medication administration schedule. It also involves assessing Mr. C.'s functional health patterns, identifying potential problems, and providing rationales for each. The case study prompts critical thinking about patient management, treatment options, and the implications of various health conditions. This assignment offers a comprehensive overview of patient assessment and healthcare interventions for obesity and related health issues.

The case scenario provided will be used to catch up your lacking
points if summited on time, by Thursday. Citation and references
required.
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 sleep apnea and high
blood pressure, which he tries to control with sodium restriction.
He current works at a catalog telephone center.
Objective Data
1. Height: 68 inches; Weight 134.5 kg
2. BP: 172/96, HR 88, RR 26
3. Fasting Blood Glucose: 146/mg/dL
4. Total Cholesterol: 250mg/dL
5. Triglycerides: 312 mg/dL
6. HDL: 30 mg/dL
Critical Thinking Questions
What health risks associated with obesity does Mr. C. have? Is
bariatric surgery an appropriate intervention? Why or why not?
Mr. C. has been diagnosed with peptic ulcer disease and the
following medications have been ordered:
1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL
PO 1 hour before bedtime and 3 hours after mealtime and
at bedtime.
2. Ranitidine (Zantac) 300 mg PO at bedtime.
3. 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.
1. 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.)
2. What actual or potential problems can you identify?
Describe at least five problems and provide the rationale for
each.