Client Health Information and Gastric Bypass Surgery Case Study
Bariatric surgery, which includes gastric bypass and other weight-loss treatments, involves adjusting your digestive system to help you lose weight (MayoClinic, n.d.). This case will examine Mr. C., a 32-year-old single male seeking information about prospective bariatric surgery for his obesity at an outpatient center. The case will explore Mr. C.’s clinical symptoms and potential health hazards associated with obesity. In addition, the patient will examine Mr. C.’s functional health patterns using the information provided in the case. Furthermore, the example will explain end-stage renal disease (ESRD) staging and highlight ERSD health promotion potential. Finally, the case will discuss options available to ESRD patients for non-acute care.
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Clinical Significance
Mr. C. is a 32-year-old single man who works at a catalog telephone center. He admits gaining roughly 100 pounds in the last three years while seeking information about probable bariatric surgery at the outpatient center. There was no evidence of metabolic illness during his previous medical evaluation. Despite this, Mr. C. has experienced sleep apnea, high blood pressure, shortness of breath, swollen ankles, and pruritus in the last six months (Grand Canyon University, 2020).
Mr. C. weighs 134.5 kg and stands 68 inches in height. His vital signs show a heart rate of 88, a respiratory rate of 26, and a blood pressure of 172/98. He has 3+ pitting edema in both his feet and ankles. His fasting blood pressure is 250 mg/dL, and his HDL cholesterol is 30 mg/dL. Mr. C.’s serum creatine level is 1.8 mg/dL, and his blood urea nitrogen level is 32 mg/dl. 2020 (Grand Canyon University).
Obesity’s Potential Health Hazards
Obesity is one of the top causes of death in the United States, especially among minorities. Obesity-related illnesses such as heart disease, stroke, type 2 diabetes, and certain malignancies are among the major causes of early death in the United States, according to the Centers for Disease Control and Prevention. Apart from the health consequences, the projected yearly medical cost of obesity in the United States in 2008 US dollars was $147 billion (CDC, n.d.). Although the adverse effects of obesity can be avoided with exercise and better nutrition, it is strongly advised that Mr. C. have bariatric surgery to reduce his weight. This judgment is based on some of the case’s objective data. Mr. C. is overweight, suffers from shortness of breath, and suffers from sleep apnea. These symptoms foreshadow possible difficulties that could impair his quality of life.
Patterns of Functional Health
Knowledge of functional health patterns can give the nurse insight into the patient’s current and historical health status. It can also be utilized as a guide for the recommended intervention based on these health patterns. Mr. C. is fully aware of his obesity and hypertension, which he states he has tried to treat with a low-sodium diet regarding his health perspective and values. Regarding nutrition and metabolism, his diet is most likely heavy in carbohydrates, sugar, and sodium. This is a significant contributor to Mr. C.’s deteriorating health. Mr. C. reports sleep apnea, which has been continuous for the past six months, for his Sleep / Rest cycle. A CPAP or BYPAP equipment can assist him in breathing more easily while sleeping. Mr. C. describes a sedentary lifestyle due to the nature of his employment on the activity/exercise pattern. He reports no strenuous physical exercise to keep him in condition. This is also not good for his health. Finally, in the cognitive perception domain, Mr. C. has demonstrated an interest in understanding the implications of his current health situation. Still, he has also inquired about getting surgery to keep his weight in check. This implies that he is entirely aware of his health situation and does not see it favorably.
End-Stage Renal Disease Overview (ESRD)
End-stage renal failure (ESRF), also known as end-stage renal disease (ESRD), is the last, irreversible stage of chronic kidney disease in which kidney function has diminished to the point where the kidneys can no longer operate on its own (John Hopkins Medicine, n.d.). ESRD is a significant cause of impaired quality of life and a risk factor for early death. In 2015, the rate of ESRD among African Americans was three times that of Caucasians (Benjamin & Lappin, 2020). Diabetes, obesity, hypertension, glomerulonephritis, polycystic kidney disease, chronic urinary system blockage, vesicoureteral reflux, recurrent pyelonephritis, and other variables contribute to ESRD.
Possibilities for ESRD Prevention and Health Promotion
Controlling risk factors and treating ESRD is crucial to reducing the disease’s consequences. One of these preventative measures is to stay active and eat a balanced diet with less sodium and more veggies. Also, blood sugar and blood pressure regulation are effective mechanisms for lowering the chance of developing kidney disease. Mr. C. should get information that includes brinphysical activity, recommendations on what constitutes a health-balanced diet, and medicine to control his blood pressure.
ESRD Patient Resources
One of the essential resources that may be supplied to improve the quality of life for people with End-Stage Renal Disease is treatment alternatives. Dialysis, transplantation, and palliative care are all options for improving a patient’s quality of life (Scherer, n.d.). Besides therapy, people with ESRD could benefit significantly from community social support. Such support groups could assist patients in developing resiliency and recovery. Another option is informing the patient’s family about the sickness to alleviate any worry during the treatment.
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References
Grand Canyon University (2020). Retrieved from Case Study: Mr. C. https://lmsugrad.gcu.edu/learningPlatform/user/users.lc? operation=loggedIn&token=dkC18aPRixKUv%2bIPUMBcWNomm %2bH3ENRBq3UA1T7MxyPKLTHugPOGIg8Zq524Hmca&classId=2380886#/learning Platform/class/syllabus.lc operation=getClassOutlineIUView&c=prepareClassOutlineForm&fromOtherPage=true& t=coursesMenuOption&folderContentId=8dcbc716-9876-43d0-b904- e6e789af2935&classId=1907a7f2-c8be-461c-92e2- 9d62ca65dbb2&tempDate=1601264118341
Mayo Clinic (n.d.). Bariatric Surgery Overview. Retrieved from: https://www.mayoclinic.org/tests-procedures/bariatric-surgery/about/pac-20394258
Center for Disease Control and Prevention (n.d.). Overweight & Obesity Overview. Retrieved from: https://www.cdc.gov/obesity/data/adult.html
Benjamin O. & Lappin S. L. (2020). End-Stage Renal Disease. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK499861/
Scherer, J. S. (n.d.). How Does Palliative Care Improve the Quality of Life for Kidney Patients? Retrieved from: https://www.kidney.org/atoz/content/how-does-palliative-care-improve- quality-life-kidney-patients
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Question 
EJ is a 28-year-old female. She is being admitted for Gastric Bypass Surgery. She is 5’6” and 265 pounds. She has a history of Diabetes and hypertension; she is not on medications now.
Client Health Information & Gastric Bypass Surgery Case Study
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