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: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10m1 suspension (500mg / 5mL) 1 hour before meals and at bedtim

VOCATIONAL ASSESSMENT SUMMARY AND TREATMENT PLAN 2

Based in the case scenario, Mr. C depicts symptoms of being at high risk of developing

health complications associated with overweight and obesity. Despite not having any metabolic

disorder, the risk is very high if the patient does not adhere to recommended measures to prevent

them. Mr. C has high blood pressure/hypertension as evidenced by diastolic and systolic values

that are above the normal ranges (175/96). It is important to note that the patient is yet to seek for

medical attention despite being hypertensive. Also, the HR (88) and RR (26) of the patient in the

scenario are extremely above the normal ranges. Moreover, the patient is also experiencing sleep

apnea, which implies that he has excessive fat deposits around the neck region.

Mr. C’s fasting blood glucose (146 mg/dl), total cholesterol (250), serum creatinine (1.8

mg/dl), and triglyceride (312) are also above the normal ranges. However, his HDL (30mg/dl) is

below the normal range of a healthy person. All of the identified complications are linked to

obesity which is associated with working at the telephone center. With a BMI of 45.1 kg/m2, Mr.

C is classified as a class III obese patient and he reflects signs and symptoms of metabolic

syndrome. Bariatric surgery is suitable for this patient because he has a BMI above 40 as well as

elevated blood pressure (McGrice & Don Paul, 2015; Wolfe et al., 2016).

The clinical manifestations present in Mr. C.

The patient in the case study has a peculiar health pattern characterized by weight gain of

100 pounds in the last 2-3 years. However, the patient has no diagnosis of metabolic

complication or illnesses. The patient has high blood pressure as evidenced by the values above

the normal range (175/96) (Johnson, 2018). The patient has been trying to manage hypertension

by restricting dietary intake of sodium. He also suspects to be ailing from sleep apnea due to

deposition of excess fat around the neck. Other crucial clinical manifestations include:

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