Mr. C. is morbidly obese with a BMI of 47.9 based on the height of 68 inches and weight of 134.5 kg, which is one of the major predisposing factors to high blood pressure, type II diabetes, and various heart diseases. He also has hypertension according to the provided information concerning his vital organs, such as blood pressure (BP) of 172/98, heart rate (HR) 88, and respiratory rate (RR) 26. His hypertension is uncontrolled, given that he attempts to control his blood pressure through dietary restriction. Additionally, he is diabetic according to his fasting blood glucose of 146 mg/dL. The total cholesterol of 250 mg/dL, HDL of 30 mg/dL, and triglycerides of 312 mg/dL indicate that he has hyperlipidemia. Mr. C. also has signs of chronic kidney disease (CKD) based on the following data: – BUN 32 mg/dL, serum creatinine 1.8 mg/dL, and 3+ pitting edema bilateral feet and ankles.
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Some of the potential health risk factors for obesity include development and progression of diabetes type II due to insulin resistance, hypertension, various heart diseases, such as coronary heart disease, sleep apnea, and CKD, gastrointestinal disorder, psychological and respiratory problems, and joint and muscular disorders (Fruh, 2017). Mr. C. already has most of the health conditions associated with obesity. The patient is morbidly obese, and thus bariatric surgery is an appropriate intervention to address this problem. According to Wolfe et al. (2016), “Specific criteria established by the NIH consensus panel indicated that bariatric surgery is appropriate for all patients with BMI (kg/m2) >40 and for patients with BMI 35-40 with associated comorbid conditions” (p. 1844). This client is eligible for bariatric surgery as an intervention measure to prevent the progression of the mentioned risk factors of obesity. However, before the surgery could take place, a comprehensive assessment should be conducted to ensure that other presenting comorbidities do not interfere with the outcome.
The patient perceives himself as unhealthy based on the information he has provided. He notes that he has been obese since his childhood, and he is aware that this condition is causing a myriad of other problems. He has also been managing his health by restricting dietary sodium intake to manage hypertension. Nutritionally, it appears that Mr. C. is eating unhealthily due to the high fasting blood glucose, total cholesterol, triglycerides, and high-density lipoprotein. Additionally, he has an elimination problem based on the high serum creatinine levels. Similarly, his sleep-rest pattern is affected by sleep apnea. Given that he is morbidly obese, he is not physically active to exercise effectively. Mr. C.’s self-perception or self-concept is that he is unhealthy, which explains why he is seeking help.