I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS
Surgery Risk Factors
Mr. C is a young gentleman that has various medical problems. He is wishing to have bariatric surgery. At this time he does not qualify for bariatric surgery. He has uncontrolled hypertension, which makes him a risk for stroke, heart attack or death. He also has peptic ulcer disease, which makes him a risk for bleeding and infection. He also has high cholesterol which increases his risk for stroke and heart attack. Diet changes and possibly medication are needed to decrease his cholesterol. He needs to become more stable prior to his surgery. He needs to start an exercise routine, and change his diet to prepare his body for the drastic food intake changes. He needs blood pressure medication started. He also has sleep apnea, and prior to bariatric surgeries MD’s have you do a sleep study test to address and treat any sleep apnea (Pories, 2008).
The above are his risk factors that need to be addressed prior to surgery.
Functional Health Patterns
His functional health patterns are not able to be holistically addressed relating a lack of information in the patient history profile.
Health-perception including health management: health perception is that the patient is wanting to make life style changes by seeking bariatric surgery
Nutritional-metabolic: the patient has excess calories per energy expenditure as noted by obesity. He also has high cholesterol levels. He has peptic ulcer disease which would affect his nutritional status.
Elimination: not addressed
Activity-exercise: sedentary lifestyle with sit down job
Sleep-rest: sleep is disturbed, unrestful and his body is not getting oxygenated appropriately relating sleep apnea
Cognitive-Perception: cognitive and perception is not addressed. He is employable.
Self-perception-self -concept and role relationship: this area is not addressed in the profile other than being a single male.
Sexuality-reproduction: his sexuality was not addressed
Coping-stress intolerance: his coping and stress tolerance has not been addressed.
Actual Problems and Rationale
1- Disturbed sleep pattern as evidenced by sleep apnea
2- Knowledge deficit relating healthy lifestyle
3- Alteration in comfort relating peptic ulcer disease
4- Alteration in cardiac output relating uncontrolled hypertension
5- Alteration in nutrition relating hypercholesterolemia and elevated blood sugars
(Ackley & Ladwig, 2011)
Potential for heart attack and stroke relating hypercholesterolemia, sleep apnea and uncontrolled blood pressure
Potential for bleeding relating peptic ulcer disease and uncontrolled blood pressure
Potential for malabsorption symptoms relating peptic ulcer disease
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Ackley, B. & Ladwig, G. (2011). Nursing diagnosis handbook: An evidence based guide to planning care (9th edition). St. Louis: Mosby, Elsevier
Pories, W. J. (2008). Bariatric Surgery: Risks and Rewards. The Journal of Clinical Endocrinology and Metabolism, 93(11 Suppl 1), S89–S96. http://doi.org/10.1210/jc.2008-1641
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