Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

Chinyere Ojiyi 

4 posts

Re:Topic 5 Mandatory Discussion Question

The association of obesity with chronic diseases, such as heart disease, hypertension, sleep apnea, degenerative joint disease, gastroesophageal reflux disease, asthma, and depression, is well documented and reinforces the benefit of achieving and maintaining a “normal” weight.  Bariatric surgery provides dramatic improvement in these chronic conditions. Mr. C is currently obsessed at 295.9 pounds. Has high blood pressure, sleep apnea, fasting blood sugar over and above acceptable parameters. Elevated Cholesterol and triglycerides. He is at risk for diabetes and heart disease.  He will benefit from bariatric surgery and be able to this condition.

Mr. C to take Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime at 6am., 11am., 5pm and 10pm.

Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime. To be taken at 10am, 3pm., and 9pm.

Take Ranitidine (Zantac) 300 mg PO at bedtime.

Health-perception: Mr. C. has a good perception of his health, understands the health danger and risks he is running and seeking information to help him achieve optimal health.

Health-management: Mr. C. has HTN, and has sleep apnea. Manages his HTN with low Sodium diet.

Nutritional-metabolic: Has gained approximately 100 pounds in the last 2-3 years. Patient eats 3 meals per day and a bedtime snack. Patient has high cholesterol and high triglyceride and his fasting glucose is146mg/dl. These are indication of poor nutritional choices and possibly poor metabolism.

Elimination: Not stated

Activity-exercise: Patient works at catalog telephone center. Probably sits all day, no exercise or activity was noted.

Sleep-rest: Patient has sleep apnea. Sleep apnea can lead to heart disease if untreated.

Cognitive-perceptual:  No impairment stated

Self-perception/Self-concept: Mr. C.  is aware of his obesity and is ready to take measures to correct it.

Role-relationship: Not stated

Sexuality-reproductive: not stated

Coping-stress tolerance: Not stated.

What actual or potential problems can you identify? Describe at least Five problems and provide the rationale for each.

Actual problems are hypertension, sleep apnea, elevated cholesterol, elevated triglycerides. Potential problems include diabetes, heart disease, stroke, peripheral, vascular disease etc. Mr. C needs to lose weight or he will become diabetic. He may already be, but he is unaware, his MD needs to order Hgbaic. Both elevated cholesterol and triglycerides are precursors to heart disease.  Sleep apnea if untreated can lead to heart disease. He can die in his sleep due to insufficient oxygen to the brain. There is a high reduction in mortality rates with bariatric surgery. There is a significant improvement in those diseases that are caused or worsened by obesity, including: blood pressure, diabetes, and heart disease, and stroke.

Expert Solution Preview

Obesity is a major health concern that is associated with chronic diseases such as heart disease, hypertension, sleep apnea, degenerative joint disease, gastroesophageal reflux disease, asthma, and depression. Bariatric surgery has been found to provide a dramatic improvement in these chronic conditions. This post discusses the case of Mr. C, who is overweight, has high blood pressure, sleep apnea, elevated cholesterol and triglycerides, and is at risk for diabetes and heart disease. The post identifies actual and potential problems that Mr. C may face and provides the rationale for each problem.

1) Actual problem one: Hypertension
Rationale: Mr. C has high blood pressure, which is a risk factor for heart disease, stroke, and kidney disease. If left unmanaged, it can cause significant health complications.

2) Actual problem two: Sleep Apnea
Rationale: Sleep apnea can lead to insufficient oxygen intake, which can cause high blood pressure and heart disease if left untreated.

3) Actual problem three: Elevated cholesterol
Rationale: Elevated cholesterol levels can lead to the development of heart disease, which is a major health problem associated with obesity.

4) Actual problem four: Elevated triglycerides
Rationale: Elevated triglycerides are also a precursor to heart disease and can cause significant health complications.

5) Potential problem: Diabetes
Rationale: Mr. C has fasting blood sugar above acceptable parameters, and poor nutritional choices can lead to diabetes, which is a significant health concern. Mr. C may already have diabetes, and his MD should order Hgbaic to determine whether this is the case.

6) Potential problem: Heart disease
Rationale: Mr. C has several risk factors associated with heart disease, including hypertension, sleep apnea, high cholesterol, and high triglycerides. Without weight loss and proper management, Mr. C is at risk for developing heart disease.

In conclusion, Mr. C faces many actual and potential health problems due to his obesity, poor nutritional choices, and sedentary lifestyle. Bariatric surgery may be a life-saving intervention that can help Mr. C achieve and maintain a healthy weight and reduce his risk of chronic diseases associated with obesity.

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