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Obesity is a growing trend in America as “more than one-third   (36.5%) of U.S. adults have obesity” (Centers for Disease   Control and Prevention [CDC], 2017). Mr. C is among the obese American   population, and consequently has various obesity-associated health   risks. For instance, hypertension, sleep apnea, diabetes,   hyperlipidemia, and hypercholesterolemia, to name a few (CDC, 2017).   Mr. C is inquiring about bariatric surgery, and he may meet the   qualifications for this surgery since his BMI falls within the obesity   range, he has weight-related problems such as hypertension and sleep   apnea, and he has failed to lose weight despite diet and exercise   (Mayo Clinic, 2014). Mr. C will need to undergo an extensive screening   before being deemed appropriate for this last-resort, surgical option.

As per the physician orders, Mylanta-an antacid, Zantac-an H2   Blocker, and Carafate-an antiulcer medication, are prescribed to help   heal and prevent worsening of Mr. C’s peptic ulcer. Considering   the medication instructions and Mr. C’s usual meal schedule, it   would behoove the patient to follow the medication schedule as   follows: 0600 Carafate, 0700 breakfast, 1000 Mylanta, 1100 Carafate,   1200 Lunch, 1500 Mylanta, 1700 Carafate, 1800 dinner, 2100 Carafate,   2000 Bedtime Snack, 2030 Zantac & Carafate.

Mr. C poses many actual or potential problems related to his various   functional health patterns, examples are as follows:

Health perception: Mr. C seems to have identified   that his lifestyle and obesity are a problem, as he is inquiring about   options like bariatric surgery to rectify this problem.

Health management: Mr. C is failing to manage his   health as evidenced by his weight gain of 100 lbs, his sedentary   lifestyle, his abnormal lab values, and presence of modifiable   diseases such as obesity and hypertension.

Sleep-Rest: There is an alteration in sleep pattern   as evidenced by the patient’s sleep apnea, although it is not   mentioned whether the patient is treated for this with a CPAP, for example.

Nutritional-Metabolic: The patient has a problem with   nutrition which is supported by his categorically obese BMI, his   over-consumption of calories-as per his 100lb weight gain, and   abnormal total cholesterol, triglyceride, and fasting blood glucose   levels which indicate dietary deficits and suboptimal nutrition.

Activity-Exercise: Mr. C has a job where it is   assumed that he sits and is relatively sedentary for most the day. The   patient is also consistently gaining weight which indicates that his   calorie consumption is greater than his calorie expenditure from   activity or exercise.