Case Study Mrs. C
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Karachi School for Business & Leadership *
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Health Science
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Nov 24, 2024
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Case Study Mrs. C.
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Case study of Mrs. C
In light of this circumstance, Mr. C exhibits symptoms that place him at an increased risk of acquiring obesity-related health issues. Even if the patient does not already have a metabolic condition, there is a significant possibility that they may develop one if they do not follow the preventative steps that have been suggested for them. Since Mr. C's blood pressure readings are almost always very high (175 over 96), he has been diagnosed with hypertension. The patient is beginning to develop hypertension but has not yet sought medical assistance for the condition. Both the patient's resting respiratory rate (26) and their heart rate (88) are considerably increased.
The patient also suffers from sleep apnea, which provides more evidence that he has an excessive
amount of fat in the neck region (
Dwivedi et al., 2022
).
Overnight, Mr. C's blood glucose was 146 mg/dl; his serum cholesterol was 250 mg/dl; his serum level was 1.8 mg/dl; and his triglyceride level was 312 mg/dl; all of these numbers are high. However, his HDL level is dangerously low at 30 mg/dl. All the problems that have been linked to working in a contact center have been linked to obesity. Mr. C has a body mass index (BMI) of 45.1/m2, making him a class III obese patient, and he is exhibiting symptoms of metabolic syndrome. He would benefit from gastric surgery to treat his obesity and hypertension.
Due to his high body mass index (BMI) and hypertension, this man is a suitable candidate for gastric surgery (Dwivedi et al., 2022).
Clinical Manifestations of Mrs. C
The participant in the study had an unusual medical history, including a rapid weight gain
of 100 pounds over the course of two to three years. However, the customer has not been found to have any metabolic disorders. The patient has high blood pressure, as measured by readings
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that are higher than the normal range (175/96). The patient has reduced the amount of salt in his diet in an attempt to bring his blood pressure down. He blames the added weight around his neck
for his sleep apnea. High cholesterol levels, hypoglycemia as measured by a fasting plasma glucose of 146 mg/dl, and the presence of 3+ pitting edema at the contralateral ankles and feet are all cause for concern (
Dwivedi et al., 2022
).
The potential health risks of obesity are a concern for Mr. C. Numerous health risks have been connected to being overweight or obese. Some of the most prevalent illnesses and conditions are diabetes, heart difficulties (including hypertension, sudden cardiac death, cardiovascular diseases, and cerebrovascular disease), lipid abnormalities, joint pain, kidney failure, and sleep disturbances (including obstructive sleep apnea). Overweight
and obesity may potentially have a role in the development of cancer. The patient's elevated risk for coronary heart disease is due to his hypertension (172/98), high cholesterol (250 mg/dl), and high triglyceride levels (312 mg/dl) (Johnson, 2018). End-stage renal disease (ESRD) is more likely to develop in those with high serum creatinine (1.8), high blood urea nitrogen (BUN) (32),
and 3+ pitting edema in both feet and ankles. Cancer risk increases with a body mass index of 45,1 kg/m2. Promoting the individual's sense of worth via counseling or treatment might help reduce their vulnerability (
Thurlow et al., 2021
).
Whether or not bariatric surgery is a suitable option.
Gastric bypass surgery has been shown to help some people who are very obese. Candidates for the operation include people with a body mass index (BMI) of 40 or more, those with a BMI of 35 to 40 who also have obesity-related comorbidities, and those who have not been successful with more conservative methods of weight loss. With a body mass index of 45.1% and serious obesity-related health issues including sleep apnea, gastric bypass is an
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appropriate treatment choice for Mr. C. Adopting this method of therapy is recommended since it
decreases body mass and the risk of obesity-related health issues, both of which improve adherence to treatment (
Thurlow et al., 2021
).
Assessment of the functional health patterns of Mr. C.
A person's health behavior might evolve in response to a specific health issue. Mr. C. is worried about his size since he has gained 100 pounds and that is the cause of his health problems. The patient has opted to get help for his weight gain by undergoing bariatric treatment.
The individual has tried cutting down on his sodium intake in addition to avoiding salty foods in an effort to lower his blood pressure. However, it may be challenging for the person to ascertain the salt content in pre-packaged foods. Since much of Mr. C.'s workday is spent on the phone, his
profession as a catalog phone line operator contributes to his sedentary lifestyle. Inactivity almost certainly contributes to becoming overweight. The risk of insulin resistance is increased in the obese. Therefore, testing the kidneys and the digestive system's waste removal mechanisms is essential. A patient's desire to reduce weight may stem from a number of places, and healthcare providers would do well to accommodate their patients' individual motivations (
Thurlow et al., 2021
).
Functional health patterns and the explanation for each of the five concerns you may discover.
Mr. C is aware of his obesity and is considering bariatric surgery as a means to improve his health. The patient is not familiar with negative airway pressure therapy, but they are seeking help for their ailment. There is really nothing available that describes the consistency of pee or feces. Alterations to one's diet, however, may be used to sidestep these complications. The patient's inactivity is a major contributor to his or her overweight and obesity. Mr. C. is a class III
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obese individual with a body mass index of 45. The most effective method of losing weight is bariatric surgery. Finally, you should think about hyperglycemia, a blood sugar issue that might be a sign of untreated type 2 diabetes (
Thurlow et al., 2021
).
ESRD stage and relevant variables to take into account.
ERSD is broken down into its five stages here. The kidneys seem to be healthy now that GFR (glomerular filtration rate) is more than 90%. In stage two, when impairment is becoming noticeable, the GFR ranges from 60 to 89. In the third stage, the GFR decreases from a moderate to a severe degree (from a value of 45-59 to as low as 30-44). Depending on the extent of organ damage, the GFR in stage four might fall as low as 15 and as high as 29. When the nephrons have completely ceased functioning and the GFR is less than 15%, this condition is referred to as
renal failure. Contributing heavily to this issue include autoimmune illnesses, genetic predispositions, and type 2 diabetes (
Bendall, 2019
).
ESRD prevention and health promotion opportunities In order to reduce the progression of ESRD, improve Mr. C.'s health, and prevent further complications, he needs nutritional education on dietary changes (including the elimination of salt and sugar from the nutrition) and lifestyle choice changes, such as engaging in active actions
to burn extra calories. The person has to learn social skills to reduce stress and prevent the development of low self-esteem. Finally, the client needs guidance on how to take medications that will delay end-
stage renal disease (ESRD) and hypertension (
Bendall, 2019
).
Available resources for ESRD patients
End-stage renal disease (ESRD) patients have access to several care options designed to enhance their quality of life. Some examples include doctors and other medical professionals
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(such as nutritionists and fitness trainers), the internet, various educational and employment opportunities, having a supportive family or spouse, and having insurance. Medical professionals
and the internet may be useful instructional tools for patients. Multidisciplinary care increases the probability of a positive result by making sure the patient never runs out of medicines. The surgical staff and the companions are there for you at every stage of the illness. If the patient has a job, then the employer will likely pay for his or her medical care (
Bendall, 2019
).
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References
Bendall, A. (2019). Exploring employability skills development in the context of undergraduate level cardiorespiratory physiotherapy: student views.
Physiotherapy
,
105
, e199-e200. https://doi.org/10.1016/j.physio.2018.11.215
Dwivedi, A. K., Dubey, P., Cistola, D. P., & Reddy, S. Y. (2020). Association between obesity and cardiovascular outcomes: updated evidence from meta-analysis studies.
Current Cardiology Reports
,
22
(4), 1-19.
https://doi.org/10.1007/s11886-020-1273-y
Thurlow, J. S., Joshi, M., Yan, G., Norris, K. C., Agodoa, L. Y., Yuan, C. M., & Nee, R. (2021). Global epidemiology of end-stage kidney disease and disparities in kidney replacement therapy.
American journal of nephrology
,
52
(2), 98-107. https://doi.org/10.1159/000514550