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The BMI for Mr. C is 45.0855 and this indicates that he is obese. For Mr. C, the

associated health risks are high blood pressure which he confesses to have. Owing to the high

total cholesterol level of 250mg/dL and very low HDL of 30 mg/dL, the patient has a very high

risk of developing heart disease as this indicates high level of LDL (Korenkov, 2012). The risk

of heart disease or stroke is also increased with high triglycerides levels since the patient is

already obese. Stroke and heart disease result from buildup of fat on the artery walls and

atherosclerosis. Mr. C is also suffering from sleep apnea which is as a result of breathing

problems. Due to abnormal results of fasting blood glucose levels of 146/mg/dL Mr. C is

suffering from diabetes since this value is more than 126mg/dL which is the normal value. The

high fasting glucose levels is also associated with overactive thyroid gland, pancreatitis and

pancreatic cancer (Korenkov, 2012).

Bariatric surgery is a weight loss surgery and in the case of Mr. C who is dangerously

obese, losing weight through surgery is the best option (Korenkov, 2012). In addition, Mr. C

reveals that his high body weight has been since he was a small child and went through into

adulthood. Through the removal of a portion of the stomach by sleeve gastrectomy or re-routing

the small intestine through gastric bypass surgery, Mr. C will experience reasonable weight loss.

This way, Mr. C is guaranteed of long term loss of weight, recovery from diabetes, improvement

in cardiovascular risk factors and mortality rate reduction (Korenkov, 2012). The bariatric

surgery is recommended by the US national Institute of Health to males with a BMI of at least 40

and Mr. C is eligible since he has a BMI of 45 coupled with serious diabetes.

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Administration schedule for Peptic ulcer disease

Magnesium hydroxide tablets: 400-800mg orally once a day

Ranitidine 150 mg orally once a day at bedtime

Sucralfate tablet: 1gm four times daily on an empty stomach i.e. before meals and at bedtime

(Goroll and Mulley, 2012)

Functional health patterns

Health perception health management

In terms of Health-perception, Mr. C indicates having accepted his condition since he

was a young boy. However, he has failed to manage his health as indicated in his eating habits

that include a snack at night just before he goes to bed. He has also not revealed any involvement

in physical exercise activities.

Activity- exercise

Although Mr. C is understands the nature of his job that involves little or no movements,

he takes three meals each day and a snack yet engages in no physical exercise (Goroll and

Mulley, 2012). In addition, nutrition wise, Mr. C has his eating schedule including a snack each

day which is taken at 10.0pm. This means that the body accumulates the fats eaten in the snack

due to low metabolic activities at night as is characterized by high total cholesterol levels while

sleep apnea is an indication that Mr. Cs accumulation of fats is causing to him some breathing

problems.

Coping-stress

The presence of Peptic ulcers is an indication of the presence of stress in Mr. C. The fact

that in just three years he has an added weight of 100 pounds causes Mr. C to rethink about

living healthy and bariatric surgery is his best option.

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Self-perception

Since he has been obese, Mr. C perceives that the quickest way to get rid of the recently

accumulated fats and causing him to be obese is through surgery without even trying out

exercises or changing eating habits. He perceives that the option of having surgery is quick yet

he does not take the responsibility to reduce his weight through a weight loss program.

Role-relationship

As a 32 year old male, there he has no family and has no one to advise him on proper

nutritional habits. As a result, he eats readymade food in restaurants and rarely eats nutritious

meals.

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References

Goroll, A. and Mulley, A. (2012).Primary Care Medicine: Office Evaluation and Management

of Adult patient. Philadelphia, USA: Lippincott Williams & Wilkins.

Korenkov, M. (2012).Bariatric Surgery: Technical variations and complications. London:

Springer-Verlag Hans Huber.