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The health risks that Mr. C has are high blood pressure, sleep apnea, hyperlipidemia and most likely type 2 diabetes as indicated by the high fasting blood glucose, hgbA1c would give us a much better indication if this patient has diabetes. Bariatric surgery is an option for people that are considered extremely obese(BMI 40 or higher) or people who are considered obese (BMI 35-39.9) and have a serious weight-related health problem, such as type 2 diabetes, high blood pressure or severe sleep apnea. Sometimes you can still qualify if your BMI is 30-34 and you have a serious weight-related health problem (Mayo Clinic, 2014). Mr. C has a BMI of 47.6 and has high blood pressure and sleep apnea, Mr. C may also have type 2 diabetes. He meets the guidelines to qualify for bariatric surgery. Mr. C meets the guidelines but would still need to meet certain medical guidelines to qualify for the surgery and it would have to be decided if the benefits of having the surgery would outweigh the risk of the surgery. Mr. C would also have to be evaluated to see if he is psychologically ready to undergo the surgery and deal with all the changes after the surgery.Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: (a) Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime; (b) Ranitidine (Zantac) 300 mg PO at bedtime; and (c) Sucralfate / Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.6am Sucralfate/Carafate7am-meal10am- Mylanta11am- Sucralfate/CarafateNoon-meal3pm-Mylanta5pm- Sucralfate/Carafate6pm-meal9pm- Sucralfate/Carafate10pm-snack10:30 MylantaBedtime- Zantac, Sucralfate/CarafateUsing sucralfate together with aluminum hydroxide/ magnesium hydroxide can decrease the effects of sucralfate. Sucralfate and aluminum hydroxide/magnesium hydroxide doses should be separated by at least half an hour (Drugs.com, 2014).Assess each of Mr. C.'s functional health patterns using the information given (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance).

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Answer:

Type 2 diabetes, the most common type of diabetes, is a disease that occurs when your blood glucose, also called blood sugar, is too high. Blood glucose is your main source of energy and comes mainly from the food you eat. Insulin, a hormone made by the pancreas, helps glucose get into your cells to be used for energy. In type 2 diabetes, your body doesn’t make enough insulin or doesn’t use insulin well. Too much glucose then stays in your blood, and not enough reaches your cells.

The good news is that you can take steps to prevent or delay the development of type 2 diabetes.

Explanation:

You can develop type 2 diabetes at any age, even during childhood. However, type 2 diabetes occurs most often in middle-aged and older people. You are more likely to develop type 2 diabetes if you are age 45 or older, have a family history of diabetes, or are overweight or obese. Diabetes is more common in people who are African American, Hispanic/Latino, American Indian, Asian American, or Pacific Islander.

Physical inactivity and certain health problems such as high blood pressure affect your chances of developing type 2 diabetes. You are also more likely to develop type 2 diabetes if you have prediabetes or had gestational diabetes when you were pregnant. Learn more about risk factors for type 2 diabetes.

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