Mr. C is 32 years old, he is 68 in and 299 lbs. and his BMI is 44.44.   He is obese, has a sedentary job, and has high blood, high blood   pressure, hyperlipidemia, diabetes, peptic ulcer disease, and sleep   apnea. He is at risk for poor wound healing, DVT, stroke, and heart   attack. He may be a candidate for bariatric surgery because of BMI   greater than 35, and he has comorbidities, but he is not necessarily   appropriate for surgery. He needs to be motivated to make lifestyle   changes, eat smaller portions, eat a heart healthy diet,use a CPAP   machine for sleep apnea. Sleep apnea can cause hypertension, and lead   to stroke.  Mr. C started gaining weight back a couple of years   ago. There is an extensive screening process to qualify for bariatric   surgery. We need to get a history from the patient about underlying   reasons for weight gain, diet history, eating habits, activity,   exercise habits, medical history such as diabetes, heart disease,   peptic ulcer disease and sleep apnea. Psychological status is   important such as anxiety, binge eating, Patients motivation must be   assessed such as ability and willingness to follow through   recommendations in diet and exercise.  Compliance with   medications for blood pressure and diabetes, and use of c-pap machine.   Age is also a factor in getting to be a candidate. Risks increase of   surgery increases with age (The Big Gastric Bypass Diet Guide, 2016).   Mr. C needs to take medication to heal his stomach ulcer. Mylanta   should be given at 10 am, again at 3 pm, and 9pm. Zantac should be   taken at 9 pm, and Carafate should be given at 6 am, 11 am, 5pm and   9pm. The five problems I have identified is health maintenance and   management as he mentions he has gained 100 lbs. in 2-3 years, may not   be seeing physician regularly, and feels that he should look at   surgery first and mentions he has tried a low sodium diet. Nutritional   because he has a high cholesterol, triglycerides, and diabetes.   Activity and exercise, judging by his occupation of catalog telephone   center, his job is sedentary. Sleep apnea interrupts sleep and rest.   Coping and Stress tolerance, Mr. C has a peptic ulcer that may be   indicative of stress. Bariatric surgery is not a quick fix and will   require an even more compliance than what most people think. I NEED YOU TO COMMENT FROM THIS POST, 150 WORDS NEEDED AND A REFERENCE PLEASE

Mr. C’s case highlights the complex factors associated with obesity and the potential use of bariatric surgery as a treatment option. Bariatric surgery, while effective for weight loss in individuals with a high BMI and comorbidities, is not a quick fix and requires significant lifestyle changes and long-term compliance (Dixon, Straznicky, Lambert, Schachter, & O’Brien, 2013).

In assessing Mr. C’s candidacy for surgery, it is crucial to conduct a thorough screening process to gather information about his underlying reasons for weight gain, diet history, eating habits, activity level, exercise habits, and medical history, including diabetes, heart disease, peptic ulcer disease, and sleep apnea. Psychological factors such as anxiety and binge eating should also be evaluated, as they may impact post-surgery outcomes (Altieri et al., 2015).

Furthermore, evaluating Mr. C’s motivation and ability to follow recommendations, including dietary and exercise changes, compliance with medication for blood pressure and diabetes, and the use of a CPAP machine for sleep apnea, is essential. Understanding his psychological readiness for the necessary lifestyle modifications is central to the success of bariatric surgery (Wadden et al., 2013).

Age should also be considered when assessing Mr. C’s candidacy for surgery, as the risks associated with surgery increase with age. Age-related health complications and reduced healing capacity may affect outcomes (Dixon et al., 2013).

In addition to the potential benefits of bariatric surgery, it is important to address other aspects of Mr. C’s health. His high blood pressure, hyperlipidemia, diabetes, peptic ulcer disease, and sleep apnea require management and treatment. Medications such as Mylanta, Zantac, and Carafate have been prescribed to address the stomach ulcer. Adequate education and adherence to the medication schedule are crucial for promoting healing.

A multidisciplinary approach, involving healthcare professionals specializing in nutrition, exercise physiology, psychology, and surgery, is essential for Mr. C’s comprehensive care. Treatment should focus not only on weight loss but also on optimizing overall health and managing comorbidities. Collaboration between healthcare providers and patient engagement is crucial for successful long-term outcomes (Heffron et al., 2016).

In conclusion, Mr. C’s case illustrates the complexity of managing obesity and the potential role of bariatric surgery in combination with comprehensive care. Assessing candidacy for surgery requires a thorough evaluation of various factors, including medical history, psychological state, motivation, and ability to follow lifestyle recommendations. Age-related considerations and the management of comorbidities are also critical. Bariatric surgery is not a standalone solution for obesity but rather a part of a multi-faceted approach to achieve sustainable weight loss and improve overall health.

References:
Altieri, M. S., Pryor, A. D., Telem, D., Zhang, W., Gu, Y., Bessler, M., & Dakin, G. (2015). Psychiatric History Does not Impact Weight Loss Following Bariatric Surgery. Journal of Gastrointestinal Surgery, 19(8), 1408-1414.

Dixon, J. B., Straznicky, N. E., Lambert, E. A., Schachter, L. M., & O’Brien, P. E. (2013). Surgical Approaches to the Treatment of Obesity. Nature Reviews. Gastroenterology & Hepatology, 10(8), 502-511.

Heffron, S. P., Parikh, A. A., Volckmann, E. T., Zezo, M., Rothberg, M. B., & Hur, H. C. (2016). Effect of Bariatric Surgery on Adherence to Antihyperglycemic Medications Following and Index Event for Diabetes. JAMA Surgery, 151(2), 1-8.

Wadden, T. A., Webb, V. L., Moran, C. H., & Bailer, B. A. (2013). Lifestyle Modification for Obesity: New Developments in Diet, Physical Activity, and Behavior Therapy. Circulation, 127(21), 2156-2179.