Mr. C., a 32-year-old single male, is seeking information about bariatric surgery for his obesity at the outpatient center. He claims that he has always been overweight, even as a child, but that he has put on roughly 100 pounds in the previous two to three years. Previous medical exams revealed no metabolic problems, but he claims to suffer from sleep apnea and high blood pressure, which he manages with salt restriction. He is currently employed at a catalog call center. Data that is objective 68-inch height; 134.5-kilogram weight 172/96 mmHg, HR 88, RR 26 Fasting 146 mg/dL blood glucose 250 mg/dL total cholesterol 312 mg/dL triglycerides 30 mg/dL HDL Questions for Critical Thinking What health concerns does Mr. C. face as a result of his obesity? Is bariatric surgery the best course of action? Why do you think that is? Mr. C. has been diagnosed with peptic ulcer disease and has been prescribed the following medications: 1. 15 mL magnesium hydroxide/aluminum hydroxide (Mylanta) PO 1 hour before bedtime, 3 hours after mealtime, and at bedtime 2. At bedtime, 300 mg of ranitidine (Zantac). 3. Sucralfate/Carafate 1 g or 10 mL suspension (500 mg / 5 mL) 1 hour before meals and before bedtime The patient claims to consume meals at 7:00 a.m., 12:00 p.m., and 6:00 p.m., as well as a bedtime snack at 10:00 p.m. Prepare an administration schedule that is both therapeutic and patient-friendly. 1. Using the information provided, evaluate each of Mr. C.’s functional health patterns. (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.) 2. Can you identify any current or potential issues? Describe at least five problems and explain why they exist.