The Center for Disease Control and Prevention (CDC) classifies patients with a BMI of 30.0 of higher as being obese (Center for Disease Control and Prevention, 2018). In the case of Mr. C, he has a BMI of 47.8, which categorizes him as suffering from obesity. Obesity acts as a risk factor contributing to a wide array of health complications that affect individual patients suffering from the chronic condition. Some of the notable complications that can be associated with obesity include high blood pressure, sleep apnea, depression, and type 2 diabetes, among others (Bhupathiraju & Hu, 2016). From the health history and objective data associated with Mr. C, it is clear that he manifests the possibility of obesity, considering that he exhibits complications that include high blood pressure and sleep apnea. From this perspective, it can be argued that indeed, Mr. C faces a significant challenge in dealing with obesity as a health issue.
Potential Health Risks for Obesity and Bariatric Surgery
The first potential health risk for obesity that can be seen from the data collected from Mr. C is a heart attack, which arises from the fact that Mr. C's cholesterol is higher than average. Additionally, Mr. C suffers from hypertension, which exposes him to a high risk of a heart attack as one of the potential health risks that ought to be considered. Secondly, Mr. C faces a high risk of stroke arising from his high cholesterol. High cholesterol is likely to cause blockage in the arteries, which blocks the normal flow of blood to the brain; thus, serving as a critical contributor to a high possibility of stroke (Peters, Singhateh, Mackay, Huxley, & Woodward, 2016). Mr. C faces a high risk of stroke if he is not able to manage his cholesterol levels. Bariatric surgery may serve as the best alternative for Mr. C in his approach towards dealing with the health issue associated with obesity. A majority of people suffering from obesity experience resistance in maintaining weight loss; thus, making bariatric surgery the most viable alternative (Lassailly et al., 2015). That is the case for Mr. C, who has been suffering from obesity since he was young.
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Functional Health Patterns
Health-Perception – Health Management – Mr. C lacks knowledge of what would be expected of him towards building on effective management of his health. That highlights the need for having to ensure that Mr. C is well educated on how he would be able to manage his weight to reduce the possibility of obesity in the future.
Nutritional – Metabolic – Mr. C would experience a higher benefit from foods containing high amounts of vegetables, proteins, and whole grains. These foods will be of value in ensuring that he can manage his weight much better.
Elimination – Mr. C would receive knowledge on the value of consuming high amounts of water and fiber with the aim being towards improving on his dismissal.
Staging and Contributing Factors of End-Stage Renal Disease (ESRD)
Adaptation of the end-stage renal disease (ESRD) reflects more on the fact that the condition occurs as the last stage, which is stage five, associated with chronic kidney disease (CKD). At this stage, the kidney has experienced a significant reduction in its normal function to a minimum of between 10% and 15%. The kidney experiences substantial challenges in the removal of waste or excess fluid from the blood. Some of the contributing factors to exposure to ESRD include race, gender, age, and family history.
Health Promotion and Prevention for ESRD
Regular checkup for CKD would play a vital role as a health promotion approach that would be of value towards preventing the possibility of ESRD. If one has a family member that had been diagnosed with CKD, it is always essential to ensure that he or she gets tested for CKD regularly. Another health promotion approach that patients may take in preventing ESRD would involve weight loss in cases where the patient is suffering from obesity. One of the key contributors to ESRD is obesity; thus, meaning that persons with obesity face a high risk of ESRD. On the other hand, dealing with other health conditions such as diabetes and high blood pressure may serve as a critical health promotion approach that would be of value towards preventing the possibility of ESRD. Mr. C will receive education on how he would be able to manage his weight after bariatric surgery. The education received will be of great value towards ensuring that he can prevent future events, promote health restoration, and avoidance of deterioration of renal status.
Resources for ESRD Patients for Nonacute Care and Multidisciplinary Approach
Resources available for ESRD patients for nonacute care focus more on information that is given through websites that include the CDC and National Kidney Foundation. Using such information will be of great value for the patients in ensuring that they have clear information on how they would manage the condition effectively. The primary type of multidisciplinary approach that would have notable benefits for ESRD patients is the approach to prevention and care. In this approach, the focus is on prevention as a critical factor of consideration in dealing with ESRD as a chronic condition. Additionally, the proposal also focuses on the competent care of patients that have been diagnosed with the condition.
References
Bhupathiraju, S. N., & Hu, F. B. (2016). Epidemiology of obesity and diabetes and their cardiovascular complications. Circulation Research , 118 (11), 1723-1735.
Center for Disease Control and Prevention. (2018). Overweight and Obesity . Retrieved from https://www.cdc.gov/obesity/index.html
Lassailly, G., Caiazzo, R., Buob, D., Pigeyre, M., Verkindt, H., Labreuche, J., ... & Romon, M. (2015). Bariatric surgery reduces the features of nonalcoholic steatohepatitis in morbidly obese patients. Gastroenterology , 149 (2), 379-388.
Peters, S. A., Singhateh, Y., Mackay, D., Huxley, R. R., & Woodward, M. (2016). Total cholesterol as a risk factor for coronary heart disease and stroke in women compared with men: A systematic review and meta-analysis. Atherosclerosis , 248 , 123-131.
