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What health risks associated with obesity does Mr. C. have?

Nearly one third of the adult population of the United States is overweight or obese (Centers of Disease Control and Prevention, 2015). Obesity and diabetes are major health problems that are rapidly getting worse in the United States. In addition, obese people have an increased risk for the development of cardiovascular disease because obesity is often accompanied by elevated serum lipid levels. Obesity is also associated with hypertension. Obesity places an increased workload on the heart, which increases oxygen demand. According to the Centers of Disease Control and Prevention “the estimated cost of obesity in the United States was 147 billion in 2008 and the medical costs of people who are obese were $1,429 higher than those of normal weight” (Centers of Disease Control and Prevention, 2015). Obese people are also more likely to have delayed wound healing and wound infection because adipose tissue impedes blood circulation and its delivery of nutrients, antibodies, and enzymes required for wound healing. Obese clients also have difficulty breathing when sedated (Orlando Sentinel, 2012).

Is bariatric surgery an appropriate intervention? Why or why not?

According to the American Nurses Association “bariatric surgery provides dramatic improvement” to obese people that suffer from chronic diseases such as heart disease, hypertension, sleep apnea, degenerative joint disease, gastroesophageal reflux disease, asthma, and depression (American Nurses Association, 2009).

Bariatric surgery can be very effective when combined with a comprehensive treatment plan according to the American Society for Metabolic and Bariatric Surgery (American Society for Metabolic and Bariatric Surgery, 2015). The combined treatment can be an effective tool to provide a client with a long term weight-loss and help the client increase the quality of their health. Bariatric surgery has shown to help improve or resolve many obesity-related conditions, such as type 2 diabetes, hypertension, and heart disease it also helps in reducing the need to continue taking so many medications for these co-morbidities.

According to the US National Library of Medicine National Institutes of Health the following are some pros and cons of bariatric surgery (US National Library of Medicine National Institutes of Health, 2012):


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