Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center.
Objective Data 1.Height: 68 inches; Weight 134.5 kg 2.BP: 172196, HR 88, RR 26 3.Fasting Blood Glucose: 146/mg/dL 4.Total Cholesterol: 250mg/dL 5.Triglycerides: 312 mg/dL 6.HDL: 30 mg/dL
Critical Thinking Questions
What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?
Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: 1.Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime. 2.Ranitidine (Zantac) 300 mg PO at bedtime. 3.Sucralfate/Carafate 1 g or 10m1 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.
1.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.)
2.What actual or potential problems can you identify? Describe at least five problems and prov
Distributed: Tue, 02 Jan 2018 Style is the talked attributes of an author, as exceptional as his or her face or voice. Their styles express their individual methods for seeing humankind. Style is an emblem of freedom and recognizes a decent author from a pitiful or normal essayist. This is only one of the components of writing. There are numerous components of writing. When we read or hear verse, we hear a speaker's voice. It is this manner of speaking that passes on the sonnet's tone, its circuitous attitude toward its core interest. Tone is an idea we make from fine purposes of a sonnet's dialect: the utilization of meter and rhyme (or need of them); the expansion of particular sorts of fine focuses and prohibitions of different sorts; demanding selections of words and sentence design, of pictures and representative dialect. When we tune in to a sonnet's dialect and hear the voice of its speaker, we get a handle on its tone and believing and in the long run its importance. Verse is the imprudent spillover of powerful sentiments: it takes its establishment from feeling recalled peacefully: the feeling is a considered turn over, by a kind of reaction, the quietness consistently vanishes, and a feeling, relatives to that which was before the point of thought, is relentlessly shaped, and destroys itself the truth be available in the brain. In perusing any verse, it is fundamental to comprehend what the words mean, yet in like manner basic to comprehend what the words include or propose. Writers pick demanding words since they advocate what they need to advocate. Its propriety is a component of the two its indication and its meaning. Verse is stuck in the strong and the exact in subtle elements that stir our faculties for it is through our faculties that we see the world. At the point when such subtle elements end up noticeable in verse, they are called pictures. A picture is a strong image of a sense idea, response, or thought. Dialect can be named both exacting and not strict. When we talk accurately, we mean exactly what each word passes on; when we utilize allegorical dialect we mean an option that is other than the genuine importance of the words. Interesting expressions are dialect or methods for utilizing words in a non-exacting rationale. They comprise of exaggeration; incongruity; or utilize a section to show the entire; or substituting a part of a protest for the question itself; enriching dormant items or reasonable ideas with living peculiarity or persona. Two that are over all basic for verse are likeness or representation. The sentiment of both these figures is evaluation, which is the working of relations between regularly not related things. Similitude is a savvy perspective of the similarity in unique. Likeness sets up the similitude plainly with the words like or as. Analogy, of course, utilizes no such clear talked piece of information. The examination is aberrant so that the representative term is substituted for or perceived with the correct one. The comparison is more constrained in its relative ramifications than is the representation. An image is a thing or act that speaks to an option that is more remote than itself. Related to imagery, moral story, is a sort of succession of occasions in which individuals, spots and happenings have obscure or authentic significance. Moral story contrasts from imagery in setting up a firm arrangement of correspondences connecting certainties of activity and a guide of significance. Punctuation is the showcase of words in sentences, expressions, or provisos. Artists utilize punctuation as they utilize pictures, articulation, development, clamor, and beat to state meaning and propose sentiments. It is a fundamental part of its tone and a prompt the speaker's enthusiastic state. Rhyme is the about all unmistakable part of verse. It is clear as the comparing of finishing up vowel or consonant sounds in at least two words. While comparing sounds happen at the closures of lines we have finishing rhyme; when they occur inside lines we have inward rhyme. Notwithstanding rhyme, two different types of sound partake in reign in verse: similar sounding word usage, which is the repeat of consonant sounds, especially toward the start of words, and sound similarity, which is the repeat of vowel sounds. Beat alludes to the standard redundancy of the manner of speaking or nervousness in sonnets or tunes. It is the throb or whip we feel in an adage of music or a line of verse. We acquire our rationale of rhythm from step by step life and from our insight with dialect and music. Meter is the audit or resplendent retribution of a wonderful line. Meter is a retribution of the burdens we involvement in the sonnet's beat. By rule, the segment of graceful meter in English is the base, a part of survey comprising of stressed and undisturbed syllables. When we investigate a ballad's structure, we fixate on its examples of affiliation. Frame exists in sonnets on different levels from examples of commotion and picture to structures of grammar and of reasoning; it is as an extraordinary arrangement an issue of expression and line as of section and whole ballad. Open or free shape does not mean smoothness. It proposes, as an option, that writers take advantage of on the unrestrained choice either to make their very own structures or to utilize the traditional settled structures in more supple ways. Structure frequently gives pieces of information to air and accomplishment. We have in the past characterized topic as a motivation or sincerely comprehensible significance characteristic and comprehended in an exertion. When molding a sonnet's topic we ought to be wary neither to sum up the ballad nor to distort its importance. We ought to likewise be on comfortable terms with the way that lyrics can have a few topics: sonnets can be deciphered from in excess of one point of view and there is in excess of one approach to certify or illuminate a lyric's significance. The fundamental thought of the ballad is enunciated in its opening line. A declaration of the sonnet's topic needs to contain its possibility. In doing the majority of my readings for as far back as couple of weeks, I have come to understand that a considerable measure of the tales and ballads share a portion of similar topics. For example, the sonnet "To my Dear and Loving Husband," by: Anne Bradstreet, p.1077 in the content, "My courtesan eyes are not at all like the sun," by: William Shakespeare, p.1187 in the content, and "My Papa's Waltz," by: Theodore Roethke, p.773 in the content, all have the topic of adoration. "To My Dear and Loving Husband," is the account of a lady's genuine love and respect of her better half. She states in the sonnet, "I prize thy love more than entire mines of gold or every one of the wealth that the East doth hold." "My Mistress eyes are in no way like the sun," is the account of a man's adoration for his special lady. He states in the sonnet, "But then, by paradise, I think my affection as uncommon as any she gave a false representation of with false analyze." "My Papa's Waltz," is the tale of a young fellow growing up with a heavy drinker father. The young fellow adores his dad, yet the dad cherishes his liquor progressively and the young fellow is attempting to get the adoration from his dad. I have come to understand that writing reflects network, and people and the general population influence one another. Writing reflects networks by circumstance of time, culture, settings, mentality, and qualities at the time. Writing utilizes dialect to show what it feels like to live amid specific environment. Writing likewise makes learning, not simply impersonate it. Social drawing nearer can be utilized to give a rich and edifying verifiable setting for invented work. It utilizes papers, articulations, and pictures of the zone to help the peruser with a feeling of the network portrayed in the story. In the story "The Lesson", by Toni Bambara, it utilizes dialect to show conditions, culture, and network. The writer utilized dialect talked by some African-American natives in the southern networks to help perusers with what culture and race the subjects are. On page 427, the words "nappy hair" was utilized, at that point on pages 428-429, "purdee hot", and "punchin" were utilized, and that gives perusers a smart thought of what race and culture the residents were. In "The Lesson", the story additionally cautions you on the prerequisite of training and the outcomes of having an instruction. It represents how an instruction may not be fun or simple to accomplish, but rather it is basic for a productive change to come to fruition. The story takes a gander at sorts of affectedness, bearing, and ways individuals can esteem or unsavoriness every one of every a network. An extra case of a short story that exhibits how writing mirrors the network is "A Rose for Emily" by William Faulkner. Faulkner utilizes "A Rose for Emily" to focus on subject of modification and enhancement, as it identifies with the American South. He was animated to expound on this since he originated from a family that some time prior claimed an agrarian domain and he had family portrayal in the South. Literary works now and then utilize individuals as images. A case of how Faulkner utilized his characters as images of the bigger issues in the South is in the character of Homer Barron. Homer Barron is the Yankee creation foreman who turned into Emily's first genuine beau. His relationship with Emily is well thoroughly considered to be offensive since he is a Northerner and in light of the fact that it doesn't appear as though they will ever be hitched. An additional precedent is by a portion of the elderly people men wearing brushed adversary garbs at Emily's burial service which provides the peruser an extra insight about the minute in time, qualities, and setting in the story. In wrapping up, I have indicated precedents to many-sided the different components of writing and communicated understanding of the manner in which writing reflects networks, societies, people, and society in consistently life.>GET ANSWER