Mr. P is a 76 year old male with cardiomyopathy and congestive heart NRS-410V Module 5 Disease Management Case scenario | Page 2

1 ) What health risks associated with obesity does Mr . C . have ? Is bariatric surgery an appropriate intervention ? Why or why not ?
2 ) Mr . C . has been diagnosed with peptic ulcer disease and the following medications have been ordered :
a ) Magnesium hydroxide / aluminum hydroxide ( Mylanta ) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime
b ) Ranitidine ( Zantac ) 300 mg PO at bedtime
c ) Sucralfate / Carafate 1 g or 10ml 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 .
3 ) 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 , cognitiveperceptual , self-perception - self-concept , role-relationship , sexuality - reproductive , coping - stress tolerance ).
What actual or potential problems can you identify ? Describe at least five problems and provide the rationale for each .