Kathleen johnson Case Study

Document Type:Case Study

Subject Area:Nursing

Document 1

In this paper, therefore, I will focus on the aetiology and pathophysiology of Kathleen’s obesity (overweight). Next, I will also discuss the underlying pathophysiology of Kathleen’s post-operative deterioration, while concentrating on the appropriate management during this nursing time. Lastly, I will mention three members of the interdisciplinary healthcare team to involve in the Kathleen’s care. Kathleen’s records show that she is overweight (A BMI of 40kg/m2) and also has a Type 2 diabetes of which she has been trying to control be feasting on a balanced diet. It is because of being overweight that she chooses to be admitted to hospital for the sleeve gastrectomy surgery. With respect to the genetic causes, one of the most common ones is the Prader-Willi syndrome.

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Basing on the hypothalamic injury, the craniopharyngioma is considered the most known neuroendocrine cause. Some of the endocrine disorders like the Cushing’s ailment, the growth hormone deficiency and the polycystic ovary sickness all lead to an increased body fat. Checking on Kathleen’s case, it can be said that she got obesity as a result of the high fat diet and some of the above mentioned causes related to their genetics. Also, the low levels of activity that she is exposed to, based on the fact that she spends most of her time drinking and smoking (Tasker, 2003). This brings us to the recommended remedy for which Kathleen chose in order to treat her overweight problem (Moreno, Pigeot, & Ahrens, 2011). After the surgery, the next vital process is based on the pathophysiology of Kathleen’s post-operative deterioration.

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In order to manage the post-operative recovery, and reduce the deterioration, it is vital to have good nursing management skills. A good nursing management skill is all about good observation skills. Such skills are utilized in reducing the risk of complications after the surgery and also ease the discharge process (Tasker & Allen, 2004). Iced water or ice cubes can be as fasting, refreshing and anesthesia can always cause a dry mouth, therefore it is vital to drip in some water to the patient’s body (Nichols & National Heart Foundation of Australia. Anaesthesia is known to affect the bladder muscles, which might then make it problematic for Kathleen to urinate. Therefore, when there is bladder discomfort and distention, catheterization ought only to be done as the only option and then the spasmodic catheterization done to minimize the risk of contagion from an indwelling catheter (Elmadfa, 2005).

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Where probable, the nurse should help Kathleen to get out of bed, and give as much privacy as probable for her to pass urine. Additional nursing management practices most vital for Kathleen encompass encouraging her to flex, rotate and extend their feet so as to minimize the risk of embolism (Moreno, Pigeot, & Ahrens, 2011). This is an expert who has got expert training on counseling and psychology and therefore will be of vital help to Kathleen, based on the fact that some of the reasons as to why she was becoming obese were depression and emotional discomfort. In conclusion, I discussed that Kathleen is an obese patient, and the sleeve gastrectomy surgery is aimed at reducing the stomach fat. Obesity emanates from a higher intake of energy than is utilized by the body.

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