https://padlet.com/divinemirandat/60t94o94g0gs54qj Made with a taste for adventure en-us 2022-04-27 13:29:48 UTC 2022-05-06 03:11:02 UTC hello@padlet.com divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160410859 2022-04-27 13:50:13 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160410859 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160423377 "Fat cells grow larger in response to dietary intake. When the cells can no longer expand, they multiply. With weight loss, the fat cells get smaller but the number of fat cells doesn't change" (Lippincott Advisor for Education) ]]> 2022-04-27 13:56:42 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160423377 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160425816 2022-04-27 13:58:02 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160425816 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160470848 Obesity can increase someone's risk of type 2 diabetes. According to Lippincott Advisor for Education, "Overweight or obesity (body mass index equal to or greater than 25 kg/m²)."
Someone who is obese has impaired glucose regulation because of increased insulin resistance and decreased insulin production which can lead to type 2 diabetes.
Complications: "Atherosclerotic cardiovascular and peripheral vascular disease, osteoporosis, damage to macrovascular and microvascular arterial cell walls" (Lippincott Advisor for Education).]]> 2022-04-27 14:21:04 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160470848 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160474582 If someone who is obese had a previously sedentary lifestyle, they have an increased risk for osteoporosis. Because of lack of exercise, the bones may demineralized causing osteoporosis. Also, someone who is obese will have their fat compressing against the bone causing bone to be demineralized. Also, the bone mass may decrease.
Complications: "Bone fractures" (Lippincott Advisor for Education)]]> 2022-04-27 14:23:07 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160474582 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160475196 Hyperlipidemia can result from obesity and diabetes. It can result in "increased levels of lipids in the blood, including cholesterol, triglycerides, and phospholipids" (Lippincott Advisor for Education). Someone who is obese has an increased risk due to high levels of fat distributed in his or her body. 
Complications: "CAD, Cerebrovascular disease, and Pancreatitis" (Lippincott Advisor for Education). ]]> 2022-04-27 14:23:28 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160475196 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160476847 "The rise in blood pressure seen with obesity is initially associated with an elevation in cardiac output and a relatively normal systemic vascular resistance" (Appel). A build-up of fat causes plaque to build up in the blood vessels causing restriction and higher blood pressure.
Complications: "Heart failure, MI, Hypertensive crisis, Neurologic deterioration, and Chronic or end-stage kidney failure" (Lippincott Advisor for Education) ]]> 2022-04-27 14:24:20 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160476847 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160484762 Poorly managed stress can increase someone's risk of obesity. High levels of cortisol in the body due to chronic stress can cause adrenal suppression and lead to imbalances and cause Cushing's disease or syndrome. In turn, Cushing's disease can cause obesity. Also, high levels of glucose in the body can cause micro and macro arterial wall damage. ]]> 2022-04-27 14:28:04 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160484762 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160485468 Sleep apnea can result in obesity. People who are obese have a higher risk of sleep apnea because the airway can be compressed due to the excess adipose tissue around the neck. Those with a short, thick neck, and possess fatty tissue around the neck can increase the risk of sleep apnea (Lippincott Advisor for Education). Also, people lying on their back can cause compression of the chest cavity due to adipose tissue.
Complications: "Hypertension, increased stroke risk, increased cardio vascular or diabetes risk, increased risk for complications during surgery" (Lippincott Advisor for Education)]]> 2022-04-27 14:28:23 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2160485468 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2161074900 It is caused by fatty deposits that build up inside the arteries (Lippincott Advisor for Education). Someone who is obese has an excess of fatty tissues. They have higher cholesterol and triglycerides levels which can lead to more fatty plaques being built up in the walls. 
Complications: "Diabetes, CAD, CVD, PVT, Renal stasis" (Lippincott Advisor for Education). ]]> 2022-04-27 20:38:52 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2161074900 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2161076662 2022-04-27 20:40:51 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2161076662 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2161077149 Blood pressure = 140/90
HR = 92 
Present height & weight = 210 lbs./ 5'5


]]> 2022-04-27 20:41:26 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2161077149 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170772622 Present weight 210 lbs./5'5
Tingling in lower extremities 
Fasting blood glucose 132 mg/dL
Hemoglobin A1C 7.5 %
Vision is blurry 
ESR of 45 mm/hr]]> 2022-05-05 01:11:46 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170772622 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170776708 Blood pressure 140/90
Present weight and height 210 lbs./5'5]]> 2022-05-05 01:16:38 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170776708 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170779162 Muscle aches and pain with movement 

]]> 2022-05-05 01:19:14 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170779162 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170780382 Sleep apnea: 
3-4 hours of sleep
Present weight and height 210 lbs./5'5

]]> 2022-05-05 01:20:40 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170780382 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170782588 Present weight and height 210 lbs./5'5
2+ pitting edema bilateral lower extremities 
Hemoglobin A1C 7.5 %
Fasting blood glucose 132 mg/dL]]> 2022-05-05 01:23:16 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170782588 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170784075 Cortisol level 35 mcg/dL]]> 2022-05-05 01:25:02 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170784075 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170785215 2022-05-05 01:26:29 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170785215 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170787385 Someone who has hypertension will have high blood pressure. This patient does have high blood pressure due to the assessments. Her weight-to-height ratio plays a big role in her developing hypertension. Obese patients are at increased risk. Because she is obese, her blood pressure will be indicative of that. ]]> 2022-05-05 01:29:16 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170787385 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170789505 She may have atherosclerosis due to the fact that she is obese. People who are obese have a higher chance of developing plaques in their blood vessels which may cause them to be obstructed. It results in higher blood pressure in the vessels being constricted. Her blood pressure is high so she may have it. This can't be ruled out.]]> 2022-05-05 01:31:59 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170789505 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170805328 This patient receives about 3-4 hours of sleep every day. This is a major issue, and this can be related to her responsibilities or the fact that she is obese. Those who are obese have risks of sleep apnea. She may be experiencing it which may be affecting her sleep. Further assessment should be given to investigating if she has it or not. ]]> 2022-05-05 01:51:58 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170805328 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170808752 Her cortisol levels are pretty high, and this is indicative of her going through a lot of stress because of the responsibilities that she has in her life. Her everyday stress is reflected in her labs. Your body releases cortisol as a response to stress, but ongoing stress can cause cortisol levels to be consistently high. High cortisol levels can increase glucose in the blood and she is diabetic. Which can cause her diabetes to be even worse. She will be at increased risk for complications for diabetes.]]> 2022-05-05 01:56:26 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170808752 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170810579 This patient complained of muscle aches and pain. This can be in relation to her history of osteoporosis. Osteoporosis may cause aches and pain in patients because of bone demineralization. If this patient lives a sedentary lifestyle or obesity is causing compression of the bone, she will lose bone mass. ]]> 2022-05-05 01:58:43 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170810579 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170813250 This patient is obese. Her weight-to-height ratio indicates that her BMI is high and she is obese. Because of her obesity, she has more fat distribution and that increases her risk for heart issues. The fat distribution can increase her risk for atherosclerosis. She is presenting some issues of the heart by having edema bilaterally in the extremities. Dyslipidemia may be an underlying cause of her heart issues. ]]> 2022-05-05 02:02:15 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170813250 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170818248 Those assessment findings are indicative of diabetes. Most type 2 diabetics are obese. Her weight did play a major role in her developing diabetes. The tingling and blurry vision can be complications of diabetes presenting itself. Her diabetes may have not been managed well resulting in her experiencing complications. Her A1C and fasting glucose are accurate for someone who has diabetes. Her ESR is also pretty high. Probably because she is experiencing some vascular issues that can cause it to be high. Diabetes can cause the blood to be more viscous and result in major issues. ]]> 2022-05-05 02:08:33 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2170818248 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172223648 2022-05-06 00:38:34 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172223648 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172230890 Atherosclerosis can be minimized by changing one's lifestyle. Losing weight and keeping a healthy diet will decrease the effects of atherosclerosis. This patient needs to incorporate it into her lifestyle. This patient is African-American and older and she has an increased risk for health disparities. Her access to care and her life plays a big role in her changing her lifestyle. She was given a statin to help lower her ADLs which can potentially help her disperse the fat. It's for this patient to understand that this drug may cause myopathy as a side effect and she already has osteoporosis so I will tell her to watch for signs of dark urine and pain in the muscles. Important to take it at night since most cholesterol is synthesized at night and don't drink grapefruit juice. ]]> 2022-05-06 00:47:33 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172230890 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172244733 It is important to have a healthy lifestyle by exercising and having a heart-healthy diet. Exercising dramatically aids in minimizing blood pressure. Because of her race and age and background hypertension is more likely for her. Lotensin is an angiotensin 2 inhibitor, and it is important for the patient to know that this drug can cause swelling of the face and throat. It is important for the patient to watch for that. Also, for a persistent cough. It can also cause a sudden drop in blood pressure, so important to wait a few minutes sitting up before standing so the body can adjust. She is also given hydrouril which is a diuretic to aid in minimizing blood pressure. Important to note that it can cause dehydration and low blood pressure. Important to keep hydrated and sit for a few minutes before standing. Also, it can raise bad cholesterol which is bad in her case because she is obese. The statin should probably help combat that. This patient is also taking diltiazem a calcium channel blocker to aid in lowering her blood pressure, and it is important for her to know it can cause dizziness and headaches, and it can cause orthostatic hypotension. It can cause palpations and arrhythmias. Important for the patient to rise slowly or sit for a few minutes before standing to let the body adjust. If the patient notices anything weird with her heart, important to let healthcare providers know. ]]> 2022-05-06 01:04:36 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172244733 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172247962 This patient has a higher chance of not exercising because of her life and background. Getting up frequently and exercising can aid in strengthening the bones. Her obesity and life play a big role in what she is able to do for herself in terms of exercising. Cholecalciferol is vitamin D which will be helpful in aiding with her bone demineralization. Calcium is given to her as well to help build strong bones. We need calcium to help build the bones back. ]]> 2022-05-06 01:08:02 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172247962 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172260572 This patient has diabetes, and she was at increased risk for it because of her background. A healthy lifestyle dramatically improves diabetes but managing it is very important because it can lead to complications, and it is important for her to be able to get medications and insulin. She is retired, so she may not be able to get the meds she needs if she doesn't have insurance. She is older and she may not be able to get the meds she needs. Plus, she is busy with her life. She is taking NPH insulin and metformin, and it is important to note that insulin can cause low blood sugar, and it is important to take it with food. Metformin can cause lactic acidosis, which is bad for the kidneys, so the patient should know not to take it with alcohol and look at the drug regimen to make sure cimetidine is not in it. ]]> 2022-05-06 01:21:55 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172260572 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172269923 Important for this patient to know that losing weight minimizes fat distribution throughout the body decreasing her risk for cardiovascular disease. Important for her to minimize her stress and take her statins. Her environment and background are a reason for her being obese and experiencing dyslipidemia. African-Americans are a part of the minorities that don't have great access to health care and the opportunity to live healthy lifestyles. She should continue to take crestor, and most important to take it at night and avoid grapefruit juice. Patient should also watch out for signs of dark urine and muscle aches.]]> 2022-05-06 01:31:42 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172269923 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172277233 Important for patients to lose weight and can help improve the effects of sleep apnea. Engaging in a healthier life improves overall well-being, but her environment and background play a big role in her sleep issues. Maybe changing to a different position can help with sleep.]]> 2022-05-06 01:40:15 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172277233 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172279629 Lowering her stress is so crucial because chronic stress can cause detrimental effects on body. Relaxation or taking days off to focus on self care is important to improving her life. She is a retired older adult , so she may not have the capability of taking time to herself because she is sole provider for grand kids. She may not also have time to improve her lifestyle because of this. Self care is just very important.]]> 2022-05-06 01:42:56 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172279629 divinemirandat https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172288657 *Lippincott Advisor for Education was used for all citations 
 (n.d.). Retrieved April 29, 2022, from https://advisor-edu.lww.com/lna/home.do. ]]> 2022-05-06 01:52:55 UTC https://padlet.com/divinemirandat/60t94o94g0gs54qj/wish/2172288657