Comment Jamella


The American Cancer Society is an organization that is dedicated to eliminating cancer. The American Cancer Society has all sorts of informative links and information that can help you understand and cope when someone you care about has been diagnosed with cancer. If it was my friend or family member I would tell them about the website it has many ways to learn about the different forms of cancer along with the risk factors and treatment plans for the cancer you are dealing with. The website also includes information on how to speak to someone in person and get information that you are looking for along with local group setting you can attend to get education on cancer (American Cancer Society, 2016).

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Statistics show that an estimated 1.5 million new cancer cases diagnosed each year over the next decade. Some of the factors that contribute to the yearly incidence and mortality rates of various cancers in Americans include: obesity, smoking, alcohol, physical inactivity, lack of education, and lack of health care coverage. “Cancer was responsible for nearly one in four deaths in the United States in 2011, making it the second leading cause of death overall. It is already the leading cause of death among adults aged 40 to 79, and is expected to overtake heart disease as the leading cause of death among all Americans within the next several years. “The change may be inevitable, but we can still lessen cancer’s deadly impact by making sure as many Americans as possible have access to the best tools to prevent, detect, and treat cancer” (Simon, 2014).

One area of research that is funded by the American Cancer Society is Childhood cancer. This is done by using society’s full time researchers and external grantees to monitor and engage in new treatments, improvement of existing treatments, and addressing the side effects they can result from having childhood cancer. The research is broken down into the different kinds of cancer that children, this is also done to help prevent the long term suffering of the treatment effects that include things like hearing loss, heart disease, secondary cancers, and some learning disabilities. Palliative care is something that is important for the researchers to continue to gather information and continue their working together with the National Palliative Care Research Center (American Cancer Society, 2016).


American Cancer Society. (2016, August). Childhood cancer research highlights. Retrieved from

American Cancer Society. (2016, September). Take a loved one for a checkup. Retrieved from

Simon, S. (2014, December). Statistics report: 1.5 million cancer deaths avoided in 2 decades. Retrieved from





Obesity occurs when the body has too much fat. Obesity increases your risk of heart disease, stroke, diabetes, arthritis, and cancer. A loss of any amount of weight can help to prevent these things from happening. For Mr. C, some of the health risks that he has accompanying his obesity includes diabetes, hypertension, sleep apnea and high cholesterol. 

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Qualifications for bariatric surgery in most areas include:

BMI ≥ 40, or more than 100 pounds’ overweight (ASMBS, n.d.).

  1. BMI≥35 and at least two obesity-related co-morbidities such as type II diabetes (T2DM), hypertension, sleep apnea and other respiratory disorders, non-alcoholic fatty liver disease, osteoarthritis, lipid abnormalities, gastrointestinal disorders, or heart disease (ASMBS, n.d.).
  2. Inability to achieve a healthy weight loss sustained for a period with prior weight loss efforts. (ASMBS, n.d.)
  3.  In this scenario, Mr. C’s BMI is 47.65. He has a history of hypertension and sleep apnea. Based on these observations Mr. C would be a candidate for bariatric surgery. However, a contraindication to the bariatric surgery would be his diagnosis of peptic ulcer disease (ASMBS, n.d.). 

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 3hours after mealtime and at bedtime.

2. Ranitidine (Zantac) 300 mg PO at bedtime

3. 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. For administration of the medications provided to Mr. C for his peptic ulcer it is important to know how the medications interact with one another. Zantac and Carafate need to be given with a gap of 2 hours between the doses. Mylanta and Zantac need to be given in between the doses of Carafate. With the schedule the patient follows for his meal plan it would be most beneficial if he took the Mylanta at 10 am, 3 pm, 9pm. The Zantac can be taken at 10pm. The Carafate can be taken at 6am, 11am, 5pm, and 8pm. 

Health management-  Based on the information gathered Mr. C states he has always been overweight even as a child and he has gained 100 pounds in the past 2-3 years, seeking this surgery to help with his sleep apnea.

Nutritional/Metabolic- Based on his meal times he has a healthy meal plan, it would be good to get an idea of the food that he is consuming at these meals. He did state that he tries to maintain a low sodium diet to help with his high blood pressure.

Elimination- getting a thorough report on his elimination and how often would help get a better understanding.

Activity-exercise- based on the information received he is not an active man, he recently has a desk job that does not help with his inactivity.

Sleep-rest- The information gathered mentions that he has sleep apnea, this can cause him to not get enough rest throughout the night and cause him to be sleepy during the day.

Cognitive health perception- He appears to aware of his health condition and wanting to change to prevent his diagnosis’s from getting worse. Five potential problems:1. Medication errors if not taken at the time they are prescribed due to the medications not fully working when interacting with other medications.

2. Since he has a history of obesity since childhood, it’s important to make sure the patient has an understanding of a diet and the importance of following a diet to maintain weight loss.

3. Education to this patient that bariatric surgery alone is not a “fix” to obesity it is to help get you to where you need to be along with a proper diet and exercise regimen.

4. Making sure he is continuing to work on treating his underlying health problems such as hypertension and the elevated blood glucose levels. This can prevent these disease processes from getting worse.

5. Sleep apnea is not just going to go away after the procedure, proper management of his sleep apnea must be continued until the diagnosis has been taken away by a physician.


American Society for Metabolic and Bariatric Surgery. (n.d.) Who is a Candidate for Bariatric Surgery? Retrieved from