A poem by T.S. Eliot (1943) says, “We had the experience but missed the meaning.” As your experience in this course comes to a close, I don’t want you to miss the meaning of the materials you have read, papers you have written, and discussions we have had throughout the session. They are more than a series of assignments and grades – the end result should be an improvement in your higher-order thinking and your ability to make connections between thoughts and ideas.

You can achieve that through reflection, the art of taking charge of your own mind. Reflection is a mental process that challenges you to use critical thinking to examine the course information, analyze it carefully, make connections with previous knowledge and experience, and draw conclusions based on the resulting ideas.

A well cultivated critical thinker (Paul & Elder, 2008): raises vital questions and problems, formulating them clearly and precisely; gathers and assesses relevant information, using abstract ideas to interpret it effectively comes to well-reasoned conclusions and solutions, testing them against relevant criteria and standards; thinks open-mindedly within alternative systems of thought, recognizing and assessing, as need be, their assumptions, implications, and practical consequences; and communicates effectively with others in figuring out solutions to complex problems.  

For this discussion, take some time to reflect upon 2 concepts that you learned in this course. What are the concepts? What insight or ideas did you gain from learningeach of these concepts? Were there aspects of the concepts that you would challenge? What is the importance of these concepts to public health? How will you use this new wisdom in your current or future career?  In order to earn maximum credit, the comment should be more than your opinion, and more than a quick “off the top of your head” response. Be sure to support your statements, cite sources properly within the text of your comments, and list your reference(s). The response must be a minimum of 250 words.

Britton, B. & Serrat (2013). Reflective Practice. Retrieved from http://www.slideshare.net/Celcius233/reflective-practice-27714069  

Eliot. T.S. (1944) Four Quartets, The Dry Salvages, pt.2. London. Paul, R. & Elder, L. (February, 2008). The Miniature Guide to Critical Thinking Concepts and Tools. Foundation for Critical Thinking Press

Hello i need a Good and Positive Comment related with this argument .A paragraph  with no more  100 words.

Maria Isabel Manlutac 

1 posts

Re:Topic 5 Mandatory Discussion Question

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?

     Obesity is defined as excess adipose tissue measured by body mass index (BMI) which is =/>30 (CDC, 2016). It can lead to cardiovascular, respiratory, musculoskeletal, gastrointestinal, psychosocial and problems. At a current weight of 134.5 kg and Ht of 68 inches, Mr.C’s BMI is 46.4, which put him in the category III:  “severe” or morbid obesity (CDC, 2016). Having elevated blood sugar, cholesterol and Triglycerides in addition to low HDL predisposes him to cardiovascular disease including Diabetes Type 2, Hypertension, and Coronary Heart Disease. Bariatric surgery is currently the only treatment that has been found to have a successful and lasting impact for sustained weight loss for severely obese individual. I believe that bariatric surgery is an appropriate intervention.  Mr. C meets the criteria for surgery which include BMI ≥40, Type 2 Diabetes, heart disease and sleep apnea. There is no evidence/s of untreated depression, psychosis, binge eating disorders, bulimia, drug and alcohol abuse, severe cardiac disease with anesthetic risk, coagulation problem, or inability to comply with nutritional requirements on Mr. C’s history that will disqualify him for the surgery (NIDDK, 2016).

Medication Administration

1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.  —– Take at 10am, 3pm and 9pm
2. Ranitidine (Zantac) 300 mg PO at bedtime. —– take at 10 pm
3. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime. —- take at 6 am, 11 am, 5 pm, and 10:30 pm.

Sucralfate can make it harder for the body to absorb other medications you take by mouth. If your doctor does recommend using an antacid, avoid taking it within 30 minutes before or after taking sucralfate. Therefore, Sucralfate should be taken 30 mins after Zantac (Healthwise, 2013).

What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

1. Mr.C’s fasting plasma glucose (FPG) is elevated at 146. A FPG of ≥126 is one criteria of being diagnose of diabetes mellitus (DM) type II. In addition, obesity is the most powerful risk factor of developing DM type II.
2. Cardiovascular problems- Mr.C’s blood pressure and cholesterol levels are high which predisposes him to cardiovascular problems such as coronary vascular disease (CVD) that may lead to myocardial infarction.
3. Respiratory problems such as obesity hypoventilation syndrome due to increased work of breathing. In addition, Mr.C is already suffering from sleep apnea.
4. Potential musculoskeletal problems such as osteoarthritis due to the stress on the weight-bearing joints such as hips and knees.
5. Obesity causes 100,000 cases of cancer in the US each year. It is the most important known preventable cause of cancer. The types of cancer most strongly linked to excess body far are cancer of the breast, endometrium, kidney, colon/rectum, pancreas, esophagus, and gallbladder (Lewis et al., 2011).