Assignment: Checking BMI For Overweight

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Assignment: Checking BMI For Overweight

Assignment: Checking BMI For Overweight

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A young 33-year-old man is admitted to your unit with a chief complaint of “tiredness and morning headaches” even after sleeping. How you would perform a comprehensive analysis of symptoms? What are the possible causes of the symptoms? What examinations would be crucial to determine the cause of his problems? Why

CLASSMATE RESPOND

I would first introduce myself, assuring for privacy and comfort. After taking a detailed health history and acknowledging the complaints of tiredness and morning headaches, I would assess for the following symptoms:  loud snoring, being awaken from sleep by gasping or choking, dry mouth or sore throat after waking, asking if anyone has told the patient of having episodes of not breathing while asleep, having mood changes and high blood pressure.

Assessments include height and weight, checking BMI for overweight. Blood pressure would be assessed.

One possible cause could be sleep apnea. One examination to determine if it is sleep apnea would be the overnight pulse oximetry. If this comes back positive, the next step would be a polysomnography, which is an overnight sleep study where you are hooked up to certain monitors that tract your heart, brain, lungs, oxygen levels and arm and leg movements.

You may be referred to an ENT doctor to rule out any blockage to your throat or nose.

If positive for sleep apnea, some changes should be started: lose weight, exercise and monitor alcohol intake. You may also be recommended to wear a CPAP (continuous positive airway pressure)

Obstructive sleep apnea. (2018, March 06). Retrieved from https://www.mayoclinic.org/diseases-conditions/obstructive-sleep-apnea/diagnosis-treatment/drc-20352095

Tools by BMI
BMI is method of calculating body fat percentage and useful indicator of your patients’ risk of diseases associated with being overweight or obese. 
Adults should aim for healthy weight that is proportional to their height. 
The BMI (body mass index) is measurement of weight to height (BMI). 
Obese people (BMI 25–29.9) have an excessive amount of body weight for their height. 
Obese people (BMI 30 or more) almost always have lot of body fat for their height. 
Heart disease, high blood pressure, type diabetes, gallstones, osteoarthritis, sleep apnea, and certain malignancies are all associated with higher BMI (e.g., colon, breast, endometrial, and gallbladder).
Although BMI can be used to assess the health of most men and women, it does have several limitations:
In athletes and those with strong physique, it could overstate body fat.
In older people and others who have lost muscle, it may underestimate body fat.
BMI table that compares their weight and height with growth charts is used to calculate BMI for children and teenagers aged to 20 years old. 
BMI percentile is calculated based on child’s BMI, age, and gender. 
Overweight is defined as child or adolescent who falls between the 85th and 95th percentiles on growth chart. 
Obesity is defined as child or adolescent who weighs more than the 95th percentile. 
Visit the www.cdc.gov/nccdphp/dnpa/bmi/bmi-for-age.htm and NHLBI’s We Can! Web pages for further information on BMI percentiles and growth charts for children.
Calculate BMI (Body Mass Index)
The BMI Calculator is simple online tool that can assist you in estimating the body fat percentage of your adult patients. 
The BMI calculator is accessible in English and Spanish and can be used with either standard or metric measurements.
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