Assess Mr. McKinley's height and weight. Calculate his BMI and % usual body weight. What would be a reasonable weight goal for Mr. McKinley? Give your rationale for the method you used to determine this goal weight
What will be an ideal response?
• BMI = 703 x 410 lbs/70 in./70 in.= 59
• % UBW = (410 lbs/434 lbs) x 100 = 95% UBW
• A reasonable weight goal would be to lose 30-35% of body weight within 1-2 years post-op.
0.3 x 410 = 123 lbs, 410-123 lbs = 287 lbs.
0.35 x 410 = 143.5 lbs., 410-143.5 = 266.5 lbs.
Therefore, since research shows that most patients lose about 30-35% of their weight, it would be reasonable for Mr. McKinley to lose between 123 and 144 lbs. within the first two years.
• Studies demonstrate that 60% of patients typically maintain weight once weight is lost post-surgery.
• Another goal would be to get Mr. McKinley's BMI below 30, since evidence shows a significant reduction in the risk for co-morbidities associated with obesity when BMI is less than 30 . This is equivalent to a goal weight <209 lbs.
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