Jul 18, 2017 Research papers

what type of anemia does Ms. A most likely have?

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Case Study: Describe your Approach to Care

INSTRUCTIONS:

Case Study 1

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”



Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.



Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

























Case Study 2



Case Study 2

Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.



Question

Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:

• Describe your approach to care.

• Recommend a treatment plan.

• Describe a method for providing both the patient and family with education and explain your rationale.

• Provide a teaching plan (avoid using terminology that the patient and family may not understand).

CONTENT:

Health and Medicine Institution Date Introduction Congestive heart failure is a chronic disease with an increasing prevalence among the elderly. This illness is known for its cause for hospital admission with high treatment costs. Counseling and education are a critical component in addressing this illness This encompasses medication management, dietary improvements, activity recommendations, self-monitoring, coping skills, social support, spiritual needs, prognosis, and caregiver stress. CASE Study 1 and it’s Rationale In this case, Mrs. A is mentioned to have been experiencing menorrhagia for at least 10 to 12 years. Menorrhagia is defined as the excessive loss of blood during menstruation and usually occurs when there are instances of hormonal in imbalance, especially in estrogen and progesterone. Other causes also include fibroid tumors of the uterus, miscarriage, pelvic inflammatory disease among others (Mullner & Sage Publications.2011). This disease is prevalent among women who experience disorders in bleeding. When there is a high prevalence of menorrhagia and poor management of menstrual loss, a woman may be prone to contract chronic iron deficiency anemia. Blood loss is attributed to the major cause of this

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