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4 pages/β‰ˆ1100 words
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APA
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Health, Medicine, Nursing
Type:
Case Study
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English (U.S.)
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Nursing Assignment: Diagnosis Of The Above Symptoms

Case Study 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.
In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.
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).

Case Study Sample Content Preview:
Nursing Case StudiesNameInstitutional AffiliationDate
Case Study 1
According to my diagnosis of the above symptoms, Ms. A is suffering from anemia that is caused by the deficiency of vitamin B12. Vitamin B12 is responsible for the manufacture of the red blood cells in the body. According to the symptoms that have been given, the RBC that has been smeared showed microcytic and hypochromic cells Reticulocyte count of 1.5 %. It can also be identified that Ms. As the condition worsens during the menstrual cycle. It is estimated that women lose an estimated ¼ cup of blood in each of the menstrual cycles and as such it is important to replace the nutrients that are lost during the menses CITATION ACA13 \l 1033 (Antony, 2013). Vitamin B12 manufacture the red blood cells that will replace the blood lost. In the case of Ms. A, she lacks Vitamin B12 and therefore every time she experiences menstruation, there is no the replacement of the blood that is lost and as such her condition worsens.
Deficiency of vitamin B12 also causes poor absorption from the stomach or the intestines, decreased intake and the other increased requirementsCITATION NIH16 \l 1033 (NIH, 2016). As such, decreased absorption can be caused by pernicious anemia, surgical removal of the stomach, chronic inflammation of the pancreas, intestinal parasites and other genetic disorders. In the case of Ms. A, she is observed to lack enthusiasm and she becomes light headed while playing golf. It is caused by the lack of energy and lack of supply of oxygen in the head.
Oxygen that is used during the respiration process is carried in the red blood cells. Due to a decrease in the number of the red blood cells, the amount of oxygen that is carried will decrease and thus slow down the process of respiration. When Ms. A is playing golf, the amount of energy that is used is likely to increase, and the body will need to produce more energy. Due to the lack of energy, Ms. A experienced problems such as stiffness in the joints and the elevated respiratory rate as it has been indicated.
The treatment of the health condition of Ms. A is possible, but it will depend on the cause of the deficiency CITATION Lac12 \l 1033 (Lachner, Steinle, & Regenold, 2012). The goal of the treatment that will be offered is to increase the level of vitamin B12 in the body. If the body stores are depleted of vitamin B12, then the doctor is most likely to prescribe vitamin B12 injections. It may also include a shot of vitamin B12 once in a month. The number of shots may also increase if the level of vitamin B12 is very low.
There is a good chance that the various symptoms that are associated with this type of deficiency will improve in a shorter period once the body is provided with the needed B12. There are also various sources of vitamin B12. It is found in the animal products such as fish, meat, poultry, eggs, milk and the milk products.
The total amount of vitamin B12 that is stored in the body is between 2-5 milligrams in the adults. Approximately 50% is stored in the liver, but approximately 0.1% is lost in each day sue to the secretions that occur into the gut and it is not all of the vitamin that is reabsorbedCITATION NIH16 \l 1033 (NIH, 2016). While bile is the main component ...
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