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case study

Question # 00000164
Subject: Health Care / Clinical Medicine
Due on: 07/31/2013
Posted On: 07/21/2013 02:53 PM
Posted By:
tina4766
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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:

.5in;="" 0px="" 0in;="">Hemoglobin = 8 g/dl

.5in;="" 0px="" 0in;="">Hematocrit = 32%

.5in;="" 0px="" 0in;="">Erythrocyte count = 3.1 x 10/mm

.5in;="" 0px="" 0in;="">RBC smear showed microcytic and hypochromic cells

.5in;="" 0px="" 0in;="">Reticulocyte count = 1.5%

.5in;="" 0px="" 0in;="">Other laboratory values were within normal limits.

.5in;="" 0px="" 0in;="">

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In anessay 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).

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case study

Tutorial # 00000078
Number of words in this Tutorial: 322
Posted On: 07/21/2013 02:54 PM
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Tutorial Preview …This xxx - x more text xxxxxxx - - xxxxxx docx xxxxxxx xxxx words)xxxCongestive xxxxx xxxxxxxStudent’s NameProfessor’s xxxxxxxxxx xxx xxxxxCongestive xxxxx Failurexxx xxxxxxxx xxxx that x would xxxx xx suggest xxx xxx care xx xxx situation xxxxx xxxxxxx x xxxxxx xxxxxxxxxxx of xxx nutritional xxxxxxx xxxxxxxxx xxx xxxxxxxxxx and xxxxx xxxx of the xxxxxxxxxx xxx xx xxxx fact xxx xxxxxxxxxx has xxxxxxxxxxxxxx and xxx xxxxx…
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congestive_heart_failure.docx (25.96 KB)
Preview: the xxxxxxxxx of xxx heart and xxx way in xxxxx the xxxxxxx xxx provide xx with the xxxxxxxxx which concern xxxx the xxxxxxx xx the xxxxx etc so xxxx the person xxx gain xxxx xxxxxxxxxx amount xx the info xxx the insight xxxx the xxxxxxxxxxxxx xx the xxxxxxx of the xxxxx I suggest xxxx the xxxxxxx xxx the xxxxxx can attend xxx seminars which xxx concern xxx xxxxx failure xxx the other xxxx of the xxxxxxxxxx of xxx xxxxx so xxxx they can xxxx the additional xxxx of xxx xxxxxx info xx the condition xxx the primary xxxx of xxxxxxxxxxx xxx make xx utilize that xxx patient or xxx family xx xxxxxxxx with xxx education to xxxxxxx the attention xx the xxxxxxx xxxxxxx which xxx ensure that xxx individuals can xxx the xxxxxx xxxxx the xxxxxxxxx which they xxxx in relation xx the xx xxx failure xx the heart xxx cardiomyopathy and xxxx is xxx xxxx way xxx them to xxxxxxx the info xxxxx is xxxxxxxx xxxxxxxxx to
health_issues_throughout_the_lifespan_final.docx (25.75 KB)
Preview: that xxx individual xxxxxxx weak (Uthman, xxxxx Some symptoms xxxxxxx to xxx xxxxxxxx deficiency xx vitamin B12 xxx that of xxxxxxxx even xx xxx individual xx not doing x tiresome job xxxx kind xx xxxxxx results xx shortness of xxxxxx and restlessness xx experienced xx xxx individual xxxxxx a light xxxx game This xxxxxx as xxxxxxx xxx helps xxx development during xxx RBC synthesis xxx a xxxxxxxxxx xx this xxxxxxx will undoubtedly xxxx down the xxx development xxxxxxx xxxxxxxx the xxxxxx loss of x great deal xx blood xxxxxxx xxxxxx the xxxxxxxxxx at a xxxxxxxxxxxxx lower position xx terms xx xxxxxx And xx add to xxxx the already xxxxxxxxx B12count xxxxxxx xxxxxx A xxx of iron xx also lost xxxxxx the xxxxxxxxx xxxxx every xxxxx Also the xxxxxxxxx heavy bleeding xxxxxx more xxxxxxxx xxx blood xx made of xxx which is xxxx of xxxxxxxxxxx xxxx is xxx iron part xx our
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Case Study 2

Tutorial # 00079615
Number of words in this Tutorial: 3
Posted On: 07/25/2015 02:06 AM
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congestive_heart_failure.docx (25.96 KB)
Preview: weakened xxxxxxxx and xxxx the strengthening xx the heart xx another xxxx xx the xxxxxxx goal of xxxx treatment (Lewis, xxxxx Just xxxxxxx xx this xxxxxxxxxxx of the xxxxxxxxxx heart condition xx is xxxxx xxxxxxxxxx that xxx individual should xxxxxxx all and xxx medicines xxxxx xxxx been xxxxxx appropriate for xxx situation of xxxx type xx xxxxxx and xx will include xxx inhibitors and xxxx the xxxx xxxxxxxx due xx the fact xxxx the cardiomyopathy xxx led xx xxx congestive xxxxx failure within xxxx type of xx individual xxx xxxxx it x paramount which xxx proved the xxxxxxxxxxx can xx xxx first xxxx which is xxxxxxxx to help xx the xxxxxxxxx xxxxxxx 1997) xxxxx medicines are xxxxxx to help xx help xx xxxxxxxxx the xxxxxxxxxx to some xxxxx in which xxx therapeutic xxxxxxxx xxxxx can xx taken The xxxx type of x segment xx xxx approach xx to care xxx the situation xxx to xxxxxx xxxx Mr x tries to xxxxx to the xxxx program xxx xxx begin
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