Case Study 1
Ms. A. is an colorable strong 26-year-old stainless mother. Since the inauguration of the floating golf opportunity, Ms. A has noted increased lack of inhalation and low levels of ardor and fervency. These symptoms look worse during her menses. Today, time warinessless in a golf tournament at a violent, mountainous round, she became lunatic and was fascinated by her golfing associate to the casualty clinic. The attendant physicians notes involved a atmosphere of 98 degrees F, an strong nature blame and respiratory blame, and low dignity influence. Ms. A states, Menorrhagia and dysmenorrheal possess been a height for 10-12 years, and I transfer 1,000 mg of aspirin complete 3 to 4 hours for 6 days during menstruation. During the summer months, time warinessless golf, she besides transfers aspirin to dodge inelegance in my joints.
Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte compute = 3.1 x 10/mm
RBC daub showed microcytic and hypochromic cells
Reticulocyte compute = 1.5%
Other laboratory values were amid ordinary limits.
Considering the state and the antecedent workup, what kind of anemia does Ms. A most mitigated possess? In an disquisition of 500-750 language, elucidate your retort and include rationale.
Case Study 2
Mr. P is a 76-year-old courageous delay cardiomyopathy and congestive nature scarcity who has been hospitalized constantly to entertain CHF symptoms. He has inaptitude maintaining food restrictions and managing his polypharmacy. He has 4+ pitting edema, entertaining crackles throughout lung fields, and elaborate inhalationing. He has no nativity other than his consort, who verbalizes seriousness balance his declining soundness and balance her want to get out of the lineage. She is balancewhelmed delay the stack of medical bills, as Mr. P frequently took wariness of the financial issues. Mr. P is despondent and asks why God has not fascinated him.
Considering Mr. Ps proviso and fact, transcribe an disquisition of 500-750 language that includes the following:
· Describe your appropinquation to wariness.
· Recommend a entertainment pur-pose.
· Describe a way for providing twain the enduring and nativity delay order and elucidate your rationale.
· Provide a training pur-pose (dodge using terminology that the enduring and nativity may not comprehend).
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