Case study analysis

Order Description Case Study 1 Ms. A. is an apparently healthy 26-year-old white woman. Sin" rel="nofollow">ince the begin" rel="nofollow">innin" rel="nofollow">ing of the current golf season, Ms. A has noted in" rel="nofollow">increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse durin" rel="nofollow">ing her menses. Today, while playin" rel="nofollow">ing in" rel="nofollow">in a golf tournament at a high, mountain" rel="nofollow">inous course, she became light-headed and was taken by her golfin" rel="nofollow">ing partner to the emergency clin" rel="nofollow">inic. The attendin" rel="nofollow">ing physician’s notes in" rel="nofollow">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" rel="nofollow">in every 3 to 4 hours for 6 days durin" rel="nofollow">ing menstruation.” Durin" rel="nofollow">ing the summer months, while playin" rel="nofollow">ing golf, she also takes aspirin" rel="nofollow">in to avoid “stiffness in" rel="nofollow">in my join" rel="nofollow">ints.” Laboratory values are as follows: Hemoglobin" rel="nofollow">in = 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" rel="nofollow">in normal limits. Question Considerin" rel="nofollow">ing the circumstances and the prelimin" rel="nofollow">inary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain" rel="nofollow">in your answer and in" rel="nofollow">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 main" rel="nofollow">intain" rel="nofollow">inin" rel="nofollow">ing diet restrictions and managin" rel="nofollow">ing his polypharmacy. He has 4+ pittin" rel="nofollow">ing edema, moist crackles throughout lung fields, and labored breathin" rel="nofollow">ing. He has no family other than his wife, who verbalizes sadness over his declin" rel="nofollow">inin" rel="nofollow">ing health and over her in" rel="nofollow">inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the fin" rel="nofollow">inancial issues. Mr. P is despondent and asks why God has not taken him. Question Considerin" rel="nofollow">ing Mr. P’s condition and circumstance, write an essay of 500-750 words that in" rel="nofollow">includes the followin" rel="nofollow">ing: Describe your approach to care. Recommend a treatment plan. Describe a method for providin" rel="nofollow">ing both the patient and family with education and explain" rel="nofollow">in your rationale. Provide a teachin" rel="nofollow">ing plan (avoid usin" rel="nofollow">ing termin" rel="nofollow">inology that the patient and family may not understand).