Explore BrainMass

Pathophysiology and Nursing Management of Clients' Health

This content was STOLEN from BrainMass.com - View the original, and get the already-completed solution here!

Please refer to Case Study #1 in "Case Studies," below for instructions on how I have to complete the work.

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 temp 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:
â?¢ Hemoglobin = 8 g/dl
â?¢ Hematocrit = 32%
â?¢ Erythrocyte count = 3.1 x 10/mm
â?¢ RBC smear showed microcytic and hypochromic cells
â?¢ Reticulocyte count = 1.5%
â?¢ Other laboratory values were within normal limits.


1) Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of about750 words, explain your answer and include rationale

2) Please Cite references to support the responses to the case studies.

3) I need to prepare this work according to the APA guidelines.

© BrainMass Inc. brainmass.com October 25, 2018, 6:57 am ad1c9bdddf

Solution Preview

Due to the evidence presented in this case, it appears that Ms. A has a type of anemia due to a deficiency in B12, Folate, and Iron. Due to the fact that this individual is otherwise healthy and young, other forms of anemia can pretty much be ruled out. In addition, due to the fact that the symptoms of her anemia seem to get worse during her menstrual cycle, it is very reasonable to assume that the individual is losing a great deal of very important vitamins and minerals during her blood loss, which would likely result in a deficiency in vitamin B12, folate, and iron. The fact that this individual suffers from menorrhagia and dysmenorrheal, and has had these problems for the last 12 years, makes it apparent that this individual suffers from tremendous blood loss during her menstrual period. The menorrhagia that this individual is suffering from means that this individual will inevitably suffer from weakness and fatigue due to the blood loss that this individual suffers from during her menstrual cycle, which can partially explain the low energy levels that this individual has during the times before and after her menstrual cycle, largely due to the fact that it takes the body, a great deal of time to replace the red blood cells that are lost during prolonged ...

See Also This Related BrainMass Solution

American Cancer Society: Pathophysiology and Nursing Management of Clients' Health

The American Cancer Society is a nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem. Together with its supporters, ACS is committed to helping people stay well and get well by finding cures and by fighting back.

1) Imagine that a family friend or colleague has just been diagnosed with cancer. Explain how the American Cancer Society might provide education and support. What ACS services would you recommend and why?

2) According to statistics published by the American Cancer Society, there will be an estimated 1.5 million new cancer cases diagnosed each year over the next decade. What factors contribute to the yearly incidence and mortality rates of various cancers in Americans? What changes in policy and practice are most likely to affect these figures over time?

3) Select a research program from among those funded by the American Cancer Society. Describe the program and discuss what impact the research will have on the prevention or treatment of cancer.

View Full Posting Details