Discussion – Week 7
Anemia
In clinical settings, advanced practice nurses often
encounter patients with blood disorders such as anemia. Consider the case of a
17-year-old girl who is rushed to the emergency room after suddenly fainting.
The girl’s mother reports that her daughter has had difficulty concentrating
for the past week, frequently becomes dizzy, and has not been eating normally
due to digestion problems. The mother also informs the nurse that their family
has a history of anemia. With the family history of anemia, it appears that
this is the likely diagnosis. However, in order to properly diagnose and treat
the patient, not only must her symptoms and family history be considered, but
also factors such as gender, ethnicity, age, and behavior. This poses the
question: How do patient factors impact the incidence and prevalence of
different types of anemia?
To prepare:
· Review
Chapter 20 in the Huether and McCance text. Reflect on the pathophysiological
mechanisms of iron deficiency anemia.
· Select one
of the following types of anemia: pernicious anemia, folate deficiency anemia,
sideroblastic anemia, chronic inflammation anemia, or post-hemorrhagic anemia.
Identify the pathophysiological mechanisms of the anemia you selected.
· Consider the
similarities and differences between iron deficiency anemia and the type of
anemia you selected.
· Reflect on
how patient factors such as genetics, gender, ethnicity, age, and behavior
might impact these anemic disorders.
By Day 3
Post an explanation of the pathophysiological mechanisms of
iron deficiency anemia and the anemia you selected. Compare these two types of
anemia, as well as their potential causes. Finally, explain how genetics,
gender, ethnicity, age, and behavior might impact the anemic disorders you
selected.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different
days who selected different types of anemia than you, in the following ways:
· Share
insights on how the anemia you selected is similar to or different from the one
your colleague selected.
· Discuss how
genetic, gender, ethnic, age, and behavioral factors impact the diagnosis and
prescription of treatment for anemic patients.
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