Case Study Anemia - 913 Words

Case Study 1: Anemia Situation: The client is a 77 – year – old widow who relies on her late husband’s savings for all her expenses. Over the past few years, she has eaten less and less meat because of her financial situation and the trouble of preparing a meal â€Å"just for me†. She also has medicines to buy for the treatment of hypertension and arthritis. Over the past 2 to 3 months, she has felt increasingly tired, despite sleeping well at night. When she goes to the clinic, the doctor orders blood work. The lab results are as follows: WBC 7.6 thou/cmm, Hct 27.3%, Hgb 8.3 mg/dl, platelets 151 thou/cmm. RBC indices are mean corpuscular volume 65 cmm, mean corpuscular hemoglobin 31.6 pg, MCH concentration 35.1%, red cell distribution width†¦show more content†¦* RBC mean corpuscular volume is low, When the MCV is decreased, your RBCs are smaller than normal (microcytic) as is seen in iron deficiency anemia or thalassemias. * Red cell distribution width 15.6% is high calculation of the variation in the size of your RBCs. In some anemias, such as pernicious anemia, the amount of variation (anisocytosis) in RBC size (along with variation in shape – poikilocytosis) causes an increase in the RDW. * Iron 30 mcg/dl is low which may indicate anemia and chronic illness. * Ferritin 8 mg/dl is low which indicate people who have iron deficiency. 3. What type of anemia does the client have? * Iron deficiency anemia 4. What are some causative factors for the type of anemia the client has? * Bleeding: if the bleeding is excessive or occurs over a period of the time (chronic), the body may not take in enough iron or have enough stored to produce enough hemoglobin and/or red blood cells to replace what is lost. In women, iron deficiency may be due to heavyShow MoreRelatedCase Study: Anemia927 Words   |  4 PagesCase Study 1: Anemia Situation: The client is a 77 – year – old widow who relies on her late husband’s savings for all her expenses. Over the past few years, she has eaten less and less meat because of her financial situation and the trouble of preparing a meal â€Å"just for me†. She also has medicines to buy for the treatment of hypertension and arthritis. Over the past 2 to 3 months, she has felt increasingly tired, despite sleeping well at night. When she goes to the clinic, the doctor orders bloodRead MoreAnemia Case Study Answers1331 Words   |  6 Pages10.2 g/dL. Complete blood cell count is done; results show a mean corpuscular volume (MCV) of 78, hemoglobin of 10.1, rest of indices are normal. What is the most likely cause of your patient’s anemia? A. Chronic inflammation due to severe osteoarthritis B. Underlying malignancy C. Iron deficiency anemia D. Vitamin B12 deficiency E. Chronic kidney disease Explanation: Elderly or geriatric patients tend to absorb less iron and other vitamins and minerals as part of the aging process. In additionRead MoreAnemia: Medical Case Study of Ms A627 Words   |  2 PagesCase Study # 1 It is common for women to experience heavy menstrual bleeding at some point in their life. These periods can be painful making it difficult for one to function in their daily work. A good percentage of women who experience this situation also known as menorrhagia goes on to develop anemia. Ms. A. a 26-year-old white woman had been experiencing increased shortness of breath, low energy levels and these symptoms got worse during her menstruation periods. She had also been experiencingRead MoreResearch Proposal on Anemia1413 Words   |  6 PagesAND FOLIC ACID IN PREVENTING MATERNAL ANEMIA AMONG VEGETARIANS-A CASE CONTROL STUDY INTRODUCTION: Anemia complicating pregnancy poses a considerable danger to pregnant women and the fetal outcomes. Maternal anemia is defined as presence of less than 9gm% of hemoglobin in blood (Van Hove et. al, 2000). There is a significant risk of premature delivery and miscarriage in anemic women. The fetus is also at risk for low birth weight and severe anemia is associated with increased maternalRead MoreAplastic Anemia - Essay836 Words   |  4 PagesAplastic anemia  is a condition where bone marrow does not produce sufficient new  cells  to replenish  blood cells.[1]  The condition, per its name, involves both  aplasia  and  anemia. Typically, anemia refers to low red blood cell counts, but aplastic anemia patients have lower counts of all three blood cell types:  red blood cells,  white blood cells, and  platelets, termed  pancytopenia. ------------------------------------------------- [edit]Signs and symptoms * Anemia  with  malaise,  pallor  and associatedRead MoreEssay on Case Study726 Words   |  3 PagesRunning head: CASE STUDY #1 Case Study #1 Ms. A presents to the ED with complaints of lightheadedness, dysmenorrhea and menorrhagia for the past 10-12 years, with an elevated heart and respiratory rate, temperature of 98 ° F, and decreased blood pressure. She states that she takes 1000mg of aspirin every three to four hours for six days during menstruation, and also during the summer months to relieve stiff joints to play golf. Her laboratory values reveal theRead MoreEssay On Renal Failure801 Words   |  4 Pageswith anemia of chronic renal failure but the blood transfusion still final treatment of anemia in chronic renal failure. We observed of alloimmunization prevalence was 15.4 % detected in 6 out of 39 CRF patients, this finding is higher than the frequency of previous studies have done in Sudan country that they reported of prevalence 13.1 %4, Similarly study by Domen and Ramirez showed the rate 6.1 %10 and frequency of 9.9 % reported by Shukla2 in CRF patients undergoing dialysis while study by PatelRead MoreSymptoms And Treatment Of Anemia1551 Words   |  7 PagesMegaloblastic anemia due to dihydrofolate reductase (DHFR) deficiency 1. Abstract Studies have shown that folate deficiency megaloblastic anemia is associated with dihydrofolate reductase (DHFR) deficiency due to mutations in the DHFR gene. In order for tetrahydrofolate (THR) to be able to participate in the de novo synthesis of DNA building blocks, it needs to be regenerated from dihydrofolate (DHR). Regeneration of THR requires DHR to be reduced by the enzyme DHFR. Hence, a deficiency in DHFRRead MoreIron Deficiency And Its Effects1648 Words   |  7 Pagessystem, which is involved in selective memory, spatial, and working memory (Lozoff B, 2011). This refers back to the experiment done by Carpenter KLH et al. on basal ganglia. They studied the basal ganglia of children of children from a longitudinal study and found that the iron in the basal ganglia affected the children’s spatial intelligence, if they were deficient in iron. Iron deficiency can affect multiple cognitive functions, such as memory, attention, and motor control. Due to iron’s role inRead MoreLab Report On Biochemical Assessment880 Words   |  4 PagesAssignment: Biochemical Assessment Paper Copy Due in Lab Week of September 12 Submit Electronic Copy on Safe Assign in Blackboard REFERENCES TO USE: Nelms Textbook - Appendix E and assigned readings Read the Case Study posted on Blackboard. Questions #1 to #9 pertain to the Case Study. 1. Define the following terms: - pancytopenia: deficiency of red cells, white cells, and platelets in the blood - parathesias: a prickly or tingling sensation known as â€Å"pins and needles† as a result of pressure

The Industrial Revolution A Small Parts Of A Larger...

In order to increase productivity of the fast changing economy, the Industrial Revolution presented new organizational strategies. Small parts of a much larger manufacturing development, known as outwork system were carried out in many individual homes. The outwork system was essential, especially for making footwear. The major step-forward was under the factory system. This system allowed work to be performed on a large scale in a single centralized location. A group of businessmen, Boston Associates would recruit a large number of New England farm girls to operate the machines in their new factories. In the early 1800’s, at the compassion of the Industrial Revolution was the rise of wage labor which took advantage of working people. Textile workers went to strike in the early 1820’s protesting wage and factory conditions. In 1823, a mill located in Lowell, Massachusetts was famous and closely controlled. The mill mainly employed females which was an asset to both the employee and employer. The preference of female employees was cheaper than that of a male. These females were often referred to as Lowell girls and the consensus was that they benefited by experiencing a new kind of independence outside the traditional male-dominated family farm. Housing the young women in an environment was admired because it was safe and known to be culturally beneficial. Major parts of the Industrial Revolution considerably increased manufacture, as in New England s textile mills;Show MoreRelatedThe Three Industrial Revolutions1740 Words   |  7 PagesINTRODUCTION The term industrial revolution refers means the strong transformation of a society- economically, socially, culturally and geographically. The Industrial revolution was a period from the 18th to the 19th century where major changes in manufacturing, agriculture, mining, transportation and technology had a profound effect on the social, cultural and economic conditions of the times. FIRST IR The main differences between the First and Second Industrial Revolution were the invisible handRead MoreLiverpools Slave Trade as a Centre of a Global Commerce and an Important Factor in British Economic Growth1437 Words   |  6 Pagesof territories all over the world including parts of the Americas - According to Professor Kenneth Morgan, By 1797-8, North America and the West Indies received 57 per cent of British exports, and supplied 32 per cent of imports[1]. The 18th century saw Britain rise to an undisputed dominant position among her rival European powers. Trade with these overseas colonies was a driving force behind the Industrial Revolution, especially throughout the 19th Century, in providing Read MoreIndustrialization During The Industrial Revolution1577 Words   |  7 Pagesour society and the world in which we live – since the Industrial Revolution began in Britain (from 1760 until sometime between 1820 and 1840). The improvement of business acquisitions and evolution of trade were essential to the Industrial Revolution. Most of the British population lived in the countryside, in small villages, and interacted closely within their family unit and work. Industrialization, however, drastically altered the small family unit, when work was transitioned from hand productionRead MoreWhen Industry Meets the Environment Essay1475 Words   |  6 Pagesdegradation of the natural environment. The industrial revolution began in Britain in 1760 (Griffin). Many historians claim this happened because of a civil unrest in the country, which transformed into a movement (Landes). Civil unrest stemmed from the poor living condition and the poverty within the area. This also happened because new technologies emerged, creating a new push for a commercial way of life. The largest component of the revolution was the use of machines instead of doing work byRead MoreThe Effect of the Industrial Revolution on Pollution Essay1245 Words   |  5 PagesThe Industrial Revolution of the nineteenth and the eighteenth centuries brought about much of the base of today’s pollutants. A series of technological advances in machinery, such as the steam engine, along with a preponderance of other goods shifting from homes and small factories to large industrial settings brought about more and more pollution. The creation of more productive processing used to manufacture cotton textiles in creased the number of mills located in England and eventually movedRead MoreFuture of Modernization1232 Words   |  5 Pagesfuture of modernization, and the possible consequences that are apt to occur, perhaps we should first revisit the definition of modernization. To this end we can start by saying that modernization is thought of as a concept that states that the development of societies can be considered as a standard evolutionary pattern that has a tendency to stimulate growth. It can also be considered as the concept that refers to the process where society goes through several stages, including industrializationRead MoreWomen and Work in the 19th Century Essay920 Words   |  4 PagesIndustrialization, involving the movement of labor and resources away from agriculture and toward manufacturing and commercial industries, was in progress. As a result, thousands of women were moving from the domestic life to the industrial world. During the 19th century, the family economy was replaced by a new patriarchy which saw women moving from the small, safe world of family workshops or home-based businesses to larger scale sweatshops and factories. Prior to these changes, career options were limitedRead MoreEssay on Thoughts on the First Industrial Revolution1888 Words   |  8 PagesThoughts on the First Industrial Revolution The Era known as the Industrial Revolution was a period in which fundamental changes occurred agriculture, textiles and metal manufacture, transportation, economic policies and the social structure in England. This period is appropriately or inappropriately classified as a revolution, for this period completely destroyed the old ways of doing things; yet these changes did not occur in an abrupt change as the word revolution implies. The transformationRead More The Causes of the Industrial Revolution Essay4968 Words   |  20 PagesThe Causes of the Industrial Revolution The causes of the Industrial Revolution were complex and remain a topic for debate, with some historians seeing the Revolution as an outgrowth of social and institutional changes wrought by the end of feudalism in Great Britain after the English Civil War in the 17th century. The Enclosure movement and the British Agricultural Revolution made food production more efficient and less labor-intensive, forcing the surplus population who could no longer findRead MoreDevelopment of Human Societies2092 Words   |  9 Pagesculture and institutions; a given society may be described as the sum total of such relationships among its constituent members. The development of human society did not come about overnight. There is a long history behind it. Man was not always what we see him today. There were a lot of broad phases of their development. They are: Premodern society, Modern industrial society and Post modernity. Pre-modern society: Pre modern Societies are economically based in the removal or cultivation of natural

Personal Care Home Interpersonal Communication

Question: Discuss about thePersonal Care Homefor Interpersonal Communication. Answer: Introduction Communication is considered to be the most important tool, which helps in increasing the effectiveness of the work processes concerned. The definition of nursing home needs to be understood, it is the desired greatest care of the health that is provided to the different older adults outside of a hospital concerned. The clients or the patients are very much conscious about the treatment that is being provided to them. In order to assist the patients within the health care, the most important are to enhance the communication power of the professionals as to understand the desired requirements of the respective patients. Summary about the Facility While entering into the facility, the environment was very friendly; people were engaged in their respective work and they were cooperating with each other. Neat and clean dining area with clean corridors was available and there were 12 chairs with two large benches for the visitors and the patients those come for regular check up. The set up of the entire area within the nursing home provided a friendly environment for the patients along with the other visitors. The primary focus of everybody was in their respective work and it showed there incenses towards their work processes (Berger, 2014). There were some pots were kept with good plants so as to make the environment good and the patients could feel better. The patient's care was little busy with their respective family members and the direction of the patient area was provided by the receptionist out there with the help of non-verbal communication. Moreover, the arrangement made the environment very friendly and this enhances th e overall effectiveness of the association. Types of Communications used Different types of the communication system were used, such as verbal and non-verbal communication was used between the employees as well as between the patients and the staff members (Fussell Kreuz, 2014). For example, when a patient asked regarding the chamber of the doctor, the receptionist replied in a very polite manner and said, Cabin number 3 on second floor is doctors cabin. Anything else I can help Sir? This revealed the use effective use of the verbal communication. Each of the professionals engaged with the work was professionally trained and they used effective means of communication processes to greet each other before the start of the day. For example of Non-verbal communication, there was a person who was not able to hear properly, so when he asked where is the Toilet room? then one of the staff gently replied with good gesture and showed him the direction to go to the Toilet. Moreover, the nurses and the other professionals were seen to be quite polite and gentle tow ards assisting the patients. A mixture of both non-verbal along with the verbal communication was used and English was considered being the most common language used there. Therapeutic Communication It is defined is the desired communication processes which include face to face communication in order to advance the physical and the emotional well being of the respective patients within the nursing care. This communicational technique is mainly used by the respective nurses in order to provide desired support and required information to the patients. The nurses of his nursing home were using this technique effectively to provide the required information to their patients. Moreover, the primary focus was to understand the desired requirements of the patients and to assist them by communicating the appropriate messages (Vrij, 2014). Therefore, this technique proved to be of great use for communication of the required messages among the patients and the staff members (Parks Faw, 2014). The physical and the emotional transmission of the messages from the nurses helps in increasing the health condition of the patients and the use of this particular communication processes was therefo re effectively used by the nurses as well as by the other professional of the nursing home (Biocca Levy, 2013). Negative Behavior and Ways of Correcting them The medical representative who was working at the storehouse seems to be of different nature and it showed negative behavior when was asked to provide some medicines. He was not willing to execute its duty as per the satisfaction of the patients and their relatives. This type of the behavior critically affects the entire image of the nursing care (Madianou Miller, 2013). Another negative behavior was shown one of the nurses who was professionally trained but was unwilling to attend the patients in case of their need, when she was asked to do so she replied that she follows the order of the doctor only. These behaviors critically show that these two of the people are only professionally attached and this needs to be removed in order to bring out the preferred positive results for the nursing home (Williams et al., 2016). There are certain ways to reduce as the training and monitoring department needs to provide feedback to the management team of the nursing home and strict measures a nd actions need to be taken to enhance their performance based on the feedbacks from the patients. Moreover, both of these people should understand the needs of the nursing home that the primary motive is to assist the patients with great care (Bangerter et al., 2016). These recommendations will help in increasing the desired performance and the negative behavior showed by one of the nurses and the store keeper. Conclusion The paper provides the observation of the nursing home and the different types of the communication system used there by the staff and the patients. The staff members used effective means of non-verbal as well as the verbal communication to communicate with the patients. The primary aim is to assist the patients with great care and the each of the nurses and the other professions starts their day with greeting each other. The receptionist present at the entrance of the nursing home used the technique of non-verbal communication to provide the direction to visit the patient's area and moreover, English has been used s the most common language. Therapeutic communication is the preferred communication procedure which includes face to face communication in order to progress the physical and the emotional well being of the respective patients within the nursing care. Negative behavior of two of the staff members was found and therefore recommendations have been provided to overcome these in order to increase the overall performance of the nursing home concerned. References Bangerter, L. R., Van Haitsma, K., Heid, A. R., Abbott, K. (2016). Make me feel at ease and at home: Differential care preferences of nursing home residents.The Gerontologist,56(4), 702-713. Berger, J. (2014). Word of mouth and interpersonal communication: A review and directions for future research.Journal of Consumer Psychology,24(4), 586-607. Biocca, F., Levy, M. R. (Eds.). (2013).Communication in the age of virtual reality. Routledge. Fussell, S. R., Kreuz, R. J. (2014).Social and cognitive approaches to interpersonal communication. Psychology Press. Madianou, M., Miller, D. (2013). Polymedia: Towards a new theory of digital media in interpersonal communication.International Journal of Cultural Studies,16(2), 169-187. Parks, M. R., Faw, M. H. (2014). 17 Relationships among relationships: Interpersonal communication and social networks.Interpersonal Communication,6, 395. Vrij, A. (2014). 14 Detecting lies and deceit: Pitfalls and opportunities in nonverbal and verbal lie detection.Interpersonal Communication,6, 321. Williams, K. N., Ilten, T. B., Bower, H. (2016). Meeting communication needs: topics of talk in the nursing home.Journal of psychosocial nursing and mental health services,43(7), 38-45.

The Old Man and the Sea Essay Summary Example For Students

The Old Man and the Sea Essay Summary Relationship, External Nature and Dignity in The Old Man and The SeaMan has always suffered his most to achieve his goal. However if one doesnt experience the danger; will not be prepared to handle his problems. Experience is a part of life which gives man his true identity. Does this identity comes from ones luck or struggle? Relationships on the other hand interpret strength and dignity. Ernest Hemingway has shown this through Manolins behavior. He is a young boy who follows Santiago and listen to his wisdom. If this dignity is eliminated will it effect there relationship? Santiagos fight with nature symbolizes the troubles of existence. Does this mean that the outer existence is nothing but a perilous world? Relationship, External nature and Dignity are the major themes in The Old Man and the SeaA very important relationship in the novella The Old Man and the Sea is that between Manolin and Santiago. Manolin supports Santiago and helped him to confront his greatest challenge. Mano lin proves this when he says, I would like go fishing with you. I would like to serve you in some way (p. 15). Manolin is the first person who appreciates Santiagos experience and skills. He wants to be like Santiago and be a skillful fisherman (p.24). Manolins concern for Santiago is very significant to their relationship. It keeps the united even after a huge difference in their age. When Santiago returns after loosing his spectacular catch, its Manolin who cries at the sight of the wounds he saw the old mans hand and started to cry (p. 122), and vows that he will never allow the old man to fish alone again. Therefore Manolin has proven his relationship to Santiago through his moral respect. The danger confronting Santiago in the external nature represents the troubles of existence. Heminways, The Old Man and the Sea represents many meanings to the out side existence. The marlin for example represents struggle, trouble and the last challenge Santiago went through. Santiagos strugg le as a fisherman with marlin also symbolizes durability by putting up such a struggle. Accomplishing or obtaining something doesnt always end ones journey. Once Santiago hooked the fish (marlin) he still has further complications (p.57). First, the fish might dive to the bottom and break the line; second, it might die, and sink (p.72). The sharks bring him more trouble afterwards. The cost him to loose his stuff, He took my harpoon and my rope (p.103). The sharks represent those who tear apart ones success. Therefore, the external nature is nothing but affliction to the mankind. We will write a custom essay on The Old Man and the Sea Summary specifically for you for only $16.38 $13.9/page Order now Santiagos dignity as a human being is established by the code of values he loves because he is a fisherman. His last experience as a fisherman gains him his ultimate victory when he goes out and fights nature in the form of terrible creatures, among them, a marlin and sharks. He starts the story in a small skiff and moves out in a journey to capture a fish after a long losing streak of eighty- four days (p. 25). Santiago comes upon a force bigger than his skiff, the marlin that misleads him out past his intended reach (p. 62). Santiago has struggled for three days, which is significant because for three days he continues to fight on though his goal may not acquire anything. But at last his great will power and pride provides him with his greatest victory. Santiago is a man with a great pride and courage. He proves this point through his statement But man is not made for defeat. A man can be destroyed but not defeated (p. 103). This old wrinkled man finally over comes the great force of nature, the marlin by following the code of the fisherman. .u5490b0b6155d4cdedcec0278a2c30f40 , .u5490b0b6155d4cdedcec0278a2c30f40 .postImageUrl , .u5490b0b6155d4cdedcec0278a2c30f40 .centered-text-area { min-height: 80px; position: relative; } .u5490b0b6155d4cdedcec0278a2c30f40 , .u5490b0b6155d4cdedcec0278a2c30f40:hover , .u5490b0b6155d4cdedcec0278a2c30f40:visited , .u5490b0b6155d4cdedcec0278a2c30f40:active { border:0!important; } .u5490b0b6155d4cdedcec0278a2c30f40 .clearfix:after { content: ""; display: table; clear: both; } .u5490b0b6155d4cdedcec0278a2c30f40 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u5490b0b6155d4cdedcec0278a2c30f40:active , .u5490b0b6155d4cdedcec0278a2c30f40:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u5490b0b6155d4cdedcec0278a2c30f40 .centered-text-area { width: 100%; position: relative ; } .u5490b0b6155d4cdedcec0278a2c30f40 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u5490b0b6155d4cdedcec0278a2c30f40 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u5490b0b6155d4cdedcec0278a2c30f40 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u5490b0b6155d4cdedcec0278a2c30f40:hover .ctaButton { background-color: #34495E!important; } .u5490b0b6155d4cdedcec0278a2c30f40 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u5490b0b6155d4cdedcec0278a2c30f40 .u5490b0b6155d4cdedcec0278a2c30f40-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u5490b0b6155d4cdedcec0278a2c30f40:after { content: ""; display: block; clear: both; } READ: The Tempest: Caliban EssayFinally this novella proves Santiagos profession as a fisherman which leads him to his final perilous experience and his relationship with Manolin .This story has good points, for when it comes to the better parts of the story, it emphasizes by placing in mind step by step of the way Santiago does certain actions. Hemingway has merged three themes already mentioned above successfully unto this book. Among them are Relationship, External Nature, and the code of dignity. The obvious ones are nature; its cruelty and compassion. Nature caused pain yet gained him victory, caused him emptiness yet satisfied him, and gave the fish yet reclaimed it. Natur e is actually more luck than a set of rules, for it can shift back and forth with the greatest of ease. The code of honor is not actually the hardest to interpret. It can only be pulled from context, which is the hardest to do. It has mainly to do with the rise, battle and fall of the prey and respect following.