Scenario Anemia Year Explained for Students (Easy Guide)
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Original Question
Scenario: (Anemia) G.C. is a 78-year-old widow who comes to the outpatient clinic saying that over the past 2 to 3 months she has felt increasingly tired, despite sleeping well at night. Over the past few years, she describes eating less and less meat because of her financial situation and has trouble preparing a meal “just for me.” G.C. relates how she relies on her late husband’s Social Security income for all her expenses. She struggles financially to buy medicines for the treatment of hypertension and arthritis. Her vital signs are 136/76, 16, 80. She denies any dyspnea or palpitations. The nurse practitioner orders blood work. G.C.’s chemistry panel findings are all within normal limits, and a stool fecal occult blood test result is negative. Her other results are shown in the chart. CHART VIEW Laboratory Test Results WBC 7600/ mm3 (7.6 x 109 /L) Hematocrit (Hct) 27.3% Hemoglobin (Hgb) 8.3 mg/dL (83 g/L) Platelets 151,000/ mm3 (151 x 109 /L) Red Blood Cell (RBC) Indices Mean corpuscular volume (MCV) 65 fL (65 mm3 ) Mean corpuscular hemoglobin (MCH) 31.6 pg MCH concentration (MCHC) 35.1% Iron, total 30 mcg/dL (5 mcmol/L) Iron-binding capacity 422 mcg/dL (75.5 mcmol/L) Ferritin 8mg/dL (18 pmol/L) Vitamin B12 414 pg/mL (305 pmol/L) Folate 22 ng/mL (50 nmol/L) Answer the below questions 1. list 4 nursing diagnosis for this patient 2.list 4 intervention with rationalization 3. Goal for this patient (SMART Goal) 4. write ISBAR note
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