Mrs. Andersson Pernicious Anemia Case Study
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
Mrs. Andersson
GENDER Female
SOCIOECONOMIC
AGE 88
SPIRITUAL/RELIGIOUS
SETTING Primary care
ETHNICITY White American
CULTURAL CONSIDERATIONS
Swedish; increased risk of pernicious anemia
PREEXISTING CONDITIONS
PHARMACOLOGIC
Cyanocobalamin (oral vitamin B12); cyanocobalamin crystalline (injectable vitamin B12); cyanocobalamin nasal gel (Nascobal); hydrochloric acid (HCI)
LEGAL
ETHICAL
ALTERNATIVE THERAPY
Small bowel obstruction (SBO) with subsequent bowel resection; diverticulitis
COEXISTING CONDITION
COMMUNICATION
DISABILITY
PRIORITIZATION
Client safety
DELEGATION
Overview: This case requires the nurse to identify causes of vitamin B12 deficiency, define pernicious anemia, and discuss elements of treatment. Client education is provided regarding preventing injury when experiencing parathesias or peripheral neuropathy.
Client Profile Mrs. Andersson was diagnosed with pernicious anemia at the age of 70. She has
monthly appointments with her primary health care provider for treatment with vitamin B12 injections.
Case Study
At the age of 70, Mrs. Andersson was exhibiting weakness, fatigue, and an unex-plained weight loss. A complete blood count (CBC) was done as part of her diag-nostic workup. The CBC revealed red blood cell count (RBC) 3.20 million/mm3, mean corpuscular volume (MCV) 130 μL, reticulocytes 0.4%, hematocrit (Hct) 25%, and hemoglobin (Hgb) 7.9 g/dL. Suspecting pernicious anemia, the health care provider prescribed a Shilling test. Mrs. Andersson was diagnosed with perni-cious anemia and started on vitamin B12 injections.
Questions
- Briefly describe the pathophysiology of perni-cious anemia.
- Identify possible causes of vitamin B12 deficiency.
- Identify the possible manifestations of perni-cious anemia.
- Identify the physical assessment findings that are characteristic of pernicious anemia.
- What are the expected results of a complete blood count (CBC) and serum vitamin B12 level in a female client with pernicious anemia?
- How does Mrs. Andersson’s ethnicity relate to pernicious anemia?
- To help make a definitive diagnosis of pernicious anemia, a Schilling test may be performed. Describe the Schilling test.
- Mrs. Andersson understands that including foods high in vitamin B12 in her diet is helpful in preventing vitamin B12 deficiency. Identify five foods rich in vitamin B12.
- Discuss the standard dosing and desired effects of the vitamin B12 injections for the client with vitamin B12 deficiency.
- When can Mrs. Andersson discontinue the vitamin B12 injections?
- The nurse administers Mrs. Andersson’s vitamin B12 injections using the z-track injection method. Discuss why the nurse used this method and the steps of this injection technique.
- Discuss other possible medications or supple-ments that may be indicated for the treatment of pernicious anemia.
- During a routine visit, Mrs. Andersson tells the nurse that she has noticed a decreased sensation in her fingers. “I can pick up a cup, but I can’t really feel the cup in my hand. It is a tingling sensation of sorts.” What teaching should the nurse initiate to promote Mrs. Andersson’s safety at home?
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. The can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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