Patient Evaluation & Management Plan

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A 50-year-old woman presents to the office with complaints of excessive fatigue and shortness of breath after
activity, which is abnormal for her. The woman has a history of congestive heart failure with decreased kidney
function within the last year. The woman appears unusually tired and slightly pale. Additional history and
examination rules out worsening heart failure, acute illness, and worsening kidney disease. The CBC results
indicate hemoglobin is 9.5 g/dL, which is a new finding, and the hematocrit is 29%. Previous hemoglobin levels
have been 11 to 13g/dL. The patient’s vital signs are temperature 98.7°F, heart rate 92 bpm, respirations 28
breaths per minute, and blood pressure 138/72. The practitioner suspects the low hemoglobin level is related
to the decline in kidney function and begins to address treatment related to the condition. Discuss the following:
Which test(s) should be performed to determine whether the anemia is related to chronic disease or iron
deficiency, and what would those results show?
Should the practitioner consider a blood transfusion for this patient? Explain your answer.
Which medication(s) should be considered for this patient?
What considerations should the practitioner include in the care of the patient if erythropoietic agents are used
for treatment?
What follow-up should the practitioner recommend for the patient?
I will provide the link for the book used in class please use it as reference and let me know if unable to log into
the account. Please follow strict APA format as the professor is very stricyt with this.
Link to access book:
https://fadavisreader.vitalsource.com/home/subscribe/lisbetse286%40yahoo.com

 

 

 

Sample Solution

 

 

The Souls of Black Folk by W.E.B. DuBois

In W.E.B. Dubois, the spirit of a dark country, Dubois is discussing the connection among highly contrasting. All through his book, Dubois attempts to clarify all deterrents that blacks must understanding for racial issues. He referenced how to transform blacks into two things, regardless of whether they are outright individuals, the main contrast is their shading. “The possibility of ​​an American, a person of color, two spirits, two reasoning, two conflicting battles, the commitment of two in the dimness, it is just a relentless power that makes it conceivable There isn’t “(Dubois, 38).

W. E. B Dubois ‘s dark people soul W.E. B Dubois’ s dark society soul is a persuasive work in African American writing, American works of art. In this book, Dubois proposes that the issue of the twentieth century is a shading line issue. The idea of life behind his ethnic cover and the subsequent “twofold awareness, self-impression of this sort through the eyes of others” therefore are two kinds of dissonant battle, in two dull bodies It turned into the possibility of ​​battle in this article In this article, paying little mind to what blacks attempting to do all alone, we will consider how blacks are taken care of uniquely in contrast to whites. (DuBois, 38) Negro is viewed as an issue just by Caucas due to its skin.

Among “the spirit of the individuals of color”, the most renowned work of WEB Dubois, he presented two ideas of a run of the mill American dark experience, the idea of “shroud” and “double awareness” and portrayed in detail It was. Dubois utilizes these terms independently, however its significance and utilization are profoundly entwined. These two ideas offer names to what numerous African Americans feel, yet they couldn’t already communicate in view of the absence of exact clarification of their difficult words prior. The significance and importance of these words clarifies not just the situation of blacks and Americans at that point, yet in addition the nature and substance of the present blacks and Americans, so it is broad.

 

 

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