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In: Nursing

Case Study: Suzy, a 28-year old social worker, is visiting the clinic today for a physical...

Case Study:
Suzy, a 28-year old social worker, is visiting the clinic today for a physical examination. She states that she and her husband want to “start a family”. She was told when she was 22 years of age that she had anemia, and she was given iron tablets, but Suzy states that she has not taken them for years. She said she “felt better” and did not think she needed them. She denies any use of tobacco and illegal drugs; she may have a drink with dinner once or twice a month. She uses tea tree oil on her face twice a day to reduce acne breakouts. She denies any other drugs.

After laboratory works is performed, Suzy is told that she is slightly anemic. The prescriber recommends that she resume taking iron supplements as well as folic acid. She is willing to try again and says that she is “all about what’s right to stay healthy and become a mother.”  

What other questions does nurse need to ask during this assessment phase? Do we have any special consideration for our client? What is the appropriate and priority nursing diagnoses (at least 3) for the scenario? Explain. What should the nurse plan of care base on the assessment and nursing diagnoses formulated? (Give at least 10 nursing management)

Solutions

Expert Solution

Slowly developing anemia caused by nutritional deficits, patients will be asymptomatic for a long time. Anemia patients need a complete assessment to find the cause. Ask questions to the patient regarding a family history of anemia. do you have any family history of anemia?can you tell me your nutritional pattern?do you have any other inflammatory disorder?Do you experience any signs and symptoms of anemia?do you have any bleeding disorder? Do you have any abortion before? Do you take any other drugs for any reason?
We need to correct the patient anemic condition first before she becomes pregnant because during pregnancy our body produces more blood to support the growth of the baby. if the patient not getting enough iron her body can not able to produce the number of red blood cells
for her additional needs.
nursing diagnosis: Altered Nutrition relates to inadequate intake of nutrients.
Altered tissue perfusion related to insufficient hemoglobin and hematocrit
Deficit knowledge about causes of anemia and management
Nursing management:
-assess the patient vital signs and mucous membranes and skin color.
-Encourage the patient to have a healthy diet
- inform the patient to stop drinking completely because alcohol interferes with the use of essential nutrients.
-Involve the patient and her husband in food preference and preparation.
-Advice the patient to have iron supplements and folic acids as per the doctor's advice.
-advise the patient to balance her work with rest
-advise the patient to reduce the use of tea tree oil that makes the skin pallor
-assess the patient's hemoglobin and hematocrit count.
-Enroll the patient and her husband into family counseling.
-advise the patient to consult the doctor if there are any signs and symptoms of anemia if she experiences.
-educate the patient about iron deficiency and fetal complications.


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