Anemia Classification and Rationale Order Instructions: Details: In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.
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NRS410V.R.CaseStudy1_Student_02-11-13.docx
*****RUBRIC******
Unsatisfactory 0-71%
0.00%
2
Less Than Satisfactory 72-75%
75.00%
3
Satisfactory 76-79%
79.00%
4
Good 80-89%
89.00%
5
Excellent 90-100%
100.00%
80.0 %Content
40.0 %Accurate identification of anemia classification and rationale.
Identification of anemia classification and rationale is not offered.
Identification of anemia classification and rationale is offered, but incomplete, lacking relevant information, such as rationale.
Identification of anemia classification and rationale meets the basic requirements of the assignment.
Identification of anemia classification and rationale is offered in detail.
Identification of anemia classification and rationale is offered in detail while demonstrating evidence of deeper insight and/or reflection.
40.0 %Explanation of patient diagnosis with rationale from case findings. Outside sources and/or medical and nursing references used to support conclusions.
Explanation of patient diagnosis is not offered.
Explanation of patient diagnosis is offered, but incomplete, lacking relevant information, or does not provide outside sources and/or medical and nursing references to support conclusions.
Explanation of patient diagnosis uses outside sources and/or medical and nursing references to support conclusions, and meets the basic requirements of the assignment.
Explanation of patient diagnosis uses outside sources and/or medical and nursing references to support conclusions and is offered in detail.
Explanation of patient diagnosis uses outside sources and/or medical and nursing references to support conclusions and is offered in detail while demonstrating evidence of deeper insight and/or reflection.
15.0 %Organization and Effectiveness
5.0 %Thesis Development and Purpose
Paper lacks any discernible overall purpose or organizing claim.
Thesis and/or main claim are insufficiently developed and/or vague; the purpose is not clear.
Thesis and/or main claim are apparent and appropriate to the purpose.
Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of arguments and appropriate to the purpose.
Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.
5.0 %Paragraph Development and Transitions
Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. An organization is disjointed.
Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.
Paragraphs are generally competent, but ideas may show some inconsistency in an organization and/or in their relationships to each other.
A logical progression of ideas between paragraphs apparent. Paragraphs exhibit unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to the purpose.
There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice, sentence structure, and/or word choice are present.
Some mechanical errors or typos are present but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.
The prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.
A writer is clearly in command of standard, written, academic English.
5.0 %Format
2.0 %Paper Format(1- inch margins;12-point-font;double-spaced;Times New Roman, Arial, or Courier)
A template is not used appropriately or documentation format is rarely followed correctly.
A template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.
A template is used, and formatting is correct, although some minor errors may be present.
A template is fully used; There are virtually no errors in formatting style.
All format elements are correct.
3.0 %Research Citations(In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)
No reference page is included. No citations are used.
The reference page is present. Citations are inconsistently used.
The reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.
The reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.
In-text citations and a reference page are complete. The documentation of cited sources is free of error.
100 %Total Weightage
Anemia Classification and Rationale Sample Answer
The blood count indicates that the patient is suffering from microcytic hypochromic anemia– iron deficiency anemia. The patient hemoglobin (8 g/dL) is also low (Normal 12.3-15.3 g/dL) suggesting of microcytic anemia. The patient Hematocrit (32%) is also low as compared to a normal range of (35-47%). In this case, it is evident that Ms. A is suffering to anemia due to the deficiency in folate, iron, and B12. This implies that she has a decrease in the mass of red blood cells. The red blood cells have roles of transporting oxygenated blood from the lungs to tissue and deoxygenated blood from body organs to the lungs. Anemia is an indicator that calls for an evaluation to determine the underlying etiology (Goddard et al., 2011).
Low hemoglobin oxygen has decreased oxygen affinity, these causes alteration of the cardiac output (Goddard et al., 2011). Iron is an important part of hemoglobin which is responsible for carrying oxygen from the lungs to the best part of the body. The patient lack of energy and weakness is caused due to starved oxygen. This explains why the patient has been experiencing tiredness, headaches, and breathlessness. Blood loss due to menorrhagia is identified as the main cause of iron deficiency among premenopausal women. The main challenge is that the patient themselves may not even realize that her periods are excessive bleeding as she has been experiencing this condition for that past 12 years. When a patient loses blood they lose iron. Therefore, when the patient lost blood during menstruation, she lost a lot of iron putting her at risk of developing anemia. Excessive use of aspirin is associated with gastrointestinal bleeding which is also associated with iron deficiency (Goddard et al., 2011).
Surprisingly, iron deficiency among women is very common but often undiagnosed or untreated. Most people undiagnosed with iron deficiency are suffering in silence. The main issue is that most women assume that the feelings of getting tired, weak, and irritable are normal experiences caused by their busy lives. If the condition is left untreated for a long time, iron deficiency anemia puts the patient at risk of getting an infection due to a low immune system. It also increases the patient’s risk of developing lungs and heart complications including heart failure and tachycardia (Goddard et al., 2011).
Excessive menstruation is the main cause of iron deficiency young women. Gastro-intestinal bleeding is another main cause for the bleeding. If the gynecological procedures do not improve the patient anemic condition, endoscopy procedures should be conducted to rule out gastrointestinal bleeding. The underlying condition must be treated. The anemia should be treated using ferrous sulfate 200 mg two times daily until the hemoglobin levels get normal. An antifibrinolytic (Tranexamic acid) should be administered during menstruation. This will help minimize the amount of bleeding. Contraceptive pills should be prescribed to reduce menorrhagia (Davey, 2012).
It is important to include iron-rich foods inpatient diets including beef, beans, lentils, dark leafy vegetable, and dried fruits. The patient should also be advised to feed on green peas, kidney peas, peanuts, cereals, and dark green vegetables to obtain folate. Vitamin B-12 rich food should be included in the diet including the dairy products, meat, soy products and fortified fruits (Goddard et al., 2011).
Anemia Classification and Rationale References
Davey, P. (2012). Medicine at glance 3rd edition. John Wiley & Sons. England.
Goddard, A., James, M., McIntyre, A. and Scott, B. (2011). Guidelines for the management of iron deficiency anemia. Gut, 60(10), pp.1309-1316. Retrieved from http://www.bsg.org.uk/pdf_wor
