Health Issues for Mrs. A
It seems as if Mrs. A, who states that she has been suffering from both menorrhagia and dysmenorrhea, is presenting classic symptoms and signs of anemia due to blood loss. Blood loss which has been taking place over a long period of time is also a classic symptom of anemia and she is also feeling fatigued and light-headed when she is golfing. Considering all the above signs, it is likely that Mrs. A can be diagnosed with anemia especially considering that she has also consistently and constantly been taking aspirin over the last twelve years which can result in ulcers and gastritis (WebMD, 2014) and lead to chronic bleeding, another sign of anemia. An early study (Hotz-Behofsits et al., 2003) concluded that non-steroidal anti-inflammatory drugs (NSAIDS) "cause intestinal ulcers" (p. 367) which can also be a contributing factor leading to anemia. The case study on Mrs. A also provides the results of her blood tests showing that her red blood cell count (RBC) was out of whack, as was her hemoglobin. Ford (2013) determined that RBC morphology is a factor that should be considered by medical personnel when recommending appropriate and effective follow-up treatments after the diagnosis. Additional factors to consider when providing a diagnosis is that anemia is oftentimes presented or exacerbated by extended exercise (golfing), thin atmospheric pressure found in the mountain terrain, and extensive and long-term ingesting of aspirin or NSAIDS. It would seem, therefore, that Mrs. A is at the behest of a number of factors all pointing to the onset of anemia. The problem, of course, is implementing a treatment program that assists Mrs. A in addressing her healthcare issue in an effective and efficient manner.
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