Hematologic Disorders Case Study
- Learning Objectives
By the end of this week, you will be able to:
- Identify common hematologic complaints, including anemia, blood coagulation disorders, leukemia, lymphoma, and myelodysplastic disorders.
- Recommend laboratory studies needed to aid in the diagnosis of common hematologic complaints.
- Interpret laboratory studies needed to aid in the diagnosis of common hematologic complaints.
- Use evidence-based clinical application tools and technology to narrow down the differential diagnosis. Hematologic Disorders Case Study
ORDER HERE A PLAGIARISM-FREE PAPER HERE
Week 1: What’s Due
| What’s Due This Week | ||
| Learning Activity | Due Date | Points Possible |
| Week 1 Discussion: Introduce Yourself | Initial Post: Day 3
Reply Posts: Day 7 (optional) |
10 |
| Week 1 Assignment: Hematologic Disorders Case Study | Day 7 | 54 |
Week 1: Learning Materials
Required Readings
Read the following in your Buttaro, Polgar-Bailey, Sandberg-Cook, and Trybulski text:
- Chapter 216: Anemia
- Chapter 217: Blood Coagulation Disorders
- Chapter 218: Leukemia
- Chapter 219: Lymphoma
- Chapter 220: Myelodysplastic Syndromes Hematologic Disorders Case Study
Videos
Required
Anemia Lecture (27:43 minutes)
- Anemia Lecture Transcript
- Anemia Lecture Slides (PPT)
Recommended
You may view the following videos for further learning:
- JJ Medicine. (2019, August 25). Chronic lymphocytic leukemia (CLL): Symptoms (ex. skin blisters), diagnosis and treatment (vit D?)(13:27 minutes) [Video]. YouTube.
- Chronic Lymphocytic Leukemia Transcript
- (2013, March 17). Medical School—coagulation disorders(9:15 minutes) [Video]. YouTube.
- Coagulation Disorders Transcript
- (2019, November 11). Myelodysplastic syndromes—Causes, symptoms, diagnosis, treatment, pathology (6:32 minutes)[Video]. YouTube.
- Myelodysplastic Syndromes Transcript
- Rohr, L. [Real World NP]. (2019, October 7). Leukocytosis case study: Lab interpretation for nurse practitioners(24:06 minutes) [Video]. YouTube.
- Leukocytosis Case Study Transcript
- Rohr, L. [Real World NP]. (2019, November 4). Anemia case study: Lab interpretation for new nurse practitioners(19:32 minutes) [Video]. YouTube.
- Lab Interpretation For New Nurse Practitioners Transcript
- Strong Medicine. (2019, June 16). Anemia: Lesson 4—Clues from the blood smear(4:59 minutes) [Video]. YouTube.
- Clues From the Blood Smear Transcript
Required Resource
Install the Anemia Algorithm app on your mobile device. This app will help you work through your CBC results to understand the cause of the anemia. Use the following links to download:
- For Apple devices: Anemia Algorithm
- For Android devices: Anemia Algorithm Hematologic Disorders Case Study
Week 1 Assignment: Hematologic Disorders Case Study
Directions
Complete the Hematologic Disorders Case Study. This case study simulates a patient visit. Through a series of questions, you will identify a patient’s hematologic complaints, recommend and then interpret laboratory studies, and then use evidence-based clinical application tools and technology to narrow down the differential diagnosis. At the end of the scenario, save a summary of your answers as an Adobe PDF document.
This case study simulates a patient visit. Through a series of questions, you will identify a patient’s hematologic complaints, recommend and then interpret laboratory studies, and then utilize evidence-based clinical application tools and technology such as your Anemia Algorithm app to narrow down the differential diagnosis. At the end of the scenario, you will have the opportunity to enter your name and save a summary of your answers in an Adobe PDF document that you will submit in your course assignment.
In this scenario, a patient will present with chief complaints of excessive fatigue and shortness of breath after activity. Hematologic Disorders Case Study
Ginny’s Office Visit
Narrator: Your patient Ginny arrives for a scheduled appointment at your primary care clinic. Ginny is a 65-year-old woman who is one of your established patients. She has an history of congestive heart failure with decreased kidney function within the last year.
Doctor: Ginny, what prompted you to come see me today?
Ginny: I made this appointment because in the last week when I’ve taken my daily walk in the neighborhood, I’ve been feeling short of breath.
Doctor: I see.
Ginny: A friend in my neighborhood and I take brisk walks together to keep active. So it’s unusual for me to run out of breath like that. I’ve also felt so tired this week that I just wanted to sleep in instead of going out.
Narrator: You notice that she appears unusually tired and slightly pale. You gather additional history information from Ginny and conduct a physical examination, which rules out worsening heart failure, acute illness, and worsening kidney disease. You order labs for Ginny to get a complete blood count, CBC panel, and schedule her return visit to review the results. Hematologic Disorders Case Study
Vital Signs
You note the following vital signs for your records:
- Temperature: 98.7°F
- Heart rate: 92 bpm
- Respirations: 28 breaths per minute
- Blood pressure: 138/72
Continue
Ginny’s Return Visit
Your patient Ginny returns for her appointment to review her diagnostic results.
The complete blood count (CBC) results indicate that hemoglobin is 9.5 g/dL, which is a new finding, and the hematocrit is 29%. Previous hemoglobin levels have been 11 to 13 g/dL. You suspect that the low hemoglobin level is related to the decline in kidney function and begin to address treatment related to the condition.
Diagnostics
Top of Form
Which test(s) should be performed to determine whether Ginny’s anemia is related to chronic disease or iron deficiency, and what would those results show? Hematologic Disorders Case Study
SUBMIT
Bottom of Form
ORDER HERE
Name: NURS541 Hematology Case Study Rubric
- Grid View
- List View
| Met | Partially Met | Minimally Met | Not Met | |
| Diagnostics | Points:
11 (20.37037%) Orders are appropriate and pertinent to visit. Rationale is clear and accurate. |
Points:
8 (14.81481%) Orders labs but does not include all appropriate labs. Rationale is somewhat clear and accurate. |
Points:
5 (9.25925%) Orders inaccurate labs. Rationale is unclear, inaccurate, or missing. |
Points:
0 (0.00%) Incomplete. Did not answer the question. |
| Blood Transfusion | Points:
11 (20.37037%) Decision whether to transfuse patient is correct. Explanation reflects the decision made is carefully thought out and evidence-based. |
Points:
8 (14.81481%) Decision whether to transfuse patient is correct. Explanation of decision demonstrates a limited understanding but is evidence-based. |
Points:
5 (9.25925%) Decision whether to transfuse patient is made, but answer is incorrect, or the explanation is not evidence-based. |
Points:
0 (0.00%) Incomplete. Did not answer the question. |
| Treatment Plan Medication | Points:
11 (20.37037%) Recommended medication is appropriate and the best option to treat the patient’s condition. |
Points:
8 (14.81481%) Recommended medication is an option, but not the best option to treat the patient’s condition. |
Points:
5 (9.25925%) Recommended medication is not appropriate for the patient’s condition. |
Points:
0 (0.00%) Incomplete. Did not answer the question. |
| Erythropoietic Agent Considerations Hematologic Disorders Case Study | Points:
11 (20.37037%) Demonstrates a conscious understanding of the implications of the medication. |
Points:
8 (14.81481%) Demonstrates partial understanding of the implications of the medication. |
Points:
5 (9.25925%) Demonstrates little understanding of the implications of the medication. |
Points:
0 (0.00%) Incomplete. Did not answer the question. |
| Follow-Up Recommendations | Points:
10 (18.51851%) Follow-up recommendations are appropriate for diagnosis and show a treatment plan that incorporates shared decision-making. |
Points:
7 (12.96296%) Follow-up recommendations are appropriate for diagnosis but incomplete. |
Points:
4 (7.4074%) Follow-up recommendations are not appropriate for diagnosis. |
Points:
0 (0.00%) Incomplete. Did not attempt to answer the question. Hematologic Disorders Case Study |