Bone marrow causing abnormally high production of

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bone marrow, causing abnormally high production of white blood cells, or an immune system disorder that increases white blood cell production (Mayo Clinic, 2018). Hemoglobin A low hemoglobin count is a commonly seen blood test result. Hemoglobin (Hb or Hgb) is a protein in red blood cells that carries oxygen throughout the body. In many cases, a low hemoglobin count is only slightly lower than normal and doesn't affect how you feel. If it gets more severe and causes symptoms, your low hemoglobin count may indicate you have anemia (Mayo Clinic, 2018). Hematocrit A hematocrit test is part of a complete blood count (CBC). Measuring the proportion of red blood cells in your blood can help your doctor make a diagnosis or monitor your response to a treatment. A lower than normal hematocrit can indicate: an insufficient supply of healthy red blood cells (anemia), a large number of white blood cells due to long-term illness, infection or a white blood cell disorder such as leukemia or lymphoma, vitamin or mineral deficiencies, recent or long-term blood loss (Mayo Clinic, 2018). Erikson’s Developmental Stage with Rationale And supported by Evidence Based Citations Socioeconomic/Cultural/Spiritual Orientation & Psychosocial Considerations/Concerns (3) supported with Evidence Based Citations Generativity vs Stagnation (40-65 years) Although J.F. is having health complications, she may fit in Erikson’s stage of generativity because she has had a successful, happy life, being apart of her comunitiy’s church, working at the J.F. is a retired 2 nd grade teacher, married with two adult children, and one grandchild. She was once an active member of her Congregational church, but since having heart problems, tends to stay home most days. Page 9 of 22
Course: NURS 101L NURSING CARE PLAN TEMPLATE NURS 101L, NURS 210L-AB, NURS 211L, NURS 316L, NURS 317L local elementrary school, and having two children with her husband. People experience a need to create or nurture things that will outlast them, often having mentees or creating positive changes that will benefit other people. We give back to society through raising our children, being productive at work, and becoming involved in community activities and organizations. Through generativity we develop a sense of being a part of the bigger picture. Success leads to feelings of usefulness and accomplishment, while failure results in shallow involvement in the world. By failing to find a way to contribute, we become stagnant and feel unproductive. These individuals may feel disconnected or uninvolved with their community and with society as a whole. Success in this stage will lead to the virtue of care (McLeod, 2018) . Due to her long-lasting medical conditions, J.F. might be experiencing signs of fear, stress, and depression, while trying to cope with her frequent hospital visits. J.F. may be fearful of her diagnosis, knowing that her condition is dangerous. Constantly going in and out of the hospital as she does, may cause her to become stressed, making her feel like she will never get healthy.

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