Celine Martinez is a 32-year-old female. Her chart states that she is a Jehovah’s witness. Her past surgical history is a gastric bypass procedure for morbid obesity. She has no other significant medical history. She comes to the clinic because she has been feeling very tired, weak, and her tongue is very sore. Her only medications at home are vitamin B12 shots that her husband administers. You want to tell the healthcare provider that you suspect a diagnosis of pernicious anemia.
- What questions do you want to ask Celine? List at least 5 questions and provide an in-depth rationale (make sure to use sources to support) for asking her the questions you would ask.
- Are there any specific lab tests you would want to ask the healthcare provider to support your suspected diagnosis or rule out others? Again, provide rationales to support your selected lab tests.
- Would the client’s beliefs affect the type of care required? Why or why not?
- After confirmation of a pernicious anemia diagnosis, explain patient education you will give this patient. Include diet education as well, in relation to BOTH her new diagnosis AND medical history. Provide rationales to support your answers.
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