NR 603 Week 7 Discussion_Case 3 Adriana Almeida

visit, it was noted that the client appeared to be slightly pale. Many of these findings and complaints can describe both diagnoses, even if not directly related. For example, if the client does have postpartum depression, it can lead to decreased appetite and fluid intake, which could lead to dehydration and malnutrition. These can cause lightheadedness, dizziness, and affect the ability to complete daily tasks. The diagnostic criteria for postpartum depression includes loss of interest, depressed mood, anhedonia, concentration disturbance, impaired psychomotor, increased fatigue, impaired sleep and appetite, feeling worthless, and possible suicidal ideations (Moore Simas, Hoffman, Miller, Metz, Byatt, & Roussos-Ross, 2023). Based on this information, the diagnosis of postpartum depression suits the client well. On the other hand, diagnostic criteria for iron-deficiency anemia includes a hemoglobin level of less than 12 g/dL for non- pregnant women, serum ferritin of less than 15 mg/mL, and normal erythrocyte sedimentation rate and C-reactive protein levels (DeLoughery, Jackson, Ko, & Rockey, 2024). Although the erythrocyte sedimentation rate and C-reactive protein were not tested on this client, the hemoglobin and serum ferritin levels were. The client’s hemoglobin is 10.2 g/dL, which is below normal, and her serum ferritin is 10 ng/mL, which is also below the normal value. These results show the provider that the client’s iron-deficiency anemia is not well controlled on her current medication regimen. Compare and contrast the evidence-based management of each assigned diagnosis, including similarities and differences in pharmacological and non-pharmacological treatment, client education, referral, and follow-up care. Consider how the client’s unique past medical history and social history impact care decisions. The recommended pharmacological therapy for iron-deficiency anemia includes iron supplements such as ferrous ascorbate, ferrous gluconate, ferrous sulfate, polysaccharide-iron complex, or carbonyl iron (Iolascon et al., 2024). Some non- pharmacologic recommendations include having the client increase their iron-rich foods, such as leafy greens and lean meats. The client is currently on an iron supplement for her history of iron-deficiency anemia. This is where it is important for the provider to question the client about when she is taking the medication and if she is consistent with it. The first-time pharmacologic treatment for postpartum depression includes the initiation of a selective serotonin reuptake inhibitor and highly recommended for the client to be referred for psychological evaluation and for cognitive behavioral therapy (Miller, Metz, Moore Simas, & Hoffman, 2023). Since the client does have a history of hypothyroidism and iron-deficiency anemia, it is important to educate the client to avoid taking the levothyroxine and iron supplements at the time in the morning. Taking iron supplements with levothyroxine can ultimately lead to decreased absorption. It is also vital that the client stays consistent with their medication adherence to prevent any gaps in care and treatment and prevent breakthrough symptoms. Both of these diagnoses are serious and should be monitored closely. Close follow up to ensure that the client is not Peer reply: Hello Aubrey, You did a great job on this week’s post. I was originally going to focus on