NR 603 Week 7 Discussion_Post Iron-deficiency anemia & postpartum depression

The management of each of these diagnoses is going to be quite different, but it is important that each diagnosis be managed appropriately. For her iron- deficiency anemia, the practitioner should ensure that she is not taking her iron with her levothyroxine as this will affect the absorption of the medications. The patient should also take Vitamin C with her iron to increase the absorption. The patient may also be referred to a nutritionist to develop a plan to eat more iron- rich foods in the diet. If these interventions do not improve the iron-deficiency anemia, the patient may need treatment with IV iron supplementation (Yefet et al., 2021). In terms of her postpartum depression, first-line treatment should include therapy and counseling sessions. If these nonpharmacologic interventions do not help or the symptoms become more severe, the patient may need to consider treatment with antidepressant medication such as an SSRI (Brown et al., 2021). d. Consider how this week’s care setting (telehealth) impacts the FNP’s assessment, diagnosis, and management of these diagnoses. Explain. Telehealth certainly impacts the FNPs assessment by limiting physical assessment to only what can be seen on camera. In this patient scenario, this will impact the assessment of anemia more so that the diagnosis of postpartum depression. The FNP is unable to take vital signs and must rely on the vital signs reported by the patient. The FNP is also unable to assess for signs of dehydration in person such as skin turgor, dry mucous membranes, or delayed capillary refill. Postpartum depression may be easier to assess during a telehealth appointment, as mental health can still be adequately discussed and questionnaires such as the EPDS can be completed. Diagnosis and management are also impacted due to telehealth because the FNP does not have the ability to draw labs immediately and must refer the patient to get labs drawn. Some patients may not be compliant with this due to personal reasons, transportation issues, or other factors. The FNP must also ensure that the patient is keeping track of hydration and diet at home, keeping logs when necessary. Brown, J. V. E., Wilson, C. A., Ayre, K., Robertson, L., South, E., Molyneaux, E., Trevillion, K., Howard, L. M., & Khalifeh, H. (2021). Antidepressant treatment for postnatal depression. The Cochrane database of systematic reviews, 2(2), CD013560. https://doi.org/10.1002/14651858.CD013560.pub2 Elmore, C., & Ellis, J. (2022). Screening, Treatment, and Monitoring of Iron Deficiency Anemia in Pregnancy and Postpartum. Journal of midwifery & women's health, 67(3), 321–331. https://doi.org/10.1111/jmwh.13370 Neef, V., Choorapoikayil, S., Hof, L., Meybohm, P., & Zacharowski, K. (2024). Current concepts in postpartum anemia management. Current opinion in