Acupuncture Case Study
Lifestyle modification r/t Overweight Reduce body weight by 10 percent; physical activity as tolerated such as swimming, walking; Reduce dietary fat and carbohydrates. Focus diet on healthy proteins, vegetables, and fruits.
Stool antigen for H pylori, stool for occult blood X 2, repeat CBC in 1 week. UGI series. Need to rule out h pylori infection, and acute GI bleed, and ulcer disease (U. S. Department of Health and Human Services, 2011).
Tdap, Herpes zoster vaccines Age appropriate screening and coverage (U.S. Preventitive services task force, …show more content…
This medication is a combination of an NSAID to inhibit prostaglandin secretion and reduce pain and inflammation. It also has a PPI that works to protect and heal the mucosal lining. The patient requires long term therapy because of the chronic NSAID use (U. S. Department of Health and Human Services, 2011), (Webmd, 2011).
Gastritis is diagnosed with endoscopy or an UGI series. An UGI is ordered and the patient is referred to gastroenterology for an endoscopy if medication management is ineffective (U. S. Department of Health and Human Services, 2011). The patient is anemic and this could signify chronic bleeding of the mucosal lining, after a week of treatment the patient will have a repeat CBC. JS is sent home with stool cards and instructed in obtaining two additional stool samples.
Because of the potential for acute GI bleed, the patient is instructed to go to the ER for weakness, dizziness, or vomiting of blood. He is instructed to return in 1 week, after his repeat CBC. His anemia is evaluated at that time. If continuing to drop a GI consult and hospitalization for rehydration may be needed. Iron therapy is withheld at this time because of GI irritation, and the hemoglobin should correct