How does stress lead to heart attacks and stroke

Running head: CASE STUDY
CASE STUDY
Name of the Student
Name of the University
Author Note

CASE STUDY
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INTRODUCTION
Health and wellbeing is extremely crucial to maintain, especially for an elderly patient
to keep them cheerful and at ease. However, the instances of contracting various diseases are
also common during older age (Steptoe, Deaton & Stone, 2015). In this case, Mrs Anderson
who is 70 years old is found to be quite sick with various anomalies in her vital. In this paper,
the case study of Mrs Anderson will be discussed in details and the probable reasons for the
initiation of her suffering. This paper will also contain the treatment procedures that can be
implemented further for treating Mrs Anderson.
ASSESSMENT
The assessment can be done on the basis of the test results. Her blood count report
showed that her red blood cell count is 3.20 million/mm3, much below the normal blood cell
count for women, which is around 4.5 to 5.9 million/mm3. Her mean corpuscular volume is
130 mcg, much larger than the normal volume, which is about 80 to 96 fL. Her reticulocytes
production rate shows 0.4%, which also lower than the normal range of about 0.5% to 2.5%
in adults. Her haematocrit range is 25%, which is also lower than the normal range of 37% to
48% for women. Her haemoglobin range is 7.9 g/dL, which is also much lower than the
normal range of 12 to 15.5 g/dL (Mayoclinic, 2020). These test results might hint towards
Mrs Anderson having a deficiency in the level of Vitamin B12 in her blood or having the
condition named Pernicious Anemia.
DIAGNOSIS
The diagnosis of Mrs Anderson can be done by maintaining and following the North
American Nursing Diagnosis Association (NANDA) International guidelines. NANDA-
International is an organization that defines, conducts researches and integrates modern

CASE STUDY
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innovative diagnosis procedure in a worldwide basis (Ubaldo et al., 2017). All the symptoms
that and report results that were derived from Mrs Anderson showed quite a lot of problems
that she was suffering from. It can be classified under the following categories:
 RELATION OF HER CONDITIONS AND THE DIAGNOSIS REPORTS
The conditions from which Mrs Anderson suffered include weakness, fatigue
and unexplained loss of her weight. These conditions were prevalent in her stature and
thus, the doctors advised to get a blood count evaluation done. All the tests produced
results that were far from the normal range, which has already been discussed in the
previous paragraph. Therefore, from the test report it can be concluded that all these
anomalies were responsible for the weakness, fatigue and the loss of weight. The
conditions can be related individually with the abnormal reports. The lower number of
RBC has given rise to fatigue. The MCV reports show the size of RBC, and range of
Mrs Anderson was much higher than the normal range which hinted towards Vitamin
B12 deficiency. Reticulocytes are the immature RBC produced from bone marrow.
The report showed that Mrs Anderson’s range was lower than the normal range of
reticulocyte production, which also hinted towards Vitamin B12 deficiency. Her report
also showed that she had a lower percentage of hematocrit level than the normal
range, which meant lower percentage of RBC in blood. This might have led to the
increase in fatigue and weakness. Her hemoglobin level also showed. Her hemoglobin
range was also lower which might have also contributed towards weakness. All these
conditions, symptoms and blood count evaluation of Mrs Anderson is hinting towards
extreme low levels of Vitamin B12 deficiency which means she is suffering from
Pernicious Anemia (Bizzaro & Antico, 2014).
 MEDICAL HISTORY OF MRS ANDERSON