Anemia is a blood disorder condition. It results from either having inadequate red blood cells, or dysfunctional red blood cells which lead to a reduction in the flow of oxygen to the body’s different organs. Guidelines have been established to help diagnose and manage anemia. It is important to have different guidelines because anemia has different causes which need to be treated differently. Some types of anemia may not last for long and some are chronic- the different types include aplastic anemia, vitamin deficiency anemia, sickle cell anemia, and iron deficiency anemia which is the most common type of anemia.
Iron deficiency anemia is a common type of anemia — a condition in which blood lacks adequate healthy red blood cells (Mayo Clinic, 2020). Some of the guidelines used to aid in diagnosing and treating the aforementioned include “Guidelines on the diagnosis and treatment of iron deficiency across indications: a systematic review” by Peyrin-Biroulet et al. (2015), “Iron Deficiency Anemia: Evaluation and Management” by Short and Domagalski (2013), and “Anemia Prevention and Management Program Implementation Guide” by Jenkins and Shander (2015).
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After reviewing the three mentioned guidelines I believe that “Guidelines on the diagnosis and treatment of iron deficiency across indications: a systematic review” by Peyrin-Biroulet et al. (2015) is the best for clinical use. When researching this guideline, a review of several other already existing guidelines was done and from them they learn the vital information needed use. I feel that it is a summary of other guidelines which clearly outlines the current recommendations. I found “Anemia Prevention and Management Program Implementation Guide” by Jenkins and Shander (2015) to be the least helpful because it does not specifically focus on iron deficiency anemia.
A significant proportion of the elderly population tends to have underlying health issues such kidney failure or lack of iron which can cause anemia. Anemia is now recognized as a risk factor for a number of adverse outcomes in the elderly, including hospitalization, morbidity, and mortality (Goodnough & Schrier, 2014). What constitutes appropriate evaluation and management for an elderly patient with anemia, and when to initiate a referral to a hematologist, are significant issues.
References
Goodnough, L. T., & Schrier, S. L. (2014). Evaluation and management of anemia in the elderly. American journal of hematology , 89 (1), 88-96.
Jenkins, I., & Shander, A. (2015). Anemia prevention and management program implementation guide. SABM and the Society for Hospital Medicine .
Mayo Clinic. (2020 ). Iron deficiency anemia . Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/iron-deficiency-anemia/symptoms-causes/syc-20355034
Peyrin-Biroulet, L., Williet, N., & Cacoub, P. (2015). Guidelines on the diagnosis and treatment of iron deficiency across indications: a systematic review. The American journal of clinical nutrition , 102 (6), 1585-1594.
Short, M. W., & Domagalski, J. E. (2013). Iron deficiency anemia: evaluation and management. American family physician , 87 (2), 98-104.