scholarly journals Interprofessional Health Collaboration on Female Adolescents with Iron Deficiency Anemia: A Scoping Review

Author(s):  
Irma Nurma Linda ◽  
◽  

ABSTRACT Background: Iron deficiency anemia is a global health problem that affects children, women and the elderly, and it is also a common comorbidity under a variety of medical conditions. This study aimed to determine the role of health workers in the practice of adolescent girls with iron deficiency anemia. Subjects and Method: This was a scoping review conducted was conducted in eight stages including (1) Identification of study problems; (2) Determining priority problem and study question; (3) Determining framework; (4) Literature searching; (5) Article selection; (6) Critical appraisal; (7) Data extraction; and (8) Mapping. The search included PubMed, ProQuest, Wiley, Science Direct. The inclusion criteria were English-language and full-text articles published between 2008 and 2019. The data were selected by the PRISMA flow chart. Results: Seven articles were selected from 316 articles, 25 duplicated articles and 284 excluded articles. Several important points were obtained, namely doctor diagnose and provide therapy, haematologist analyzing blood sample results, nutritionist educate nutrition of female adolescent, nurses provide care and recording adolescent health status, and laboratory staff taking blood for analysis. Conclusion: All health workers play an equally important in reducing iron deficiency Keywords: Collaboration, Inter-professional Health, Role, Iron Deficiency Anemia. Correspondence: Irma Nurma Linda. Universitas ‘Aisyiyah Yogyakarta, Indonesia. Jl. Ringroad Barat No.63, Mlangi Nogotirto, Gamping, Area Sawah, Nogotirto, Gamping, Sleman district, Yogyakarta 55592. Email: [email protected]. Mobile: 081233223694. DOI: https://doi.org/10.26911/the7thicph.03.41

2020 ◽  
Vol 21 (11) ◽  
pp. 3821
Author(s):  
Antonino Davide Romano ◽  
Annalisa Paglia ◽  
Francesco Bellanti ◽  
Rosanna Villani ◽  
Moris Sangineto ◽  
...  

Iron deficiency (ID) is the most frequent nutritional deficiency in the whole population worldwide, and the second most common cause of anemia in the elderly. The prevalence of anemia is expecting to rise shortly, because of an ageing population. Even though WHO criteria define anemia as a hemoglobin serum concentration <12 g/dL in women and <13 g/dL in men, several authors propose different and specific cut-off values for the elderly. Anemia in aged subjects impacts health and quality of life, and it is associated with several negative outcomes, such as longer time of hospitalization and a higher risk of disability. Furthermore, it is an independent risk factor of increased morbidity and mortality. Even though iron deficiency anemia is a common disorder in older adults, it should be not considered as a normal ageing consequence, but a sign of underlying dysfunction. Relating to the molecular mechanism in Iron Deficiency Anemia (IDA), hepcidin has a key role in iron homeostasis. It downregulates the iron exporter ferroportin, inhibiting both iron absorption and release. IDA is frequently dependent on blood loss, especially caused by gastrointestinal lesions. Thus, a diagnostic algorithm for IDA should include invasive investigation such as endoscopic procedures. The treatment choice is influenced by the severity of anemia, underlying conditions, comorbidities, and the clinical state of the patient. Correction of anemia and iron supplementation should be associated with the treatment of the causal disease.


Author(s):  
Н. О. Ховасова ◽  
А. В. Наумов ◽  
О. Н. Ткачева

Анемия у пожилых пациентов может рассматриваться как гериатрический синдром, ухудшающий качество жизни, функциональный статус, снижающий автономность и влияющий на прогноз. Анемия связана с другими гериатрическими синдромами, такими как старческая астения, саркопения, падения и переломы, дефицит витамина D , деменция и другие. Наиболее распространенной является железодефицитная анемия. Чаще всего у лиц пожилого возраста причины ее развития - хронические кровопотери и синдром мальнутриции. Лабораторными критериями, подтверждающими железодефицитную анемию, являются снижение гемоглобина, микроцитоз, низкое сывороточное железо и ферритин. Это является основанием для назначения препаратов железа, среди которых выделяют двух-и трехвалентные (пероральные и парентеральные). Трехвалентные препараты железа на основе железа (III) гидроксид полимальтозного комлекса наиболее предпочтительны у пациентов пожилого возраста, так как обладают лучшей переносимостью и меньшей частотой побочных эффектов при сопоставимой эффективности с двухвалентными препаратами. Anemia in older patients can be seen as a geriatric syndrome that impairs quality of life, functional status, reduces autonomy, and affects prognosis. Anemia is associated with other geriatric syndrome such as frailty, sarcopenia, falls and fractures, vitamin D deficiency, dementia and others. Iron deficiency anemia is the most common. Most often in older persons, the causes of its development are chronic blood loss and malnutrition. Laboratory criteria confirming iron deficiency anemia are hemoglobin reduction, microcytosis, low serum iron and ferritin. This is the basis for the administration of iron preparations, among which two- and threevalent ones are isolated. Trivalent iron preparations are most preferred in older patients because they have better tolerance and less frequency of side effects with comparable efficacy with divalent preparations.


1990 ◽  
Vol 88 (3) ◽  
pp. 205-209 ◽  
Author(s):  
Gordon H. Guyatt ◽  
Christopher Patterson ◽  
Mahmoud Ali ◽  
Mark Levine ◽  
Irene Turpie ◽  
...  

2020 ◽  
Vol 115 (1) ◽  
pp. S1669-S1670
Author(s):  
Pankaj Aggarwal ◽  
Mahnoor Mir ◽  
Eugene Stolow ◽  
Harsh Patel ◽  
Randy Wright

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