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The principle of Unity of Command, introduced by Henri Fayol as one of his 14 Principles of Management, states that each employee should receive orders from only one superior. This prevents confusion, conflicting instructions, and breakdown of authority.
In nursing management, violating this principle leads to:
- Role confusion among staff nurses
- Conflicting priorities
- Poor accountability
- Staff stress and burnout
A Head Nurse must establish a clear chain of command to maintain effective nursing service delivery.
This patient has Iron Deficiency Anemia (IDA) of pregnancy, indicated by:
- Low Hb: \(7.8\,\text{g/dL}\) (normal in pregnancy \(\geq 11\,\text{g/dL}\))
- Low MCV: \(72\,\text{fL}\) (microcytic; normal \(80{-}100\,\text{fL}\))
- Low ferritin: \(6\,\text{ng/mL}\) (normal \(>12\,\text{ng/mL}\))
With adequate oral iron supplementation (elemental iron \(100{-}200\,\text{mg/day}\)):
- Reticulocyte response begins in 3–5 days
- Hemoglobin rises approximately \(1\,\text{g/dL}\) per week or \(\approx 2\,\text{g/dL}\) in 3–4 weeks
- Full correction takes 6–8 weeks
- Iron stores replenished over 3–6 months
If Hb does not rise by \(\geq 1\,\text{g/dL}\) after 4 weeks, consider: non-compliance, malabsorption, wrong diagnosis, or continued blood loss. IV iron is indicated if oral not tolerated or \(<28\) weeks with severe anemia.
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