NURSING – Congestive Heart Failure Discussion

Answer the following questions in regards to congestive heart failure.

  • What is the condition/disease process?
  • What signs and symptoms do you expect?
  • Provide a history of present illness (HPI).
  • What do you include in your focused assessment for this patient?
  • What equipment do you need?
  • Describe the expected findings.
  • What developmental stage is your patient in?
  • How do you adapt your assessment for this stage?
  • What cultures does your patient belong to and how will you adapt your care for those?
  • Is there a potential legal/ethical issue? Why is it a potential issue?
  • Include 1 holistic teaching point and why it is important.

Cite at least 1 research article about the condition, united states reference, apa format.

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Discussion 4

Note:

I need 300 words answer of EACH discussion. Must include 2-3 credible sources from provided required readings and cited in APA for EACH answer. Must address every step properly. Must provide 100% original work.

 HP-Discussion 1 (300 Words, 2-3 references from provided Required Readings)

Discuss the biological, behavioral, environmental, and/or social risk factors associated with the Leading Health Indicator you chose to focus upon in Module 1.

(In Module 1 I focused on the maternal, child and infant healthLeading Health Indicator)

Required Readings:

  • ·         U.S. Department of Health and Human Services. (2010). Healthy People 2020: Leading Health Indicators. Retrieved May 1, 2012, from http://www.healthypeople.gov/2020/LHI/default.aspx
  • ·         U.S. Department of Health and Human Services (2016). Healthy People 2020: Leading Health Indicators. Retrieved from http://www.healthypeople.gov/2020/LHI/default.aspx
  • ·         U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion (2014). Public Health Learning Modules-Module 1: Using Healthy People 2020 to Improve Population Health. Part Three: Healthy People and the National Center for Health Statistics. Retrieved from https://vimeopro.com/aptrmodules/phlm/video/75910069

E-Discussion 2 (300 Words, 2-3 references from provided sources)

You have been presented for this Discussion with a morbidity and mortality Table for a number of diseases.

  • 1.      Compare the morbidity and mortality rates for the top three (3) diseases.
  • 2.      What factors would you select that will allow you to determine which disease the community should be most concerned about? So, you should be looking at rates and number of cases.

Go to: http://www.cdc.gov/injury/wisqars/pdf/leading_causes_of_death_by_age_group_2014-a.pdf for an idea of how cases are grouped by age and type of injuries and diseases.

Required Reading

  • ·         Centers for Disease Control and Prevention (CDC). (2016, February 25). Ten leading causes of death and injury 2014. Accessed from http://www.cdc.gov/injury/wisqars/LeadingCauses.html
  • ·         Gerstman, B. (2013). Chapter 6: Incidence and Prevalence Greatly Abridged. Epidemiology kept simple (3rd ed). Oxford: John Wiley & Sons. San Jose State University. Retrieved from http://www.sjsu.edu/faculty/gerstman/eks/
  • ·         Johns Hopkins Bloomberg School of Public Health. Indices of morbidity and mortality. [Presentation slides]. Retrieved on 10/1/13 from ocw.jhsph.edu/courses/fundepi/PDFs/Lecture6.pdf
  • ·         MedicineNet, Inc. (2016). Definition of mortality rate. Retrieved from www.medterms.com/script/main/art.asp?articlekey=10118
  • ·         New York Department of Health. (n.d.). Basic statistics: About incidence, prevalence, morbidity, and mortality. Retrieved from www.health.ny.gov/diseases/chronic/basicstat.htm
  • ·         Evans J (1997). Epidemiology in practice: Disease incidence. J Comm Eye Health, 10(24):60-62. Retrieved from http://www.cehjournal.org/0953-6833/10/jceh_10_24_060.html
  • ·         Gabriel S. & Michaud K. (2009). Review: Epidemiological studies in incidence, prevalence, mortality, and comorbidity of the rheumatic diseases. Arthritis Research & Therapy, 11, 229 (doi:10.1186/ar2669) Retrieved from https://arthritis-research.biomedcentral.com/articles/10.1186/ar2669
  • ·         Niles, R. (2015). Statistics every writer should know. Retrieved from RobertNiles.com http://www.robertniles.com/stats/

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background

Impact Prescription Drug Prices has on the Elderly background information; please follow attached format doc. 

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Assignment 2: Application of Theory—Community

Now that you are familiar with public health issues and the application of theory, you will apply the social, cultural, and environmental theories to the second public health issue that you discussed in W1 Assignment 3 (HIV/AIDS prevalence in Georgia)

Task

Select and apply two social, cultural, or environmental theories to that issue. Identify at least two theories or frameworks that can be used to explain your public health issue. Write a 5- to 7-page paper in which you examine the theories and apply them to the topic. In your paper:

  • Explain how each theory or framework applies to your topic.
  • Provide at least two literature based examples for each theory or framework.

Submission Details

  • On a separate page, cite all sources according to APA format.
  • Submit your response as a Microsoft Word document

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Building a Budget

It is important to build a budget prior to implementing a project in order to determine the costs associated with the project. I prepared a budget for my research project and was happy to stay within my budget. I am including a link to a website, which shares a brief overview of the budgeting concept. Please review and share feedback. Thankshttp://www.projectsmart.co.uk/creating-a-project-budget-what-you-need-to-know.php (Links to an external site.)Links to an external site.

American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: Author.

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DQ2

What differentiates someone that is intrinsically motivated from someone that is extrinsically motivated? Give an example of how you would go about motivating an individual who is intrinsically motivated and one who is extrinsically motivated. What are the characteristics of a performance-driven team?

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Places that families can go for help include family agencies, family therapists, and _____. A) advice counselors B) extended families C) foster care D) support groups

Places that families can go for help include family agencies, family therapists, and _____.

A) advice counselors

B) extended families

C) foster care

D) support groups

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ASSIGNMENT1 W3

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

  1. Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
  2. Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
  3. According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
  4. According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical twins born eight years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’ condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own, or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve.

The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then.

Two days later the family returned, and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James kidneys had deteriorated such that his dialysis was now not a temporary matter, and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches.

James’ nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’ brother Samuel.

Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney, or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? “This time around, it is a matter of life and death, what could require greater faith than that?” Mike reasons.

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To Prepare: Review the Resources and reflect on the definition and goal of EBP. Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national in

To Prepare:

  • Review the Resources and reflect on the definition and goal of EBP.
  • Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
  • Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Note: You will access this article from the Walden Library databases.Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
Note: You will access this article from the Walden Library databases.Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Note: You will access this article from the Walden Library databases.Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2
Note: You will access this article from the Walden Library databases.Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021
Note: You will access this article from the Walden Library databases.Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160
Note: You will access this article from the Walden Library databases.Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, fromhttps://academicguides.waldenu.edu/az.ph

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G. K. a 46-year old African-American female is admitted to the hospital because of “feeling weak”, “being thirsty a lot”, and having frequent urination. On assessment, the physician notes G.K.

G. K. a 46-year old African-American female is admitted to the hospital because of “feeling weak”, “being thirsty a lot”, and having frequent urination. On assessment, the physician notes G.K. having fruity breath odor, skin is warm and dry, slightly drowsy, and with deep and rapid respiratory effort. She states some numbness and tingling of fingers and toes; a dime-size reddened area on the lateral aspect of the right toe is also noted.

Past medical history reveals that G.K. was diagnosed with Type 2 diabetes a year ago. She’s been taking glipizide 5 mg every morning before breakfast. Her father had a history of Type 2 diabetes and died of acute myocardial infarction four months ago. A week prior to admission to the hospital, she had some “flu-like” symptoms that resolved with self-medication of Tylenol extra strength, orange juice, and bedrest.

            Laboratory results reveal the following:

            Serum glucose: 650 mg/dl

            Serum K+: 6.2 mEq/L

Arterial blood gas: pH 7.25; PaCO2 30 mm Hg; HCO3 14 mEq/L

            The physician’s admitting diagnosis: Type 2 diabetes mellitus, probable diabetic ketoacidosis.

Answer the following questions:

  1. Describe the risk factors evidenced in G. K.’s history that are compatible to her developing the diabetes mellitus (1 point).
  1. Compare and contrast the pathophysiology of different types of diabetes mellitus (3 points).
  1. Identify the clinical manifestations of diabetes mellitus as presented by G.K. (2 points)
  1. List at least 3 important laboratory tests used to diagnose diabetes mellitus (1 point).
  1. Describe the medical management used in treating clients with diabetes mellitus (1 point).
  1. Enumerate and explain the acute and chronic complications of diabetes mellitus. Give 2 examples of each complication (2 points).

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