Objective: Identify the type of heart failure based on data presented in the case study. Express your understanding of the pathophysiology and clinical aspects of heart failure. Answer other questions associated with heart failure.
INSTRUCTIONS:
1. Read and review information about the topic. You can use your textbook, ( Porth’s Pathophysiology. Concept of Altered Health States 9th edition. By Sheila Grossman,Carol Mattson Por), other nursing or medical books, scientific articles, or scholarly websites (American Heart Association, Centers for Disease Control and Prevention). All sources used in this assignment must be ‘scholarly sources’. Please remember that WebMD, Wikipedia, and other internet sites are not considered scholarly sources.
2. Carefully, read the case study.
3.
Answer the questions that follow the case study. These questions are to be answered in a 3-4-page paper that conforms to APA formatting, including cover page, citations, direct quotes, and reference page.
4. All submitted papers will be analyzed for originality through the Turnitin program. Please refer to the course syllabus for the academic honesty statement which includes plagiarism.
5. Please review and understand the grading rubric for each assignment.
Case Study: Heart Failure:
Carol is a 68-year-old African-American female who went to her doctor’s office because of a “racing heart”. She has been experiencing a worsening of shortness of breath over the last 2 months. Over the last 3 weeks, she noticed swelling of her ankles and feet. Carol states that she feels weak and tired most of the time. She has been awakened in the middle of the night with severe shortness of breath despite sleeping on 3 pillows.
Carol’s past medical history includes: a myocardial infarction several years ago, high cholesterol, gastroesophageal reflux, and osteoarthritis. She has allergies to nuts, shellfish, and strawberries.
Carol has a family history of atherosclerosis, myocardial infarction, and stroke.
Carol has been a 2-pack-per-day cigarette smoker for 30 years. She has been trying to quit smoking since her heart attack. Carol states she occasionally drinks alcohol.
Physical Examination:
Blood pressure: 163/94
Heart rate: 125 beats per minute and regular
Respiratory rate: 28 breaths per minute and labored
Temperature: 98.6 F
Height: 5’8”
Weight: 215 lbs.
Skin: is pale with cool hands and feet.
Positive jugular vein distention
Lungs: bibasilar rales (crackles) on auscultation
Abdomen: hepatomegaly (enlarged liver)
Extremities: bilateral pitting edema of lower extremities
Labs:
B-type Natriuretic Peptide (BNP) – 885 pg/mL (normal=100 pg/mL)
QUESTIONS:
1. Explain the pathophysiology of left-sided heart failure and right-sided heart failure.
2. In a chart, please compare and contrast the signs and symptoms of left-sided and right-sided heart failure.
3. Based on the information given in this case study, what type of heart failure do you
suspect that Carol has developed?
a. Identify specific data from the case study that supports your answer.
b. Explain the pathophysiology for the data you identified in 3a. Be sure to cite your references.
4. What is the probable cause of the heart failure?
5. Identify 4 risk factors that probably contributed to Carol’s past heart attack. Please
indicate if each risk factor is modifiable or not.
a. How does Carol’s blood pressure affect her current health status?
b. Why is Carol tachycardic?
c. Why is Carol tachypneic?
d. Based on her BMI, what can you say about Carol’s weight?
Grading criteria:
| Points |
Content |
| 5 |
Cover page with project title, student name, institutional affiliation, Running head, and page number |
| 20 |
Explain the pathophysiology of left and right-sided heart failure |
| 15 |
Compare signs and symptoms of left and right-sided heart failure |
| 15 |
Which type of heart failure is Carol experiencing and rational/support decision (Question 3) |
| 20 |
Identification of specific data to support decision on type of heart failure (Questions 3a,3b) |
| 5 |
Explain the cause of Carol’s heart failure |
| 5 |
Identify 4 risk factors Carol has for heart failure |
| 5 |
Writing and grammar: sentence structure, logical flow, no spelling errors, and grammar usage |
| 10 |
Paper in APA format including page numbers, proper margins, proper font, citing references in the text, and complete reference list. |
Information Systems homework help
UncategorizedInstructions
Suggest five (5) ways in which the primary stakeholders can influence the organization’s financial performance
Nursing HomeworksPrepare and present a video that is a maximum of five to seven (5-7) minutes OR write a four to six (4-6) page paper in which you:
If you choose the written paper, your assignment must follow these formatting requirements:
The specific course learning outcomes associated with this assignment are:
>Social Science homework help
UncategorizedI attached a pdf that includes my thesis and abstract for the paper and the rubric. I also attached two articles that I already have and please include in the 6 sources. And need to rewrite my abstract paragraph the last two sentences with the underline. SO you need to find 4 sources for me!
Stress and Nursing Practice
UncategorizedAssignment Description
Stress and Nursing Practice
Describe the case that defined you as a nurse. What happened, how were you involved? How does this case still affect you and your practice? What steps have you taken to overcome the stress of this event? (Remember to protect patient privacy).
Explain the importance of debriefings. Are they used in your workplace? If a debriding would happen who would be involved, what would be discussed, who would lead the debriefing, where would it take place? Are debriefing possible at your workplace and would they help nurses deal with stress?
Assignment Expectations:
Length: 1550 to 1750 words
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.
What are the components of the Biosphere?
Nursing HomeworksAnswer the following questions, you can skip up to 2 questions from the page if you clearly mark them with SKIP below the question.
Question 1
What are the components of the Biosphere?
Question 2 5 pts
What is the difference between an organism’s habitat and its niche?
Question 3 5 pts
Ecologists often say that one individual living in a developed country cannot be counted as ecologically equal to one individual from a developing country. Why?
Question 4 5 pts
What are the three shapes of survivorship curves, and what does each one tell us about the population? Give an example of a species for each survivorship curve.
Question 5 5 pts
List at least three differences between an r-selected species and a K-selected species.
Question 6 5 pts
Species that are introduced to new habitats, such as islands, often exhibit very high growth rates, but then growth rates level off. Explain this phenomenon, and describe the different patterns of growth.
Question 7 5 pts
Many animal rights activists have claimed that if beef cows were eliminated, more people could be fed. What is the ecological theory behind the argument in support of this position, and what is an argument against this position?
Question 8 5 pts
What is the relationship between a species diversity and geographic diversity?
Question 9 10 pts
Explain the four primary types of interaction among community members.
Question 10 10 pts
What is ecology?
Question 11 10 pts
Describe the three types of biodiversity. Why are each important to maintain?
Question 12 10 pts
Discuss the problem of Global Warming. What is some of the evidence that this is happening and what is causing it?
Question 13 10 pts
Discuss some pros and cons about Genetic Engineering.
Question 14 10 pts
What is the nature vs. nurture problem? How can we test our ideas about this?
Significance of Nursing Concepts within the Profession
UncategorizedSignificance of Nursing Concepts within the Profession
Must Be Plagiarism Free!!!
This answer must be at least 300 words, reference not included in word count. Needs at least 2 references that are peer reviewed articles within the last 5 years. Both articles need to be cited within the answer at least once. Needs to be in APA format. ANAWER MUST BE ORIGINAL, no plagiarism. Below is the question.
Significance of Nursing Concepts within the Profession
This discussion considers the metaparadigm of nursing and the four concepts of the nursing profession—person, environment, health and nursing profession. In the advanced clinical practice area of the nursing, apply EACH of the four concepts to this area of nursing. Be sure to apply EACH of the four concepts and include an example that demonstrates the application to this practice area.
Identify a nursing or health care issue which relates to health policy or health care economics. State the issue in neutral terms.
Uncategorized1. Identify a nursing or health care issue which relates to health policy or health care economics. State the issue in neutral terms. For example: the need for legislation related to child safety seats/restraints or the need for school nursing. The paper will have a minimum of 4 pages and maximum of 5 pages, excluding the cover page, reference pages, and appendices.
2. The first page of the paper should introduce the issue and provide details of the issue and pertinent literature.
3. The second page of the paper should contain all major “pro” arguments supporting the issue.
4. The third page should contain “con” arguments disagreeing with the issue.
5. The final page should include a paragraph supporting your views after consideration of the “pro” and “con” arguments. It should be brief analyses of your best argument.
6. There should be a reference page which includes, at least 5 current, scholarly and evidence-based references cited in APA 6th Edition format.
Q
UNIT 3: INDIVIDUAL PROJECT
Unit: Geriatric Case Management Practices Part 2
Deliverable Length: 3-5 pages (excluding cover, abstract, and reference pages)
For this assignment review THE ATTACHED SUPPORTING MATERIAL and complete the following:
Using the Caremore model in the supporting material, write a paper based on geriatric case management assessments and the general assessment in the traditional hospital setting. In your paper, you will compare and contrast the similarities and differences of the chosen assessment in traditional settings versus geriatric or long-term care settings (e.g., nursing home, home health, or adult day services).
You must include at least 4 academic or professional peer-reviewed sources in your paper that were drafted within the last 5 years.
Operations Management homework help
UncategorizedWeek MGMT 550 Dis
Your marketing team wants to find out what types of desserts your customers like best. Develop five questions that you would put on a questionnaire. Why did you choose those questions? What results are you hoping to get from these questions?
Post a short narrated PowerPoint or video recording for your main post in the graded discussion. You are required to review and comment in writing on at least two other posts during the week.
Week 3 INTL BUI 500 Dis
Choose and research the cultural environment of a country that it is not the United States. Appraise the cultural forces and implications of making business in this social culture. (Links to an external site.)
· Choose the “Record/Upload Video” tool to deliver a 3-minute audio response or just type. Include with your recording/typing a list of references.
· Post the response to the main question no later than Wednesday of each week.
· Listen to the answers of two peers and post a substantive comment to each that aligns with the concepts discussed.
· Be sure that you enter the forum at least twice and that you end the week with three high-quality responses.
· Please view the Weekly Activity Rubric for grading criteria
Heart Failure
Nursing HomeworksCase Study: Heart Failure:
INSTRUCTIONS:
1. Read and review information about the topic. You can use your textbook, ( Porth’s Pathophysiology. Concept of Altered Health States 9th edition. By Sheila Grossman,Carol Mattson Por), other nursing or medical books, scientific articles, or scholarly websites (American Heart Association, Centers for Disease Control and Prevention). All sources used in this assignment must be ‘scholarly sources’. Please remember that WebMD, Wikipedia, and other internet sites are not considered scholarly sources.
2. Carefully, read the case study.
3. Answer the questions that follow the case study. These questions are to be answered in a 3-4-page paper that conforms to APA formatting, including cover page, citations, direct quotes, and reference page.
4. All submitted papers will be analyzed for originality through the Turnitin program. Please refer to the course syllabus for the academic honesty statement which includes plagiarism.
5. Please review and understand the grading rubric for each assignment.
Case Study: Heart Failure:
Carol is a 68-year-old African-American female who went to her doctor’s office because of a “racing heart”. She has been experiencing a worsening of shortness of breath over the last 2 months. Over the last 3 weeks, she noticed swelling of her ankles and feet. Carol states that she feels weak and tired most of the time. She has been awakened in the middle of the night with severe shortness of breath despite sleeping on 3 pillows.
Carol’s past medical history includes: a myocardial infarction several years ago, high cholesterol, gastroesophageal reflux, and osteoarthritis. She has allergies to nuts, shellfish, and strawberries.
Carol has a family history of atherosclerosis, myocardial infarction, and stroke.
Carol has been a 2-pack-per-day cigarette smoker for 30 years. She has been trying to quit smoking since her heart attack. Carol states she occasionally drinks alcohol.
Physical Examination:
Blood pressure: 163/94
Heart rate: 125 beats per minute and regular
Respiratory rate: 28 breaths per minute and labored
Temperature: 98.6 F
Height: 5’8”
Weight: 215 lbs.
Skin: is pale with cool hands and feet.
Positive jugular vein distention
Lungs: bibasilar rales (crackles) on auscultation
Abdomen: hepatomegaly (enlarged liver)
Extremities: bilateral pitting edema of lower extremities
Labs:
B-type Natriuretic Peptide (BNP) – 885 pg/mL (normal=100 pg/mL)
QUESTIONS:
1. Explain the pathophysiology of left-sided heart failure and right-sided heart failure.
2. In a chart, please compare and contrast the signs and symptoms of left-sided and right-sided heart failure.
3. Based on the information given in this case study, what type of heart failure do you
suspect that Carol has developed?
a. Identify specific data from the case study that supports your answer.
b. Explain the pathophysiology for the data you identified in 3a. Be sure to cite your references.
4. What is the probable cause of the heart failure?
5. Identify 4 risk factors that probably contributed to Carol’s past heart attack. Please
indicate if each risk factor is modifiable or not.
a. How does Carol’s blood pressure affect her current health status?
b. Why is Carol tachycardic?
c. Why is Carol tachypneic?
d. Based on her BMI, what can you say about Carol’s weight?
Grading criteria:
NUR2058 Dimensions of Nursing Practice Essay Discussions
Nursing HomeworksNUR2058 Dimensions of Nursing Practice Essay Discussions
After reviewing the Nursing Standards of Practice, describe three reasons why these are important to nursing practice, safety, and achieving good client outcomes.
Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. Please check the Course Calendar for specific due dates.
Module 03 Discussion – Agencies and Who They Serve
For this discussion, review the various healthcare settings in your reading (such as hospital, community health center, etc.) and select one. Once selected, research the internet to identify a facility that represents your selected healthcare delivery setting. Review their website and determine:
Location and size
Mission and values
Accreditation and awards
ORDER A PLAGIARISM-FREE PAPER NOW
How long they have been serving their target population
Whether they are part of a system or a single institution
Are they for profit or not-for profit
The target populations they serve
The clinical and client services they provide
The type of staff who work in the setting
Contributions to the community
In a two to three paragraph discussion post, identify key aspects of the selected healthcare setting, how their mission and values compare with the services they provide and their target populations, the type of staff who work there, any special or unique aspects of the healthcare setting, and your impression of the healthcare setting after reviewing their website. You don’t need to identify the name of the healthcare setting just the type.
Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. Please check the Course Calendar for specific due dates.
Module 04 Discussion – Comparing and Contrasting Theories
For this NUR2058 Dimensions of Nursing Practice Essay Discussions, in three to four paragraphs, contrast two nursing models and theories found in your reading. Discuss how they are similar or different in the way the define/discuss health and wellness, illness, the client, the environment, and nursing. Summarize by selecting the one model or theory that aligns best with your beliefs and then describe how this would affect the way in which you would practice nursing.
Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. Please check the Course Calendar for specific due dates
Module 05 Discussion – Ethical Nursing Practice
For this NUR2058 Dimensions of Nursing Practice Essay Discussions you will be examining ethical nursing practice. In three to five paragraphs answer the following questions.
Define in your own words “ethical nursing practice.”
Describe the basis or framework you used for your definition.
Explain the difference between legal and ethical nursing practice.
Discuss one ethical or bioethical dilemma a nurse may encounter and describe how it could be handled.
Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. Please check the Course Calendar for specific due dates.
Module 06 Discussion – Developing Clinical Judgment
One of the most important skills a nurse needs is clinical judgment. This is a skill that can be learned. Reflect on your own ability to critically think and the reading for this module.
When see yourself as a nurse and giving care, discuss what qualities and behaviors you possess that make you a person that would have good clinical judgment. What three strategies can you use to develop better clinical judgment? As a nurse, what areas of the nursing process do you think might be more challenging to you given the critical thinking and clinical judgment skills you have now?
Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. Please check the Course Calendar for specific due dates
Module 08 Discussion – Communicating Non-Verbally
For this NUR2058 Dimensions of Nursing Practice Essay Discussions, describe how you typically communicate nonverbally?
Do you have particular or unique patterns of nonverbal communication?
What have others said to you about your non-verbal communication?
How do you think your non-verbal communication impacts your effectiveness as a communicator?
In what ways do you think your non-verbal communication patterns will influence your ability to provide client-centered care?
Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. Please check the Course Calendar for specific due dates.
Module 09 Discussion – Culture of Safety
In this NUR2058 Dimensions of Nursing Practice Essay Discussions, emphasis is on awareness of client quality and safety and in particular what is a “culture of safety.”
Based on the review of the following websites at the Institute of Healthcare Improvement and Agency for Healthcare Research and Quality answer the following questions.
What values ensure a culture of safety?
How can healthcare facilities establish a culture of safety?
What is the nurse’s role in maintaining a culture of safety?
Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. Please check the Course Calendar for specific due dates. NUR2058 Dimensions of Nursing Practice Essay Discussions.