Patho week 4 Case study

 Scenario: 76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now must sleep on two pillows to get enough air. 

Resources to use:

  • Cance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
    • Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review
    • Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review
    • Chapter 35: Structure and Function of the Pulmonary System; Summary Review 
    • Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery  hypertension); Summary Review
  • Inamdar, A. A. & Inamdar, A. C. (2016). Heart failure: Diagnosis, management, and utilizationLinks to an external site., 5(7). doi:10.3390/jcm507006

Pneumonia

In your Case Study Analysis related to the scenario provided, explain the following:

  1. The cardiovascular and cardiopulmonary pathophysiologic processes result in the patient presenting these symptoms.
  2. Any racial/ethnic variables that may impact physiological functioning.
  3. How these processes interact to affect the patient.

A paragraph or two per question asked in the scenario and at least three current primary references are needed to support your points (peer-reviewed current articles, classroom textbook)

see below

 

see below

Advanced Nursing Inquiry and Evidence Based Practice

 

Discuss the differences and similarities between quantitative, qualitative and mix methods research studies. 

(2 hrs.)

Please include 400 words in your initial post and two scholarly references by Wednesday 23:59pm. Please include a 200 words in two answers to your peers by Saturday 23:59. Please refer to the discussion rubric.  

Healthcare Reform

 

Healthcare reform is a constantly discussed topic in the U.S. healthcare system. Various influences, including political, societal, and real-time events (think COVID-19) all help to shape the discussion surrounding reform as it relates to the U.S. healthcare system. This link contains a tracker of all pending or introduced reform legislation currently.

Among the biggest talking points relating to the healthcare reform discussion over the past decade has been the Affordable Care Act (ACA) and whether it should remain as it is, be improved upon, or be dismantled and a new system put in its place. Review the most current attempt at modifications to the ACA in this link.

  • Do you feel that the ACA should be left alone as it is, be kept in place and improved upon, or be removed completely and a new set of legislation put in its place?
  • Discuss your reasoning for your conclusion, and why or how it can be accomplished.

nursing

 

This week, you are going to participate in a discussion on a novel or movie.  Please choose one of the stories below and read the novel or watch the movie.  You’ll participate in the discussion thread below related to the story you choose. 

  1. Fault in Our Stars novel by Green (2012) or Fault in Our Stars movie (2014)
  2. Still Alice novel by Genova (2009) or Still Alice movie (2014)

This family story discussion has two parts:

Part 1:Construct Grid (ALL)

Using the blank construct grid, choose 8 constructs relevant to the family in the novel/movie and complete those rows of the grid.  Share your completed constructs with your discussion group and explain why you chose them. 

Part 2:  Family Story Discussion Fault in Our Stars

The rest of the focus for this week is the Fault in Our Stars book or movie discussion. I am providing the following list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

  1. John Green uses the voice of a teenage girl to tell this story. Why do you think he choose to do this? Was it effective? How would it have been different if he had told the story from a different voice? How does voice relate to family nursing practice?
  2. What does the title, Fault in Our Stars, mean?
  3. How would you describe the two main characters, Hazel and Gus?
  4. How do Hazel and Gus relate to their cancer?
  5. At one point in the book, Hazel states, “Cancer books suck.” What is she really meaning?
  6. How do Hazel and Gus change, in spirit, over the course of the novel?
  7. Why is “An Imperial Affliction” written by Peter Van Houten Hazel’s favorite book?
  8. How many of you looked to see if, “An Imperial Affliction” was an actual book?
  9. What do you think about the author Peter Van Houten?
  10. Why it was so important for Hazel and Gus to learn what happens after the heroine dies in the An Imperial Affliction?

Part 2:  Family Story Discussion Still Alice

The rest of the focus for this week is the Still Alice book or movie discussion. Below, you’ll find a list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

Participate in a book discussion by choosing and answering one of the questions below. 

  1. Why do you think the author named the book “Still Alice?”
  2. How is Alzheimer’s not only Alice’s diagnosis but also her family’s?
  3. How does Alzheimer’s affect roles in a household? 
  4. Why do you think the author wrote the book from third person narrative, taking away from the personal connection? 
  5. Or, write your own question related to the novel and answer it.

Middle Range Theory Utilization & Application

Analyze and evaluate a middle range theory (Comfort theory).  You will select a middle range theory and identify application of nursing theories into clinical practice

PN 2 M4 written

 Create a concept map for this case study using this template. 

Caring and reflective practice in contemporary nursing

Provide a definition of what person-centered care means to you. Describe how you will apply principles of holistic nursing, cultural humility, and self-reflection in your future role as a nurse practitioner. 

Reflection Scenario Template

 

 1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario.

2) Fill out the template attached below

3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:

*Why do you feel the way you do about the issue presented?

*Of the four responses offered in the scenario, which do you think is the most ethical and why?

*Which ethical theory would you use to support your stance? Why does this theory work?

4)  Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.

This if for HIV/AIDS prevention scenario reflection.
For this assignment you need to watch a video which a 5 minute scenario. And then complete the attached template. First, watch the full 5 min video. Don’t make on your own you need to watch it in order to complete the template. Then fill out the template. The last question on the template is your reflection that needs to be 1-2 pages.

https://wetransfer.com/downloads/c45731992d3b4141daa3f20f7b9430e420231007014856/ebac8b?fbclid=IwAR3eQCkU8LTMEt6SjbvZkKInZ5EPP2G9YXpmZzlX7FaHLtnoTJb7qjhPKec
Here is the link to the video
download it

 

Supplemental activity

  1. Use of prednisone in childhood severe asthma.
  2. Metformin and lactic acidosis.
  3. Congestive heart failure therapy with a diuretic medication.
  4. Immunization schedule/catch-up vaccination in childhood -until 12 years old.
  5. Type 2 diabetes mellitus and bile acid sequestrant.
  6. Urge incontinence or overactive bladder diagnoses and management.
  7. Dosing regimen principles in a pediatric population. 
  8. Testing for type 2 diabetes in all adults.