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Cardiovascular case study and its effects on patients

This is an essay that discusses the Cardiovascular case study and its effects on patients. Additionally, it discusses on the needs before going into a clinic.

Cardiovascular case study and its effects on patients

Firstly, read the below case scenario of a Cardiovascular case. You will us e the case study to answer questions below.

A 60-year-old male patient enters the walk-in clinic reporting dizziness and fainting that has been happening off and on for the last 48 hours. The patient reports a 10-year history of hypertension, which he describes as “usually” controlled. The man reports being recently ill with a “bad case” of influenza but otherwise well, with a history of depression controlled with antidepressant medication. The man reports taking an ACE inhibitor daily for her hypertension and notes he has taken a dose today. His vital signs upon arrival are: blood pressure 104/48, heart rate 180, respiratory rate 30, and temperature 99.1?F. The man appears diaphoretic, fatigued, and weak.

Also, physical assessment reveals an irregularly irregular heart rate, weak peripheral pulses, cool, pale skin, ‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍and decreased capillary refill. The ECG shows atrial fibrillation. The man reveals that he is in the United States illegally and is undocumented. The patient expresses concern about his status as you prepare him for treatment.

Secondly, use the above case study to answer the following questions:

1.What would be included in your initial interventions for this patient?

2.Calculate the patient’s CHADS2 score and determine whether anticoagulation is recommended based on the score.

3.What is the significance of this condition happening off and on for the last 48 hours?

4.You, the nurse practitioner, decide the patient needs treatment beyond the walk-in clinic’s resources. What action do you take to ensure that the patient is treated promptly?

5.Because the patient is an undocumented immigrant, what considerations will be needed while care‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ is provided?

Leadership traits mentorship in nursing legal Issues in nursing unit Leaders in Patient-Centered Care

The purpose of this assignment is to synthesize and apply the knowledge you gained in class into a well-written research paper. For this assignment, you will conduct research and write a paper containing the two elements: Part I: Choose one of the listed topics;

Synthesize and apply the knowledge you gained in class

The purpose of this assignment is to synthesize and apply the knowledge you gained in class into a well-written research paper. For this assignment, you will conduct research and write a paper containing the two elements: Part I: Choose one of the listed topics
Firstly, Implementing change on a nursing unit (Student must incorporate an example and a change theory)

Secondly,  Leadership traits for successfully managing in the clinical arena.

Thirdly, Quality improvement in the nursing unit or system

Fourthly, Mentorship in nursing

Further, Preceptor programs for nursing leaders

Also, Solving incivility in the work place, how can a nurse manager help? (conflict resolution)

Additionally, Legal Issues within the nursing unit

Moreover, Promotion of ethical behaviors within the nursing unit (student must create a plan and implementation strategy)

Also, Nursing Unit Strategic Planning

Finally, Compare and contrast the following new roles for the changing health care arena:

Lastly, Nurse Navigators, Clinical Nurse Leaders, and Leaders in Patient-Centered Care

Part II: Evaluate how the topic applies to 2 of the following course competencies.

Integrate concepts related to leadership into the professional nursing role.

Analyze the philosophy, goals, and organizational structure of a healthcare system in relationship to the delivery of quality healthcare.

Compare selected theories of leadership, management, and organizations in relation to healthcare agencies.

Identify how collaborative leadership styles might be utilized in various community agencies to enhance the role of the nurse leader.

Examine change theory, change management, conflict resolution, and strategies to promote innovation.

Explain principles of continuous quality improvement (CQI) and the process of quality planning, improvement, and control.

Discuss the management process and its impact on the delivery of optimal healthcare.

Analyze how accountability, advocacy, and collaboration augment the management of care.

Describe the meaning of teamwork in respect to the health care team

Identify the essential components of a business plan

Analyze various organization structure/management theories as they relate to nursing practice

Howard is a 24 year-old male who presents to the clinic his wife

Howard is a 24 year-old male who presents to the clinic his wife for what he states is severe lower back pain. He states the pain is so bad that he rates it as a “50 out of 10.”

Howard is a 24 year-old male who presents to the clinic his wife

Select one of the two questions from the discussion questions listed below. By the due date assigned, respond to the selected discussion question and submit your response to this Discussion Area.

Be sure to respond to the question using the lessons and vocabulary found in the reading. Justify your answers using examples and reasoning. Support your answers with examples and research and cite your research using APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ posts by the end of the week. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.

Howard is a 24 year-old male who presents to the clinic his wife for what he states is severe lower back pain. He states the pain is so bad that he rates it as a “50 out of 10.” He also tells you that due to a past medical history of an ulcer, he cannot take any medications “like Motrin.” He states that the pain is from a car accident in 2012, and that it flairs up and he needs pain medications. He also tells you that he has a high pain tolerance, and that when he gets pain meds he requires the higher doses.

Discussion 1

1.   What would you do first prior to prescribing any medication?
2.   What are the various schedules of medications for controlled substances?
3.   Would you prescribe a long or short acting narcotic? Why or why not?

Discussion 2
1.   What other non narcotic medication options can you offer to this patient?
2.   What patient education is needed with them?
3.   What would you do if the patient and his wife tell you that none of them work for him?

Discussion 3
You are concerned that this patient may have a substance abuse problem.
1.   What screening testing is available for you to use that is reliable and valid?
2.   What strategies would you suggest for this patient if he was found to have a problem?
3.   What type of referrals would you make?

Discussion 4
After some investigating, you find that Howard actually is seeing a pain specialist who has given him epidural injections, and prescribes medication for him.
1.   How does that impact any intervention that you may consider?
2.   What other pharmacological options could you offer him?
3.   What nonpharmacological options could you suggest?

Discussion 5

After seeing Howard and performing the appropriate screening tools, and a urine drug screen, he admits to you that he does have a problem with opioids due to his back injury. He states he has been admitted to an inpatient detox and twenty-eight day rehabilitation unit previously and was able to quit using for 3 months, but relapsed due to his pain. He states for the last 6 months he has been unable to get opioids from physicians since there is a record of him being prescribed a large amount over a short period of time. Due to this, he has started buying heroin from an acquaintance who he went to high school with. His wife is very tearful and states she is concerned that eventually Howard will end up killing himself.

1.   What type of substance abuse programs would be most appropriate for him?
2.   What requirements are there for a nurse practitioner to prescribe a medication to treat opioid addiction?
3.   What are the requirements for a patient who is enrolled in a medication assisted opioid treatment program?

Observed resilience reflection patients sustainable lifestyle

This essay entails a paper on different Observed resilience reflection on patients sustainable lifestyle and their health at large. Observed resilience reflection shows tha occurences and events that follow after the attcak of a infection to a person. It also entails a way of curbing the attack.

Observed resilience reflection patients sustainable lifestyle

Firstly, resilience Reflection Please complete the following steps. Think of ways in which you observed resilience in patients in your current or past place of work, OR your chosen population or your community organization/partner. What keeps them motivated and engaged in their life, work, family, and possibly their own community? What factors and behaviours are essential for them to become more ”connected” to the environment and your community in order to move toward sustaining their health and/or functioning?

Secondly, have they disconnected themselves from their authentic self, nature, or environment? If so, in what way? In what ways can your population of choice re-establish that connection? What does “quality of life” really mean to your group/population of choice? Would a sustainable lifestyle affect their quality of life? How so? What do your population of choice have in their life that they could give up, without jeopardizing their quality of life?

Also, what, in your opinion, is the biggest obstacle in the way of a move toward sustainability (this could be physical, social, spiritual, or intellectual functioning) for your population of choice? And how may those individuals overcome that obstacle? Requirements. Assignment must address questions and must not exceed 1000 words.

Lastly, assignment is to be typed, double-spaced and should not exceed the page limit set. The submission should have a title page that includes your registered name, student number, course name and number, assignment name, and due date. – The assignments are expected to be in APA format and may include a reference list if applicable.

Tom a 26-year-old runner came in to the office today complaining

Tom, a 26-year-old runner, came in to the office today complaining of constant pain in the right ankle. While running his usual route, he accidentally stepped on a branch lying in his path, twisting his ankle inward.

Tom, a 26-year-old runner, came in to the office today complaining of constant pain in the right ankle

Hi, here’s the case study.
 
Guidelines: Support your responses with scholarly academic references using APA style format. Assigned course reading and online library resources are preferred. Weekly lecture notes are designed as overviews to the topic for the respective week and should not serve as a citation or reference.

In your discussion question response, provide a substantive response that illustrates a well-reasoned and thoughtful response; is factually correct with relevant scholarly citations, references, and examples; demonstrates a clear connection to the reading

Case Study

Tom, a 26-year-old runner, came in to the office today complaining of constant pain in the right ankle. While running his usual route, he accidentally stepped on a branch lying in his path, twisting his ankle inward. He denies hearing a “pop.” He was able to walk, or limp, the remaining ¼ mile back to his home, where he immediately elevated and iced the ankle for 30 minutes. Also, he took two acetaminophen 325 mg, showered and dressed for work, and drove to his place of employment.

He continued to experience significant pain in the ankle, worse when walking. His foot became swollen. Since his job in a sporting goods store requires that he be on his feet most of the day, he was unable to continue his normal workday, and made a same-day appointment to be seen. He has no chronic diseases, takes no medication, and denies recent use of NSAIDs, as aspirin and ibuprofen cause him to have gastritis. He sprained the ankle last year, but was able to manage that injury at home.

Assessment

A 26-year-old, otherwise healthy male presents limping into the examination room, holding his right shoe in his hand. He grimaces with partial weight-bearing of the affected foot. He has local ecchymosis and 1+ edema over the anterolateral ligaments of the right ankle. Capillary refill, pulses, and sensation of the foot and toes are intact. There is no lateral or anterior instability of the joint or tendons. X-ray of the ankle and foot are negative for fracture or dislocation. He has a grade I lateral ankle sprain.

1.   What pain relieving medications would you prescribe? Defend your choice.

2.   How would your prescribe them?

3.   What side effects should you educate the patient about?

4.   Does the age of the patient influence what your choice?

Discussion Question 2

What organs are damage d mostly by taking NSAIDS? What patient education would you provide to someone taking NSAIDS? Further, what organ is damaged by taking too much aspirin? Additionally, what patient education should you provide to a patient taking Aspirin? List 3 diagnosis for which you would administer NSAIDS. List 3 diagnosis for which you would administer Aspirin. What labs or diagnostic tests would you perform for a patient who has consumed too much Aspirin and NSAIDS. Your response should be at least 350 words.