Pulmonary Function

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Pulmonary Function

D.R. is a 27-year-old man who presents to the nurse practitioner at the Family Care Clinic complaining of increasing SOB, wheezing, fatigue, cough, stuffy nose, watery eyes, and postnasal drainage—all of which began four days ago. Three days ago, he began monitoring his peak flow rates several times a day. His peak flow rates have ranged from 65-70% of his regular baseline with nighttime symptoms for 3 nights in the last week and have often been at the lower limit of that range in the morning. Three days ago, he also began to self-treat with frequent albuterol nebulizer therapy. He reports that usually his albuterol inhaler provides him with relief from his asthma symptoms, but this is no longer enough treatment for this asthmatic episode.

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Case Study Questions

  1. According to the case study information, how would you classify the severity of a D.R. asthma attack?
  2. Name the most common triggers for asthma in any given patient and specify in your answer which ones you consider applied to D.R. in the case study.
  3. Based on your knowledge and your research, please explain the factors that might be the etiology of D.R. being an asthmatic patient.

Pulmonary Function

Theories Of Aging

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Theories Of Aging

Identify the different theories and their implications for the aging process.

Define aging from biologic, sociologic, and psychological theories.
Develop nursing interventions based on the psychosocial issues and biologic changes associated with older adulthood.

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Discuss several nursing implications for each of the major biologic, sociologic, and psychological theories of aging.
Based on your experience, what health promotion strategies would you recommend to facilitate successful aging?

Theories Of Aging

 

Nursing WEEK 10 ASSIGNMENT 3: QUALITATIVE RESEARCH APPROACHES TO SUPPORT NURSING PRACTICE

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Nursing WEEK 10 ASSIGNMENT 3: QUALITATIVE RESEARCH APPROACHES TO SUPPORT NURSING PRACTICE

For this Assignment, explore the use of focus groups or interviews in qualitative research. Consider the effectiveness of the method and examine how this approach might lend itself to a mixed method of study.

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  • Select a topic or issue in nursing practice to focus on for this discussion.
  • Consider which type of qualitative research design—focus groups or interviews—might be most appropriate for the topic or issue in nursing practice and why. How will this type of qualitative research design support the aim of addressing the topic or issue in nursing practice?

The assignment (1 to 2 pages):

  • Describe the topic or issue in nursing practice that you selected and explain why.
  • Explain which qualitative research design approach you selected to address this topic or issue and describe the method you chose. Be specific.
  • Justify why this qualitative research design approach would be best suited for this topic or issue, and explain how this approach will better inform improvements in nursing practice for the topic or issue that you selected. Be specific, and provide examples.
  • Explain why it is important for the DNP-prepared nurse to understand qualitative research approaches for nursing practice.

Utilize APA FORMAT & 3 REFERENCES

Nursing WEEK 10 ASSIGNMENT 3: QUALITATIVE RESEARCH APPROACHES TO SUPPORT NURSING PRACTICE

V-Population Health

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V-Population Health

CASE STUDY 17.1: CHALLENGES WITH ACCESS TO HEALTH SERVICES IN RURAL AMERICA

Ray is a 28-year-old married man. He and his wife, Tonya, moved from an urban center to a rural town in southern Georgia because the corporate staff of the restaurant that Ray manages promoted him. He was asked to open a new restaurant in a smaller community, about 100 miles east of the city, without access to comprehensive healthcare facilities. Tonya is pregnant and now travels 50 miles to the nearest obstetrician for prenatal care visits. Her pregnancy is considered high-risk due to a history of high blood pressure controlled by a special diet, exercise, medications, and a sleep plan. Ray is very supportive of her prescribed routine, and Tonya is following the health plan. Unfortunately, just 3 months after their move, the COVID-19 pandemic forced all restaurants in the area to close, leaving Ray unemployed. With tight finances and numerous obligations, the couple worries about keeping their health insurance, purchasing medications and food items needed for Tonya’s diet, and paying for gas and car repairs required for travel to healthcare facilities for prenatal care. They must also pay for the new home that they purchased in their recently acquired community. Ray is overwhelmed with worry and has begun to complain about feelings of anxiety, difficulty sleeping, and brief bouts of depression. He says that his highest priority is the overall health of his wife and unborn child. In just a few days, their lives, once stable and relatively well planned, became a “nightmare” for both of them. Ray goes on to say that because they’re a new family in the community, finding assistance will be complex, and they will have to “start from scratch” when it comes to seeking aid for healthcare, housing, and social support. Ray has begun to search for employment, which has not yet produced any positive outcomes. He admits that frightening thoughts enter his head but will not comment further. V-Population Health

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Case Study Questions

1. When you’ve constructed a plan of care for this family and identified priorities based on a family-centered approach, what steps would you take to ensure that Ray and Tanya agree with the program and work with a social worker and other health professionals to address their needs?

2. Are there immediate issues that need attention? What are the long-term problems that should be discussed at this time? V-Population Health

3. Is there a need to discuss with them the COVID-19 virus and its implications for Tonya’s and Ray’s safety as determined by the CDC guidelines?

4. Identify Ray’s and Tonya’s physical, mental, emotional, and social/interpersonal needs and delineate their priorities with documented, evidence-based practices.

5. Would the needs of Tonya’s and Ray’s unborn infant be a component of the comprehensive plan (including its birth delivery at a nearby health facility)? If yes, describe that component. If not, provide a rationale for not including the infant’s health concerns in the plan.

6. Could telehealth be used to support this couple? Could you determine whether there are barriers to the use of telehealth for them? What concerns might emerge?

7. How will the family pay for health services? What about services for the unborn infant?

8. What are your next steps? What community resources and support would you suggest for this couple? How long do you think they will need assistance before their level of overall stability is restored to its original, pre-crisis state?

V-Population Health

 

Advanced Pathophysiology

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Advanced Pathophysiology

Cardiovascular disease is the most common cause of adult morbidity and mortality, accounting for 31% of deaths worldwide. The most common vascular system disorder is hypertension, defined by the American College of Cardiology and the American Heart Association (AHA) as blood pressure >130/80 mm Hg.

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How do antihypertensive medications interact with determinants of cardiac output and peripheral resistance to reduce blood pressure?

What are the most common complications of untreated or undertreated hypertension?

The lungs interface with the environment, bringing in atmospheric air during inspiration and expelling mixed airway and alveolar air during expiration. Gas exchange occurs in the alveoli and depends on lung mechanics as well as blood flow to take up oxygen and release carbon dioxide. The lungs receive all of the blood flow from the right heart, a low-pressure system that perfuses the millions of alveolar capillaries for gas exchange.

How does smoking-induced damage to lung tissue lead to emphysema?

What is the rationale for using β-agonist drugs in diseases of increased airway resistance?

Advanced Pathophysiology

Cardiovascular/Pulmonary PowerPoint

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Cardiovascular/Pulmonary PowerPoint

Goal: Develop a PowerPoint presentation on a cardiovascular/pulmonary disorder/disease discussed in the McCance text. (I WILL LIKE TO DO IT IN DEEP VEIN THROMBOSIS {DVT})

The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder. Patient education for management, cultural, and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly. Cardiovascular/Pulmonary PowerPoint

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Format Requirements:

  • Presentation is original work and logically organized.
  • Followed APA format including citation of references.
  • Power point presentation with 10-15 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
  • Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

Content Requirements:

  • Select a cardiovascular or pulmonary disorder.
  • Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level.
  • Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder.
  • Provide patient education for management, cultural, and spiritual considerations for care must also be addressed.
  • Must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly.

Submission Requirements

  • Complete and submit the assignment
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.

Cardiovascular/Pulmonary PowerPoint

Urinary Function

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Urinary Function

Mr. J.R. is a 73-year-old man who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted, and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. °F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder. Urinary Function

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Case Study 1 Questions:

  1. The attending physician thinks that Mr. J.R. has developed an acute kidney injury (AKI). Analyzing the case presented, name the possible types of acute kidney injury.
  2. Link the clinical manifestations described to the different types of acute kidney injury.
  3. Create a list of risk factors the patient might have and explain why.
  4. Unfortunately, the damage to J.R.’s kidney became irreversible, and he is now diagnosed with chronic kidney disease (CKD). Please describe the complications that the patient might have in his hematologic system (coagulopathy and anemia) and the pathophysiologic mechanisms involved.

needs to be 500 words in APA with at least 2 citations

Urinary Function

Gastrointestinal Function

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Gastrointestinal Function

R.H. is a 74-year-old black woman who presents to the family practice clinic for a scheduled appointment. She has complained of feeling bloated and constipated for the past month, sometimes going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time, and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occurring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain in her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise. Gastrointestinal Function

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Case Study Questions

  1. In your own words, define constipation and name the risk factors that might lead to constipation. List the recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you have.
  2. Based on the clinical manifestations in the R.H. case study, name and explain the signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms not present in the case study.
  3. Sometimes, as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided in the case study?

Gastrointestinal Function

Endocrine Function

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Endocrine Function

C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner, complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep her hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone. Endocrine Function

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Case Study 2 Questions:

  1. In which races and ethnic groups is DM more prevalent?
  2. Based on C.B.’s clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis.
  3. If C.B. develops bacterial pneumonia on her right lower lobe, how would you expect her glycemia values to be? Explain and support your answer.
  4. What would be the best initial therapy (non-pharmacologic and pharmacologic) to be recommended to C.B.?

has to be 500 words, with two cited references in APA format

Endocrine Function

Obstructive Pulmonary Disease

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Obstructive Pulmonary Disease

Goal: Develop a PowerPoint presentation on obstructive pulmonary disease.

The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder at the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific to this disorder. Patient education for management, cultural, and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant, child, adult, or elderly. Obstructive Pulmonary Disease

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Format Requirements:

  • The presentation is original and logically organized.
  • Followed the APA format, including the citation of references.
  • A PowerPoint presentation with 10–15 slides was clear and easy to read. Speaker notes expanded upon and clarified the content on the slides.
  • Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) into your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).
  • Content Requirements:
  • Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder at the cellular level.
  • Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific to this disorder.
  • Provide patient education for management; cultural and spiritual considerations for care must also be addressed.
  • Must specifically address how the disease/disorder affects 1 of the following age groups: infant, child, adult, or elderly.

Obstructive Pulmonary Disease