An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other. Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.

An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in the diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

Case Study: 

45-year-old woman presents with a chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has a history of COPD with a chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals a flattened diaphragm and an increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields. 

Assignment  2-page case study analysis)

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

· The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.

· Any racial/ethnic variables that may impact physiological functioning.

· How these processes interact to affect the patient.

HCA320 Assignment Mod 1

Assignment:

Population Health Advocacy

Human trafficking, extreme poverty, preventable diseases, the opioid crisis and the lack of adequate low-income housing are a few current societal concerns worthy of social change. Nurses and healthcare leaders are in a good position to shape and influence health care policy.

Think of a cause you believe in strongly. Access the website of your elected officials either at the local, state, or federal level using the following link: https://www.usa.gov/elected-officials/ or use the website of your choice. Explore some of the issues and committees your legislators are involved in and select at least one that interest you or align with your beliefs. You may also contact your legislator’s office and speak to his or her legislative assistant by calling the U.S. Capitol switchboard operator at (202) 224-3121 for the Senate and (202) 225-3121 for the House. Legislator assistants are very knowledgeable about the legislator’s agenda and can provide a wealth of information. 

This assignment will be at least 1500 words or more. This week reflect on advocacy, collaborative partnerships with other health care practitioners and stakeholders, and the policy making process and write a paper that addresses the following:

• Describe      the policy issue, policy problem of interest or a particular bill that      your legislator has introduced
• Elaborate      on why the policy matters and what you can possibly do to strengthen the      policy? 
• Briefly      define the role you would play as an advocate for the healthcare consumer      and healthcare professionals.
• Explain      how the policy impacts the public at large or a particular      population. 
• What      stakeholders would you collaborate with to promote the cause? 

Assignment Expectations

Length: 1500-2000 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment.  Your essay must include an introduction and a conclusion.

References: Use the 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.

In this assignment you will use the Organizational Research Memo Template to research organizations, not agencies. Remember that an organization is a company or business – such as a hospital, clinic, or insurance company – and an agency is a part of the government at the federal, state, or local level, such as the Food and Drug Administration (FDA), Department of Labor (DOL), or a state health department.

Select 1 of the organizations listed below. Research the organization’s compliance information. Review the Organizational Research Memo Template to ensure you can obtain all information for the organization you have selected.

• American Red Cross
• American Heart Association
• United Healthcare
• Johnson & Johnson
• Stryker Corp.
• Verizon Healthcare
• GE Healthcare
• A hospital
• A clinic
• An insurance company
• A nonprofit health care organization
• An organization of your choice – the organization should not be a federal, state, or local agency, and must include information that is publicly available.

Write a 700- to 1,050-word memo to the corporate compliance officer. Use the Organizational Research Memo Template to complete the assignment.

Cite at least 1 reputable reference. Reputable references include trade or industry publications, government or agency websites, scholarly works, a textbook, or other sources of similar quality.

Scenario: Family
An 83, year old woman is recovering from pneumonia. She has Alzheimer’s disease and has become increasingly hostile and unmanageable in the home setting. Her 65, year old daughter is distraught about the idea of placing her mother in a long term care facility but feels she is not able to care for her.

Directions:
Part 1:
• The post must be at least 200 – 300 words in length
• What is your role in this situation?
• How might you help the daughter with her decision?
• What information would you give the daughter?

Scenario: Family
A 78, year old man is a retired banker whose wife died several years ago. He is able to perform all ADLs but needs help with meal preparation and transportation. He lives in a deteriorating neighborhood and no longer feels safe. He does not want to live with family members or completely give up his independence.

Directions:
Part 1:
• The post must be at least 200 – 300 words in length
• What housing options would be appropriate for him? Why?
• What advantages would such housing options offer over living alone?

Scenario: Exercise
You are checking blood pressures at a senior citizen health fair. After you check the blood pressure of an older woman, she asks you about starting an exercise program. She has not been exercising, but some of her friends have told her that she should start to exercise regularly.

Directions:
Part 1:
• The post must be at least 200 – 300 words in length
• What recommendations do you give her?
• What precautions do you include in your recommendations?

Scenario: Safety
A 77, year old woman is hospitalized for management of her diabetes. She has a history of functional urinary incontinence and poor vision from the diabetes. The nursing staff observes her climbing over the side rails on numerous occasions at night en route to the bathroom. She is quite agitated during this time. The nursing assistant requests that you obtain an order for a body restraint at night to prevent her from falling out of bed.

Directions:
Part 1:
• The post must be at least 200 – 300 words in length
• Should this patient be restrained to prevent injury?
• Would you request the order for a body restraint? Why, or why not?
• What other information is relevant to this case?
• What nursing interventions could be tried before considering a restraint?

Case Discussion Pulmonary – Part 2 Follow up Visit

Purpose

The purpose of this assignment is for students to:

1. Improve their ability to formulate diagnoses based on the clinical presentation of patients
2. Improve their ability to understand and apply National Guidelines for the diagnosis and treatment of Pulmonary disorders
3. Design a relevant treatment plan

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

1. Utilize healthcare delivery system resources in a fiscally responsible manner in the diagnosis and treatment of patients and families across the lifespan. (PO 5)
2. Develop management plans based on current scientific evidence and national guidelines. (PO 5)
3. Educate patients on treatment decisions (WO1)
4. Select an evidence-based article to support the plan of care for the case study patient. (WO2)
5. Analyze national guidelines and apply them to specific case study situations. (WO3)
6. Review appropriate antibiotic prescribing guidelines. (WO4)

Requirements: (IMPORTANT INFORMATION HERE)

Michelle continues to work in the bakery and her asthma has been well controlled on a low-dose inhaled corticosteroid inhaler, Singular 10mg daily, and Albuterol prn which she uses 1-2 times per week. Michelle presents to the clinic with an acute illness that developed 2 days ago and has a respiratory rate of 24, mild SOB with exertion, O2 saturation of 94%, and complaint of inspiratory and expiratory wheezing. She is able to speak and states her temperature over the last 2 days has been 101 to 102 F. Cough is productive of white sputum. Influenza A is going around the bakery. Exam findings show a woman who appears her stated age and is alert and oriented and though calm, is having mild work of breathing. AR 110 BPM, BP is 150/85, RR: 24, Temp 101.4. She has a nonproductive, dry cough, is mildly short of breath, fair chest expansion, + inspiratory/expiratory wheezes, no rales, no rhonchi. Auscultation reveals no thrills, gallops or extra heart sounds. Apical rate is elevated at 110. Physical exam is otherwise unremarkable. The MA has swabbed her for Influenza A- test is positive.

Discussion Questions Part Two:

1. Determine an appropriate treatment plan for Michelle. Discuss medications, doses, Durable Medical Equipment, and any testing, and apply these directly to her case. Provide your rationale with evidence.
2. Decide whether she is safe to return home, include any prescriptions, or if a referral to a higher level of care is required. Discuss the criteria used to make your decision, how a referral is made, and defend your position.
3. Discuss relevant education and follow up plan.

DISCUSSION CONTENT 

Application of Course Knowledge  

Post contributes clinically accurate perspectives/insights applicable to the results from the physical exam and new diagnoses. Initial post includes the most likely diagnosis/specific treatment plan given case study information supported by rationale and answers all questions presented in the case. Demonstrates course knowledge/assigned readings by: linking tests/interventions accurately to diagnoses, applies learned knowledge specifically to the symptoms and patient information using original dialogue i.e., little to no direct quotes.  

Evidence Based resources  

Discussion post supported by evidence from appropriate sources published within the last five years. The focus of journal articles represents a logical link between the article content and the case study information.  In-text citations and full references are provided. 

DISCUSSION FORMAT 

Category 

Organization  

Discussion post presented in a logical, meaningful, and understandable sequence. Headings reflect the separation of criterion outlined in assignment guidelines.  

**Direct quote should not exceed 15 words & must add substantively to the discussion 

APA/Grammar/Spelling 

Discussion post has minimal grammar, spelling, syntax, punctuation and APA* errors. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post.  

* APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included. 

check the uploaded guidelines and pick a topic and related question do the paper with 2 reference article less than 5 years old and 3 page body and title and refence 

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). ATLEAST 5 REFERENCES, NO MORE THAN 5 YEARS

3). PLEASE SEE THE FOLLOWING ATTACHED RUBRIC DETAILS. 

Thank you.  

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of policies to address that issue.

To Prepare:

• Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
• Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

 Write an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.  

Step 1 Research the 2008 presidential debate.

Using Internet resources, research script or video materials from the final 2008 presidential debate between Barack Obama and John McCain. The debate took place on October 15, 2008, and was hosted by Hofstra University in Hempstead, NY. Watch the entire debate, and pay close attention to the argument forms and support provided by the speakers.

Step 2 In your original post, analyze the debate and address the following questions relating to the dialogue.

• What arguments were given for the speakers’ views?
• Were there any formal or informal fallacies?
• Were the claims made based in reasonable evidence?
• Which view did you find the most persuasive? Why?

APA style

no plagiarism!

Due Saturday!

3 references

Topic: Bacterial Vaginosis (BV)

 For this assignment, you will select a disease of your choice and conduct a detailed analysis of that disease, exploring it from a balanced traditional and alternative health perspective.

Begin by searching the Center for Disease Control (CDC) website Diseases and Conditions Index to choose a disease or condition of interest to you. 

Next, review the website for Healthy People 2020 for information related to the disease or the disease category (e.g., mental health for ADHD). 

In your paper, discuss the following:

• Prominent aspects of this disease
• Current data and statistics related to the disease
• Health disparities related to the disease
• Prevention strategies including complementary and alternative health therapies
• Contemporary research and clinical studies related to the disease
• An analysis of the pathophysiologic effects of stress related to the disease 
• Evidence-based stress management interventions that might help with prevention or cure

Please use the above pointer as headings

The paper should be between 3 pages.

Incorporate at least three scholarly sources within the paper. Sources should be no more than three years old.