Develop a Power Point presentation regarding CHF (Congestive Heart Failure).
1-What is CHF?
2-Pathophysiology
3- Risk Factors.
4-Diagnostic Testings
5-Assessment findings, sign and symptoms of CHF
6-Difference between left sided heart failure and right sided heart failure
7-Treatment, medication
8- Patient education, before being diagnose with the disease and after being diagnosed
Write a 175- to 265-word response to the following questions (minimum length is 4-5 substantive sentences – a standard paragraph). Include a minimum of one peer-reviewed reference to support your post (must be cited per APA guidelines):
Mr. B is a 75-year-old, white, male
Source: Self, reliable source
Subjective:
Chief complaint: “I feel winded.”
HPI: Patient states he has been feeling short of breath with exertion for years now. However, over the past year he feels he has been worsening. He decided to come in today as he experienced shortness of breath mowing his lawn yesterday and had to take two breaks. He has a cough, generally productive. He denies any chills or fever. He denies any chest pain or lower extremity swelling. He denies any nausea or vomiting. He has not taken anything OTC for his symptoms.
Allergies: NKA
Current Mediations:
Lisinopril, 20 mg, daily
Propranolol ER, 120 mg, daily
Simvastatin, 40 mg, daily
Aspirin, 81 mg, daily
Tamsulosin, 0.4 mg, daily
Sertraline, 100 mg, daily
Omeprazole, 20 mg, daily
Metformin, 1000 mg, BID
Glimepiride, 4 mg, daily
Insulin glargine, 10 units, nightly
Pertinent History: Hypertension, hyperlipidemia, diabetes mellitus, benign prostatic hyperplasia, anxiety, gastritis, obesity, nicotine dependence
Health Maintenance. Immunizations: Immunizations up to date, to include PPSV-23. He has refused recommended yearly low dose CT screens (candidate given at least 30 pack-year-smoking history).
Family History:
Father – Congestive heart failure, hypertension, hyperlipidemia (deceased age 81)
Mother – atrial fibrillation (deceased age 79)
Social History: Patient lives with his wife. He smokes 1ppd (40 pack year history). He drinks “a beer or two a day” and denies drug use.
ROS: Incorporated into HPI
Objective:
VS – BP: 118/68, HR: 86, RR: 16, Temp 97.6, oxygenation 100%, weight: 340 lbs, height: 64 inches.
Mr. B is alert, awake, oriented x 3. Patient is clean and dressed appropriate for age.
Cardiac: No cardiomegaly or thrills; regular rate and rhythm, no murmur or gallop. No peripheral edema or jugular vein distention
Respiratory: Clear to auscultation, but decreased breath sounds
Chest x-ray shows no consolidation or masses
ECG shows sinus rhythm
Spirometry shows FEV1/FVC < 0.7 and FEV1 of 65% predicted
Assessment:
Diagnosis: Moderate chronic obstructive pulmonary disorder, ICD-10: J44.9
Please answer the following:
Case Study
Mrs. Smith is 82 years old and is diagnosed with hypertension, diabetes, and congestive heart
failure. Her two children live in California, whereas she lives in North Carolina in a small family
home on 10 acres of land in the Blue Ridge Mountains. Mrs. Smith has been in the hospital four
times in the last year because of congestive heart failure. As her eyesight and mobility get worse
with age, she has found it a challenge to stay on her medical plan and to do her shopping for the
right foods she knows she should be eating. Mrs. Smith’s health plan, Purple Cross of North
Carolina, assigned a nurse case manager to address her situation. Purple Cross provided a digital
scale and a remote monitoring device that record Mrs. Smith’s condition every day by uploading
her weight and transmitting the answers to a series of questions on a touch screen kiosk. The case
manager also coordinated delivery of Meals on Wheels, providing low-sodium, diabetic-compliant
dinners to Mrs. Smith on an ongoing basis. The case manager calls Mrs. Smith twice a week, taking
the time to educate her about her medications, her activities, and the disease-specific elements that
will keep her healthy and out of the hospital. When the case manager identifies that Mrs. Smith can
no longer organize her daily medications, a digital medication dispenser will be provided that will
keep her on her medication regimen. The medication dispenser will be preloaded with Mrs. Smith’s
medications and will issue a subtle doorbell tone when it is time to take her medicines. With the
combination of remote and real-time (telephonic) support persons and technologies, Mrs. Smith is
able to remain in her home and avoid further inpatient admissions.
Essay Questions
1. in 300 words elaborate on at least 5 components that are critical to Mrs. Smith staying safely in her home?
2. in 300 words Describe whether Mrs. Smith’s regimen might be augmented using telehealth
Applications and what measures can be taken.
Use APA 7th format and at least 4 reference including the textbook
10 Discussion responses
2- 510
4-521
4-561
HCA320 Discussion Mod 2:
Overview
This module examines the history of healthcare reform including the Patient Protection Affordable Care Act (PPACA or ACA). Changes in healthcare policies can impact healthcare consumers both positively and negatively. For example, under the ACA children can obtain coverage through their parents’ employer-sponsored or privately purchased insurance plan through the age of 26 (Henry J. Kaiser Family Foundation [KFF], 2018). According to KFF, since this provision of the bill came into effect in 2013, the rate of uninsured nonelderly adults dropped from 20.5% to 12.2% in 2016 and even with all the progress, young people remain the least insured age group in the United States. Healthcare reform affects the consumer as well as the provider and healthcare worker. In this module, you will examine populations affected by the ACA, and the transition from traditional healthcare to one with a strong governmental influence. You will have the opportunity to compare and contrast traditional healthcare in the United States with the ACA, as well as explore changes in the current policies that impact health care in the United States.
Henry J. Kaiser Family Foundation (2018). Retrieved from http://files.kff.org/attachment//fact-sheet-key-facts-about-the-uninsured-population
Discussion Question:
Use the learning materials and additional resource readings from this week and reflect on whether you oppose or support the Affordable Care Act (ACA). Consider the nursing professional’s position as a caregiver and/or the healthcare leader as an administrator. Explore two significant components of the ACA that could potentially impact specific populations unjustly. Appraise the current political climate as it relates to repealing and replacing the ACA. For this weeks’ discussion, identify at least two reasons for keeping the ACA and at least two reasons that it should be repealed, replaced, or revised. Provide rationale for each.
400 words required
The final project for NSG6101 consists of the development of a novel research proposal specific to your role specialization. The project must include an intervention appropriate to nursing practice and consistent with your MSN role option. An alternative to the above includes the selection of a specialty organization to focus research proposals based on the priorities of that organization. Examples of these organizations could include (but are not limited to): Sigma Theta Tau International, American Nurses’ Foundation, Oncology Nursing Society, Association of Nurses in AIDS Care, American Psychiatric Nursing Association, American Association of Critical Care Nurses, National Association of Pediatric Nurse Associates and Practitioners, National League For Nursing, etc.
Throughout this course you have been developing various sections of the research proposal. This week you will assemble the final proposal (addressing faculty feedback). This paper is to be developed in APA format/style using the required template and not to exceed 8-10 pages (excluding title page/references/appendices).
Criteria:
Introduction
Research Question, Hypothesis, and Variables with Operational Definitions
Limitation of Proposed Study
Implications for Practice
References
Appendices
I NEED a RESPONSE TO THIS ASSIGNMENT
2 REFERENCES
The Importance of Developmental Assessments
Developmental assessments are crucial when assessing children and adolescents. These assessments allow healthcare professionals to track and trend the mental and physical health of their clients. It is also used to help identify any delays in a client’s development and ensure developmental milestones are reached. Developmental assessments are also key components that assist in accurately diagnosing and treating clients with evidence-based procedures (CDC, 2020).
Two Assessments
Two assessments used in children and adolescents, but not adults, are the CRIES (Children’s Revised Impact of Event Scale) and PEDS (Pediatric Emotional Distress Scale) scale. The CRIES scale is given to children eight years old and older, and it can assist the provider in diagnosing and treating post-traumatic stress disorder (PTSD) depending on the client’s score (Verlinden et al., 2015). There are two forms of this scale, which come in an eight or 13 item questionnaire. CRIES aims to provide a look into how a traumatic event has impacted a child (Verlinden et al.).
PEDS is a parent-report scale that consists of 21 items and is used in the pediatric population (National Child Traumatic Stress Network, (n.d.). PEDS helps to identify specific symptoms and behaviors in children ages 2 to 10 following stressful or traumatic events (National Child Traumatic Stress Network). The scale encompasses 17 general behavior items, four items specific to trauma, and each item corresponds to being anxious or withdrawn, fearful, and acting out (National Child Traumatic Stress Network).
Both scales are geared towards measuring the child’s emotional distress related to traumatic events. They are specific to children, and to use the CRIES scale, the child must read and comprehend well enough for the scale to yield accurate results. These scales are not intended for adults as the questions within them are more for assessing child-like behaviors, which are not typically seen in adults.
Two Treatment Options
Positive parenting program and play therapy are two forms of treatment options used for treating issues related to children and adolescents. Positive parenting program is a comprehensive, evidence-based program designed for family and parental support (Ashori et al., 2019). The positive parenting program assists the parents of children in managing behaviors in a safe and healthy manner while promoting positive relationships within a family (Ashori et al.). This program also destigmatizes children with behaviors and increased the parents’ confidence, helping with assertive discipline (Ashori et al.).
Play therapy is an effective form of psychotherapy used to treat mental illness and behavioral problems in children and adolescents. During play therapy, the child leads the therapist through play (Senko and Bethany, 2019). This allows the therapists to create an environment where the client feels safe, promoting communication of difficult topics and allowing for a therapeutic alliance (Senko and Bethany). These two treatment options are not suitable for treating adults as positive parenting focuses on strengthening the parent’s ability to manage their children’s behavior, and play therapy uses recreational time as an outlet to encourage communication.
The Role of Parents
Parents are essential to the interviewing, assessment, and treatment process of children and adolescents. They provide and validate information given by the client, ensure treatment outside of the facility, and assist the practitioner is decision making and monitoring. Parents provide an environment that is conducive to healthy progression and living. This helps with the implementation of treatment. Young clients whose parents are actively involved in their care are more likely to have positive health outcomes and be more compliant (Ashori et al.).
References
Ashori, M., Norouzi, G., and Jalil-Abkenar, S. (2019). The effect of positive parenting program
on mental in mothers of children with intellectual disability. J Intellect Disabil. Vol
23(3): 385-396. doi: 10.1177/1744629518824899.
Centers for Disease Control and Prevention. (2020). Developmental Monitoring and Screening.
Retrieved on December 6, 2020, from
https://www.cdc.gov/ncbddd/childdevelopment/screening.html
National Child Traumatic Stress Network. (n.d.). Pediatric Emotional Distress Scale. Retrieved
December 6, 2020, from https://www.nctsn.org/what-is-child-trauma/trauma-types
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry:
Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.
Senko, K. and Bethany, H. (2019). Play Therapy: An illustrative case. Innov Clin Neurosci. Vol
16(5-6): 38-40.
Verlinden, E., Opmeer, B. Van-Meijel, E., Beer, R., Roos, C., Bicanic, I., Lamers-Winkelman,
Standardized Terminology and Language in Informatics is an important part of healthcare. Nurses and healthcare workers need to understand and be able to communicate clearly.
Please select one of the following options and discuss your understanding of the role in healthcare and its potential impact on your practice.
HA3220D – Health Information Systems
Discussion 7.2: Learning Tasks
Assume that you are the Office Manager at a large physician practice that is in the process of implementing an EHR. You are tasked with outlining the learning tasks for the registration and nursing users. Decide what system functionality each group would need. As the Office Manager, how would you make sure they are properly trained?
