...Clinical Assignment: Cardiovascular Risk Factors Introduction The American Heart Association has identified several risk factors that greater your chance of developing coronary heart disease and heart attack. Major risk factors are those that research has shown significantly increase the risk of heart and blood vessel (cardiovascular) disease. Risk factors are divided up into modifiable and non-modifiable as outlined below. Patient Profile My patient on 03/31/2011 was M.M., who is a 55 year old Caucasian male who presented to UMC on 03/26/2011 with a chief complaint of shortness of breath, light headed, and pain in the left ankle. I choose M.M. as he had an admitting diagnosis of COPD exacerbation, syncope, and a medical history for being hospitalized with congestive heart failure (CHF), obstructive sleep apnea and COPD, and is currently a smoker. Risk Factors Age: According to the American Heart Association (AHA), over 82% of people who die of coronary heart disease are 65 or older. Age is the most important risk factor for developing CAD in women. When compared with men, women are, on average, 10 years older when they have CAD. (Ignatavicius & Workman, 2010). At older ages, women who have heart attacks are more likely than men are to die from them within a few weeks. M.M. is 55 years old, so this risk factor does not directly apply to him right now. Sex: According to the AHA, men have a greater risk of heart attack than women...
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...Phoenix Health Care Informatics HCS482 Richard Ong September 23, 2013 Adverse Trend and Data Management Part I: Step by step guide: Adverse Trend: Immobility. Immobility in hospitalized patients is one of the main risk factors contributing to the development of pressure ulcers. Objective: Identify risk factors related to complications secondary to immobility such as pressure ulcers on the integumentary system. Immobility also leads to other adverse effects affecting cardiovascular system, respiratory system, and musculoskeletal system as well. The assessment is performed on admission data, then once a week. The risk assessment scale used was the Risk Assessment Pressure Sore (RAPS) scale, which includes the following variables; general physical condition, activity, mobility, moisture, food intake, fluid intake, sensory perception, friction and shear, and body temperature (Lindgren & Unosson, 2004). Results: 25 % of patients developed pressure ulcers. Non-blanchable erythema was the most common pressure ulcer noted among these patients. The majority of these patients were significantly older, and hospitalized for a longer period of time. In the analysis using variables included in the RAPS scale, immobility emerged as a major risk factor. Conclusion: Immobility is the main cause of pressure ulcer development among adult hospitalized patients. Part II: After reviewing patient’s charts and documentation in 4 west, it is concluded that: 37% charts with...
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...26-42. Approximately 60% of the group is married. The group is willing to pay up to $4,000 dollars per individual for their annual premium. Castor Collins must weigh the many considerations when deciding to insure Constructlt, the premiums employees are willing to pay, risks of providing a certain plan or service, and the expected utilization (University of Phoenix, 2014). In order to maintain a profit Castor Collins needs to take all of these aspects into consideration. Thirty-two percent of the individuals at Constructlt have a working profile, which involves significant physical activity, and only 25% have a working profile with moderate activity. When determining which insurance plan is best for Constructlt it is best to look at the health risk factors of the group. Thirty-eight percent of the group, which breaks down to 170 men and 210 women, has no major health risks. Conversely, 18% of the workers, 10% men and 8% of the women are smokers. The principal health risk factor affecting the group is obesity. Of the Constructlt group obesity affects 39% of the group. Hence, increasing the risk for obesity related diseases like high blood pressure, heart disease, and diabetes. Due to the health risk factors utilization will increase with many of the services such as diagnostic imaging, prescription medications, and outpatient physician visits (University of Phoenix, 2014). There are three different plans for Constructlt to choose from, making the right decision for all...
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...mostly do not follow the operational substance of the contract. In the case of SKI, the advertising revenues is recognised and recorded in the period in which the clicks are made or the views of the ads. However, extra commissions are paid to sales individuals who sign longer contracts that meet minimum revenue targets. In the case of the CC, the company earns the revenues through providing corporate social networks development and hosting services. However, there are revenues for the up-front fee associated with the development is recognized as the development is completed and the system is available to the customers. What fraud risk factors should she consider discussing with her team at the next fraud brainstorming meeting Fraud risk factor is a condition that tracks the 3 conditions of the fraud triangle. Besides, the fraud risks factors do not show that fraud exists. However, they indicate the warning signs where it does apply. First, is regarding the rationalizing or attitude where you cannot possibly know with certainty the individual ethical beliefs and standards. In case,...
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...Risk Factors of Behavior Risk Factors of Behavior ECE 201 Debra Lawrence Dec.03, 2012 Children should be heard not only seen. Parents as well as teachers always look to see what a child is doing. Do they ever stop to listen and ask questions? It’s always good to ask a child questions like; “How was your day? Did everything go fine at school today? Is everything going good at home and questions like that.” If you get the discipline thing right, it is so much easier being a parent-and being a child. Sometimes we wish there was a way to avoid the stress and frustration that can occur when parents and children have conflicting ideas about rules and regulations. Why are some children more challenging than others? Challenging behavior is any behavior that interferes with children’s learning, development, and success at play, is harmful to the child, other children, or adults and puts a child at high risk for later social problems or school failure (education.com). A child with An emotional and mental illness needs to be handled with kid gloves. Children with these illnesses can become irate, out of control, physical, sad, drop in grades and withdrawn. Mental Illness can cause a child to act out because they feel that they don’t belong. Some kids are more challenging because of their life at home and at school. That’s when asking your child how was their day comes in play. “Children with behavior problems often find themselves rejected...
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...OF THE RISKS CAN COSTCO ACQUIRE THE #3 KMART? ABSTRACT The retail business is very competitive. Because the retail industry provides products and or services for the needs, wants, and sometimes feelings of the consumer it can be hard to determine what they like and don’t like. Moreover, with the economy, which by the way affects all businesses, you just do not have an exact science on how things will turn out. Industry businessman, economist etc. can only make assumptions based on occurrences. So, if you are in a business to make a profit, and satisfy stakeholders you need to have a plan. Sometimes the plan calls for mergers and acquisitions. Mergers and acquisitions can have a positive and/or negative effect. “According to a KPMG study, 83% of all mergers and acquisitions failed to produce any benefit for the shareholders and over half actually destroyed value.”(http://www.itapintl.com/...the-impact-of), to be a good CFO you must do the research to determine if acquiring another company will be beneficial. This report will identify the risk factors of the target acquisition company Kmart and the risk factors present in the parent company Costco. Our team will then show how these risks can be mitigated. BECAUSE OF THE RISKS CAN COSTCO ACQUIRE THE #3 KMART? KMART RISKS/MITIAGATION Many investors such as Costco may be unaware of all the risks associated with investing in a specific company. Providing current and future investors with risk factors allows...
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...Cardiovascular disease also called heart disease includes numerous problems, many of which are related to a process called atherosclerosis. Atherosclerosis is a condition that develops when a substance called plaque builds up in the walls of the arteries. This buildup narrows the arteries, making it harder for blood to flow through. If a blood clot forms, it can stop the blood flow. This can cause a heart attack or stroke (“What is Cardiovascular Disease (Heart Disease)?”). The purpose of this paper is to discuss the risk factors associated with a previous client that I cared for in the clinical setting and to include rationale and some behaviors that could reduce these risks. The patient that I will be focusing on is a 56 year old female of polish descent whom I will refer to as I.G. She was admitted to UMC with a chief complaint of left knee pain. Her admitting diagnosis was a left distal femur fracture and has a medical history of congestive heart failure, hyperlipidemia, glaucoma, rheumatoid arthritis, hypertensive disorder, GERD, and diabetes. She admitted that diabetes runs in her family and she also has a history of smoking and obesity evidenced by her BMI of 32.1. Diabetes Diabetes Mellitus is associated with a reduced life span, largely as a result of cardiovascular disease and most patients die as a result of a thrombotic event. Patients with diabetes are at increased risk for CVD. This risk affects women more than men and is influenced by the client’s...
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...Homocysteine and The Cardiovascular System Abstract Cardiovascular disease is considered to be the leading cause of death to date. There are many factors that contribute to cardiovascular disease. Some factors are conventional and straightforward, while others are unconventional and overlooked (Dwivedi, Tripathi, Shukla, Khan, Chauhan, 2011). Homocysteine is an amino acid found in the body that helps to build and maintain tissue. High levels of homocysteine have been linked to endothelial damage to the blood vessels. This damage can lead to plaque formation, thus atherosclerosis can ensue (American Heart Association, 2012). Although there are many causes of hyperhomocysteinemia, research has shown that nutritional replacement has helped to lower the level. Folic acid and B vitamins have shown to decrease homocysteine levels and thus help decrease plaque formation. Patients with high levels of homocysteine are instructed to include folic acid and b vitamins in their diet, restrict methionine, and exercise. Homocysteine is an unconventional risk factor for cardiovascular disease, and can also be used as a risk marker (Milani & Lavi, 2008). Homocysteine and The Cardiovascular System Cardiovascular disease involves all the diseases that affect the heart and vessels. There are many different diseases that affect the cardiovascular system. Atherosclerosis is one of these diseases. Atherosclerosis is characterized by the accumulation of soft, fatty and fibrinous...
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...Non Modifiable Risk Factors for Cardiovascular Disease By: Fawn R. Stephen-Odle June 2012 Cardiovascular disease is caused by disorders of the heart and blood vessels, and includes coronary heart disease (heart attacks), cerebrovascular disease (stroke), raised blood pressure (hypertension), peripheral artery disease, rheumatic heart disease, congenital heart disease, and heart failure. The major causes of cardiovascular disease are tobacco use, physical inactivity, an unhealthy diet and harmful use of alcohol. Unfortunately, there are four non-modifiable risk factors that contribute to CVD (cardiovascular disease). Race and Ethnicity: Race and ethnicity have quite a bit to do with risk factors for cardiovascular disease. Studies show that African Americans have a higher risk for Cardiovascular Disease because of higher blood pressure levels, overweight and obesity, compared to Caucasians. Higher blood pressure levels are among the highest in African Americans in the world. Mexican Americans and Native Americans are also at higher risk for heart disease because of higher rates of obesity, diabetes, and smoking. Studies also show that about 77% of African American women, 72% of Mexican American women, and 61% of Native American women are overweight or obese, compared to 57% of Caucasian women. Taking precautions such as eating a proper diet, exercise, lessen use of alcohol, and quitting smoking can reduce a person’s chances of contracting Cardiovascular Disease. All races...
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...Running head: CARDIOVASCULAR PAPER 1 Cardiovascular Paper: R.G.’s Risk Factors for Cardiovascular Disease CARDIOVASCULAR PAPER 2 Cardiovascular Paper: R.G’s Risk Factors for Cardiovascular Disease In almost every year since 1900, cardiovascular disease has been the number one cause of death in the United States. Nearly 2300 Americans die of CVD each day, and average of one death every 38 seconds. This disease kills more people than the next four causes of death combined, including cancer, chronic lower respiratory diseases, accidents and diabetes. Of particular concern is that CVD is the leading cause of death for women (Ignatavicius and Workman, 2013). Risk Factors Gender According to, Huether and McCance (2012) more women in the United States die from coronary artery disease and stroke than from all cancers combined. Women have a higher rate of CAD related mortality than men, in part because of under diagnosis and treatment. Menopause is associated with increased exposure to risk factors and poor endothelial healing. Endogenous estrogen is said to be protective of vascular function and when this is reduced after menopause hits the risk of CAD increases. Postmenopausal women are two to three times more likely than premenopausal woman to have CAD. Diabetes Diabetes mellitus is an extremely important risk factor for CAD. Insulin resistance and diabetes have multiple effects on the cardiovascular system including endothelial damage, thickening...
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...Health Priorities Report Health Priorities Report yuliya sadaunichaya yuliya sadaunichaya Cardiovascular Disease Cardiovascular Disease Cardiovascular disease (CVD) has been identified as a health priority area because it is major health and economic burden on Australia. It is one of the leading causes of sickness and death in Australia, although there are significant differences in the incidence and prevalence of the disease among population subgroups. CVD can be attributed to a number of modifiable risk factors. The nature of CVD Cardiovascular disease (CVD) refers to damage to, or disease of, the heart, arteries, veins and/or smaller blood vessels. The three major forms of this disease are: * Coronary heart disease – the poor supply of blood to the muscular walls of the heart by its own blood supply vessels, the coronary arteries * Stroke – the interruption of the supply of blood to the brain * Peripheral Vascular disease – diseases of the arteries, arterioles and capillaries that affect the limbs, usually reducing blood supply to the legs Cardiovascular disease is most evident as stroke, heart attack, angina, heart failure and peripheral vascular disease. Atherosclerosis is the underlying cause of most of these conditions. This is the build-up of fatty and/or fibrous material on the interior walls of arteries. This build-up hinders the flow of blood to the body’s tissues and also acts to increase blood pressure. Often, the build-up occurs...
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...increase in frequency. Lifestyle diseases have become common problems that needed our attention. One major lifestyle disease is cardiovascular disease. Cardiovascular disease has become the world’s major cause of death. According to statistics, it is responsible for over 30% of total global deaths (Murray & Lopez, 1996). As the average lifetime expectancy rising, the number of people at risk of cardiovascular disease is also increasing. This number could keep growing due to the increasingly sedentary lifestyle and the rapid rising in obesity children and teenagers. There are many risk factors for cardiovascular disease such as age, family history even gender, but it is believed that serum cholesterol, blood pressure and smoking are the major modifiable factors, which are strongly relate to one’s lifestyle (Hobbs & Arroll, 2009). Positive lifestyle changes are very important to prevent and manage cardiovascular disease. Smoking is one of the strongest risk factors that for atherosclerotic disease and has effect on cardiovascular. It is estimated that about 13% of death caused by cardiovascular disease are related to smoking. Among coronary heart disease patients less than 65 years old, about 35% of coronary heart disease in men and 33% in women is attributable to smoking (Ridolfo, Stevenson, 2001). Apparently, smoking has strong effect on cardiovascular, giving up cigarette...
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...Cardiovascular disease is a general name for a wide variety of diseases, disorders and conditions that affect the heart and sometimes the blood vessels as well. Risk factors for developing cardiovascular disease include having hypertension, diabetes, high cholesterol, obesity, and a sedentary lifestyle. Other risk factors include being of African-American ancestry, male, drinking excessive amounts of alcohol, having a lot of long-term stress, smoking and having a family history of a heart attack at an early age. Some different types of cardiovascular disease includes angina, heart attack, heart failure, atherosclerosis, cardiovascular disease, and cardiac arrhythmias. Other forms of cardiovascular disease include congenital heart defects, cardiomyopathy, infections of the heart, coronary artery disease, heart valve disorders, myocarditis, and pericarditis. Symptoms of cardiovascular disease vary depending on the specific type of cardiovascular disease. A classic symptom of cardiovascular disease is chest pain. However, with some forms of cardiovascular disease, such as atherosclerosis, there may be no symptoms in some people until life-threatening complications. Treatment of cardiovascular disease begins with prevention. Many forms of cardiovascular disease can be prevented or controlled effectively with prevention measures that include regular exercise, not smoking or drinking excessively, achieving and maintaining a healthy weight, and eating a heart-healthy well-balanced...
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...A1. Risk Factors Trinity conducted a community health needs assessment in which the following demands were identified: Oncology Services, Orthopedic Services and Cardiovascular Services. These targeted demands are mainly in part due to an aging community population (15% of the population will be over 65 within the next five years), and with that these particular services are in great demand and currently Trinity Hospital offers no formal services of this kind. A Strategic plan is in place to target these services and a recommendation to implement will be provided and we will first identify the risk factors for each of these services in the community and how the needs are being addressed at the current time in the Trinity community. Oncology Services- There are several risk factors affecting the community if cancer treatment isn’t addressed in an appropriate manner. New cancer cases are expected to grow at a 34% rate in the next five years and currently the facilities and equipment to diagnose and treat patients is not able to keep up with the growth of cancer patient volume and physicians and nurses say that the available services are disorganized and poorly put together. This is a visible risk to the community and Trinity Hospital if the surrounding community cannot depend on the hospital to adequately diagnose and treat their illness. Another risk factor is the need for cancer prevention and educational programs focusing on lifestyle changes to emphasize healthy living...
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...Introduction As of last year, it was reported that over a million Canadians have heart disease, which also ranks as one of the major causes of death in Canada 1. Additionally, cardiovascular disease claims more than 33,000 lives each year. Furthermore, about ninety percent (9 out of 10) Canadians over the age of twenty years have at least one risk factor for heart disease, and of this number, forty percent (4 out of ten 10) have three or more risk factors 1. Various factors can increase the risk of heart disease - some of which can be controlled while others cannot. The uncontrollable risk factors include age, ethnicity and having a family history of heart disease; but controllable risk factors mainly comprise making lifestyle or behavioral changes such as smoking cessation and avoiding excessive alcohol consumption, eating healthy, exercising regularly and reducing stress 1. Consequently, an individual can reduce their risk of heart disease by understanding the risk factors that cause it, and making changes to their lifestyle. The Dietary Guidelines for Canadians (Eating Healthy with Canada’s Food Guide) describes a healthful diet as one that emphasizes a variety of fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products 2. Fruits and some vegetables are excellent sources of vitamin C, which is a water soluble vitamin. Fruits with the highest sources of vitamin C include cantaloupe, citrus fruits and juices, such as orange and grapefruit kiwi fruit...
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