...when the arteries that supply blood to the heart muscle become hard and narrow, causing the heart to be deprived of blood and oxygen. Managing coronary artery disease can be difficult and stressful for some patients. Research about this topic is commonly explored and has positive reviews when management interventions are implemented. There have been patients who have benefited from different behavioral and pharmacological techniques that produce healthy outcomes. However, patients do not have the knowledge or resources to obtain the correct information on their own. Nurses, as advocates, should educate patients on proper care of this illness. Annotated Bibliography Driscoll, A., Hare, D. L., & Toukhsati, S. R. (2015)....
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...months. It can be managed but not cure. The CDC stated (2014) “As of 2012, about half of all adults- 117 million people have one or more chronic diseases. Seven of the 10 causes of death in 2010 were chronic disease. Heart disease and cancer together accounted for nearly 48% of all deaths.” The objectives of this case study are to review the history and physical, describe the disease process, and formulate a patient- centered education plan. Disease process Mr. Larry Garcia is a 45 year old Hispanic male. He was newly diagnosed with hypertension during a physical exam for his employment. He does not consult his primary physician regularly. His previous physical exam was six years ago. Larry is overweight and lack of physical activity. He does not smoke but drinks alcohol occasionally on the weekend. He complains of shortness of breath, dizziness, headache and blurry vision occasionally. However, he stated “I feel fine.” Mr. Garcia refused prescribe medication for his hypertension. He takes only one multivitamin daily. Larry is married and has three children. He has a stressful job as a sale representative. He is the only child. He assists both of his parents with their financial. Larry’s family medical history revealed his father had congestive heart failure and macular degeneration. His mother refused medication for hypertension. He is Catholic but attends church on religious holidays. Mr. Garcia earned an associate degree in business. The use of material is the best...
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...Prevention of Hospital Readmissions Related to Symptoms of Congestive Heart Failure NRS 441V Professional Capstone March 1, 2014 Abstract Providing patients diagnosed with Congestive Heart Failure effective teaching can eliminate reoccurring hospitalizations. Patients are discharged with CHF and readmitted within 30 days. The information provided will examine the process of enhancing patient knowledge and provide additional resources essential for effective health care management. Research evidence provides data that proves patients who are diagnosed with CHF needs a variety of health care needs during admission and after discharge. The proposal will display an evaluation plan, implementation plan and a dissemination of the evidence. Provide at least 1 evidence based literature; for at least 1 evidence based solution. Keywords: congestive heart failure, therapy, education, patient outcomes Description of the Problem Prevention of Hospital Readmissions Related to Symptoms of Congestive Heart Failure Health care providers must ensure skills, knowledge and teaching is effective when providing care to their patients and families about symptoms of CHF. The length of stay for an average hospital visit can be two days however, for more chronic issues warrant an even longer stay. To avoid readmission of the disease processes of CHF warrants additional care and resources during and after discharge. . Some patients cannot follow up with their primary care physician because...
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...Heart Failure Western Governors University Pathopharmacological Foundations for Advanced Nursing Practice Heart Failure It is estimated that about five million people in the United States are living with heart failure with an overwhelming number of 550,000 newly diagnosed cases each year, costing the nation roughly $32 billion dollars per year (Centers for Disease Control and Prevention, 2016). Heart failure is a complex, pathophysiological condition in which the ventricles of the heart is weakened and unable to pump effectively to meet the body’s needs for nutrients or has lost adequate filling capacity. Clinical presentations of heart failure depends on which ventricles have failed to pump blood adequately; left ventricular failure, also known as congestive heart failure (CHF) is more common than right ventricular failure (McCance & Huether, 2014). The most common symptoms of heart failure are shortness of breath, fatigue, and peripheral edema. HF is not a disease, but rather a manifestation of a diseased heart. Large number of disorders can lead to heart failure, and with the aging population and many surviving primary cardiac events, it is no surprise that the most common reason for hospitalization in patients older than 65 years old is heart failure (McClintock, Mose, & Smith, 2014). Heart failure has become a major public health problem because it is the only cardiac condition that continues to increase in prevalence (McClintock, Mose, & Smith, 2014)...
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...because in hard work comes with success. If all of us Filipinos are into this, I think this will be a great nation to live and our country will gain more and our economy will boost. The Second thing that inspired me was his phrase: "If you haven’t found it yet, keep looking. Don’t settle. As with all matters of the heart, you’ll know when you find it." It is because for me, if you are just idle and waiting for blessings to come, I'm sure it wont come to you. We need to work and have a dream in our lives in order to find what we are looking for. If we fall, we stand. If we fail, we try again. That's what life is all about. Next one was his battle against his cancer or tumor in his pancreas. The doctor said that it was incurable in the first place but Steve didn't surrender and fought this disease. Thanks to God that there was I think a miracle happened to him that his cancer was curable through operation. It only shows that we must put God first in the center of our lives. God is everything and with God everything and anything is Possible. Another phrase that amazed me was: "Don’t let the noise of others’ opinions drown out your own inner voice." It explains that you don't need to bother other people's opinions. Some people will say bad things to you. Some will envy you and some will be jealous but it is in you that you make you own future. We all...
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...Undoubtedly she is one of the most vigorous geriatric I’ve had the pleasure of speaking with. I broached the subject of health with Muzzy and what her thoughts were. She told me that most of her life she had been healthy. She had five living children and had lost one during childbirth, but all had been happy and healthy. She hadn’t been on any sort of medication until the last 18 years after she had been diagnosed with congestive heart failure. Being a former nurse she had lots of knowledge on the subject, and I’m certain that she knows far more than I do in regards to the subject. Her general idea on health is being able to proceed with her day as she needs to. In the past, she said, she use to consider health as not having any sort of disease, but after the general wear and tear of almost 95 years, she’s realized that it’s impossible to go that long without needing a little help from health care. She’s thankful that she’s able to manage her symptoms through carefully watching her diet and exercising, and taking her medications. She’s had multiple heart surgeries, replacing her...
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...a contraceptive? There are different types of contraceptives methods with different levels of effectiveness in preventing pregnancy and sexual transmitted infections and issues to think about as cost, and health risk associated with a particular method. The term contraception refers to methods of preventing conception. These methods offer varying degrees of control over when and whether pregnancies occur. Society has searched for simple, infallible, and risk-free way to prevent pregnancy since people first associated sexual activities with pregnancy. But doctors or scientist has not found one yet. To evaluate the effectiveness of particular contraceptive method, we must be familiar with two concepts: perfect failure rate and typical use failure rate. Perfect failure rate refers to the number of pregnancies that are likely to occur in the first year of use(per 100 uses of the method during sexual intercourse) The typical use information is much more practical in helping people make informed decisions about contraceptive methods. Some contraceptive methods can also protect, to some degree, against sexually transmitted infections. Present methods of contraception fall in to several categories. Barrier methods, block the egg and sperm from joining. And hormonal methods introduce synthetic hormones into the woman’s system that prevent ovulation, thicker cervical mucus, or prevent a fertilized egg from planting, Surgical methods can prevent pregnancy...
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...Thesis Statement Research suggests that owning a pet is beneficial because it helps alleviate depression, reduces anxiety, reduces stress and promotes interpersonal interaction with others. References Reference #1 Moore, A. (2002). Get a Pet-Doctor's Orders http://www.prevention.com/health/healthy-living/happy-health-benefits-adopting-pet This article explains why some doctors are now starting to recommend pet prescriptions to some patients who live alone. It explains how a pet can have a positive effect on your emotional and physical health when dealing with health issues such as cancer and high blood pressure. There was a study conducted by the University of California’s Center for Animal Alternatives. The study showed that pet ownership was especially beneficial to elderly individuals as they are susceptible to depression and feelings of loneliness. The study showed that pets were able to provide feelings of comfort which helped with the feelings of loneliness and depression. Dr. Becker traveled across the country and conducted 350 interviews with scientists, physicians and experts to find how an animal has the ability to detect and treat some diseases and conditions. The people interviewed were experts from the National Institute of Health and Harvard University’s School of Medicine and the Mayo Clinic. . The study done by Dr. Becker found that half a group of stockbrokers on high blood pressure medication did not need any more meds after 2 months...
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...for this course on http://ecampus.phoenix.edu. Facilitator Information Facilitator's Name: Barbara Welcher Home Telephone Number: (706) 733-5457 Preferred Address (OLS): welb359@email.phoenix.edu Insel, P. M., & Roth, W. T. (2008). Core concepts in health (10th ed.). Boston: McGraw-Hill. All electronic materials are available on your student Web site. ------------------------------------------------- General Course Description This course provides an overview of the key components of comprehensive wellness. Based on a preventive model, the course will allow learners to explore choices that promote wellness with goals of living longer and better. Topics and Objectives Week One: The Dimensions of Health Explain how the six dimensions of health affect personal health. Discuss personal choices and habits that promote...
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...Holistic Account of Care for a Patient or Client with Complex Needs What are complex needs? Who has them? It could be argued that everyone's needs are complex and as such, complex needs have been difficult to define (Rosengard et al., 2007). This essay intends to use literature to outline a systematic and holistic approach to care of a patient's complex needs. The nursing process and its framework of assessment, planning, implementation and evaluation will be utilised to provide a patient centred approach (Castledine, 2011). Rankin and Regan (2004) described complex needs as being a framework rather than a label that determines service eligibility. The needs of people include breadth (range of need) and depth (severity); these factors have to be taken into account when providing holistic care. Holistic care is defined as an approach which takes into consideration the physical, mental and social factors in an illness, rather than just the disease itself (Martin, 2010). The person this essay will centre around gave informed consent to have their notes consulted with the intention to write this essay, in line with the Nursing and Midwifery Council's (NMC) The Code (2008). There are seven elements to informed consent; competence to decide, voluntariness to decide, disclosure of information, recommendation of a plan, understanding of the disclosure and recommendation, decision of the plan and authorising of the plan (Beauchamp & Childress, 1994 pp. 145-146). In line with the...
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...Caregivers of Family Members With Heart Failure Julie Sanford, DNS, RN University of South Alabama, Mobile Judith Townsend-Rocchicciolli, PhD, RN James Madison University, Virginia Annie Horigan, MSN, RN Duke University, North Carolina Pat Hall, PhD, CRNP Diagnostic Medical Clinic, Mobile, Alabama Heart failure (HF) is a major cardiovascular problem and the number of people living with HF continues to climb. Throughout the illness continuum, patients and their family caregivers are involved in decision making. As the illness worsens and patients can no longer make decisions, decision making becomes the responsibility of their caregivers who may have little preparation for the role. The purpose of this grounded theory study was to examine how caregivers of family members with HF make decisions. A nonlinear decision-making process consisting of several actions was identified, which included actualizing; seeking input, information, or support; reflecting; choosing; evaluating; and validating the decision. Keywords: decision making; heart failure; caregiving; grounded theory eart failure (HF), a complex cardiovascular syndrome, is increasing in incidence throughout the world. In 2003, the World Health Organization (WHO) noted that cardiovascular disease accounted for more than 16.7 million deaths (29.2%) of all deaths worldwide with 7.2 million of these deaths attributed to ischemic heart disease. According to the American Heart Association (AHA), almost H ...
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...awareness of moral questions and choices. Aesthetic knowledge is being aware of the patient and focusing on the here and now. When I made the decision to become a nurse 20 year ago I didn’t think of nursing being an art or science. I viewed nursing as providing care to the sick when they were unable to care for themselves. As I have furthered my career and increased my knowledge I have learned nursing is both. Nurses provide care based on evidence based practice, what has shown to be successful in treating a specific illness. Nurses also provide care based on what is right. The art of nursing is what I practice every day. The compassionate, non-judging, hand holding empathy is what I love about my job. It breaks my heart to go to the ethical meetings and listen to how a family wants to put a peg tube in a 90 year old patient. I want to scream. There is just not enough knowledge about palliative care these days. As a nurse I focus on the quality of life and decreasing the suffering of patients and families. As a student I enjoyed reading about Florence Nightingale. As a nurse Florence Nightingale put the patient and their needs at the center of attention. This was not scientific; it was genuine care and concern. As a true patient advocate I still practice like Florence Nightingale. I keep the patient at the center. I encourage my clinical staff to always treat the patient the way they would want...
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...healthier lifestyles. Health promotion and disease prevention in nursing is now becoming the forefront of the nursing practice. Historically, nurse educators have taught patients how to manage their illnesses, but today, the focus is growing towards teaching people how to remain healthy. As more people develop awareness of activities that lead to good health and as more individuals become aware of their own health status and that of their families, the overall health of the population will improve. Hospitals and nursing associations throughout the nation are adapting the concept of health promotion and disease prevention as a key factor in the future health of the population. The World Health Organization (2014), defines Health Promotion as “the process of enabling people to increase control over, and to improve, their health”. Health promotion and disease prevention involves methods of care that are classified into three categories: primary prevention, secondary prevention and tertiary prevention. As nurses are advancing their careers to public health nursing (PHN) advanced practice nursing (APN), and are taking on leadership roles, nurses now more than ever, play a vital part in educating the public on all three levels of disease prevention. There are three articles of choice that will further explain how evolution of nursing roles and responsibilities are seen in all stages of prevention, at the primary, secondary and tertiary levels. Primary Prevention Primary prevention involves...
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...Patient Education Plan for Larry Garcia Timber L. Keys NURS/427 January 14, 2013 Amy Prichard Patient Education Plan for Larry Garcia An important component of a nurse’s daily responsibilities is to provide the patient with the knowledge base he or she will need to improve their quality of life after the illness. Patient education is a central part of the practice of all health professionals. Patient education services are delivered during direct care given by health care practitioners and are also available in separate programs (Redman, 2007). This patient education plan will identify and determine how to fulfill the gaps in education regarding Larry Garcia’s newly diagnosis of hypertension. Assessment of Larry Garcia Larry Garcia is a 45 year-old male newly diagnosed with hypertension during a physical examination due to the change in his company’s healthcare and wellness policy. He has been married to his wife, Monica, for 18 years; together they have 3 children, a 15 year-old son, Mark; a 12 year-old daughter, Kelly; and another daughter Andrea who is 8 years-old. Mr. Garcia has been employed as a sales representative for the past 10 years with the same company, which is considered a high pressure position that requires meeting a monthly sales quota. In addition to his immediate family responsibilities, Mr. Garcia also claims responsibilities for his parents who are aging and need assistance on a daily basis. Physical assessment reveals a middle-aged male...
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...other population. Patton-Fuller Health Care is a not-for-profit Community Hospital that services care such as emergency medical care, labor, delivery, physical therapy, radiology, cardiology, and surgery for all adults and children. In this paper I will be analyzing financial indicators for decision-making to understand the strengths and weaknesses of a Cardiac Care Hospital. In addition, I will be implementing strategies to improve the cash flow at Elijah Heart Center (EHC). At the same time, I will also be evaluating the funding options for obtaining medical equipment, and also the funding strategies for the success or failure of capital expansion (Apollo Group, 2011). On behalf of the summary and conclusion, I will need to explain what I learned from this simulation, what I would do differently if I performed the simulation over again, and following how I would apply what I have learned at my current or future job (Apollo Group, 2006). Phase I: Capital Shortage The board members at Elijah Heart Center (EHC) have recommended engaging my services as a Senior Consultant to execute and accomplish new strategies for his or her current problems. In the simulation, the financial accounting at EHC has reported that the revenues and quantity are increasing at a rapid rate. Even if the productivity of the employees is decreasing, it is good to consider the financial performance and to...
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