Case Study Mrs J NRS410V Sample
Clinical Manifestations in Mrs. J.
COPD causes increasing airflow restriction accompanied by an aberrant inflammatory reaction to the lungs to irritating particles or gases. In this case, Mrs. J is a smoker and continues smoking. Inflammation occurs in the airways, lung parenchyma, and pulmonary vasculature. Inflammation in the pulmonary vasculature leads to the possible rupture of vessels and the bloody sputum she coughs. Hinkle and Cheever (2018) explain that changes and constriction of the airways occur due to inflammatory processes and the body’s attempts to heal it.
Changes in the proximal airways, trachea, and bronchi include an elevation in the number of goblet cells and an enlargement of the submucosal glands, both of which contribute to mucus hypersecretion. This can be shown by the bloody sputum she coughs. In the peripheral airways, the bronchioles, inflammation produces obstructive bronchiolitis.
This accounts for the fact that she says she feels like she cannot get enough air. This continuing injury-and-repair process leads to scar tissue development and constriction of the airway. The breakdown of the alveolar wall results in a reduction in elastic recoil (Hinkle & Cheever, 2018). The chronic inflammatory process affects the pulmonary vasculature, causing thickening of the artery lining, which leads to pulmonary hypertension.
Nursing Interventions for Mrs. J. And the Rationale For Each Of The Medications Listed
Furosemide treats edema caused by congestive heart failure exacerbation, liver failure, renal failure, and hypertension. According to Seifert (2019), it acts primarily by reducing electrolyte reabsorption from the kidneys and increasing water excretion from the body. In patients with profound congestive heart failure and poor clinical response to standard antihypertensive medications, enalapril therapy improves cardiac function as measured by a decrease in both preload and afterload and long-term clinical status (Seifert, 2019).
Enalapril enhances cardiac output and stroke volume in patients with congestive heart failure while lowering pulmonary capillary wedge pressure. Metoprolol is used to treat heart failure and atrial fibrillation, and high blood pressure (Seifert, 2019). All of the indications for metoprolol are associated with cardiovascular disease.
Morphine sulfate is an opioid agonist used to relieve pain not relieved by non-narcotic analgesics. Salbutamol is prescribed to treat bronchospasm, chronic bronchitis, obstructive airway ailments, and chronic bronchopulmonary disorders, wherein bronchospasm is a confounding factor. Fluticasone propionate is an inhaler that has been licensed for the treatment and prevention of asthma and therefore, was not necessary.
According to Seifert (2019), in therapeutic settings, oxygen therapy is used to treat various forms of anoxia, hypoxia, or dyspnea, as well as any other disease states or situations that limit the efficiency of gas exchange and oxygen consumption, such as respiratory ailments. The goal of oxygen treatment is to achieve hyperoxia to lessen the level of hypoxia-induced tissue damage and dysfunction.
Cardiovascular Conditions That Cause Heart Failure
Heart failure can occur abruptly (acute) or gradually (chronic). It can damage either one or both sides of the heart. Heart failure is usually triggered by another medical issue that destroys the heart. Coronary artery disease, heart inflammation, high blood pressure, and cardiomyopathy are the cardiovascular conditions that lead to heart failure.
Coronary heart disease occurs when the coronary arteries cannot supply enough oxygen to the heart. Coronary artery disease affects the bigger coronary arteries on the surface of the heart and is frequently caused by plaque formation inside the lining of the coronary arteries (Groenewegen et al., 2020). This accumulation can either partially or completely obstruct blood flow to the heart. Cigarette smoking and elevated blood pressure are modifiable risk factors for coronary artery disease, as demonstrated by the patient. Intervention is to keep a steady ECG surveillance and monitor for arrhythmias and ST elevation. Nursing intervention to help the patient is positioning the patient and providing oxygen to improve myocardial oxygen delivery.
The body’s normal response to an infection or damage to the heart is cardiac inflammation (Hinkle & Cheever, 2018). Redness, swelling, and discomfort can be caused by white blood cells fighting infections. Inflammation can injure the heart’s lining or valves, the heart muscle, or the tissue around the heart. Heart inflammation can cause irregular heartbeats, heart failure, and coronary heart disease. Intervention is to monitor blood pressure, apical heart rate, and respirations every 5 minutes, especially in an anginal attack.
According to Hinkle and Cheever (2018), high blood pressure occurs when blood flows at higher-than-normal pressures through vessels. When the patient has a regular systolic pressure of 130 mm Hg and above or a diastolic pressure of 80 mm Hg or above, blood pressure is regarded as high. Because the patient has a history of hypertension, it is a probable cause of heart failure. Intervention is to administer anti-hypertensive medications as well as regular blood pressure monitoring.
Cardiomyopathy refers to heart muscle abnormalities that make it difficult for the heart to pump blood. Depending on the kind of cardiomyopathy, the heart muscle may thicken, stiffen, or become bigger than normal (Hinkle & Cheever, 2018). This can weaken the heart and lead to irregular heartbeats and heart failure. Intervention is the use of medications like beta blockers and ACE inhibitors.
Nursing Interventions To Multiple Drug Interactions
When older persons take many prescriptions, drug interactions can be a major concern. A few strategies to avoid medication interactions: The nurse should keep note of side effects since new symptoms may be caused by the drug the patient is taking rather than by old age (Fialová et al., 2018). A nurse should also teach patients about their medications and warn them about potential drug interactions, how to correctly take any medication, and whether a less-priced generic pill is available.
Fialová et al. (2018) highlight the importance of the nurse examining the patients’ medications and encouraging them to bring all their prescription and over-the-counter medicine bottles to their appointments. The nurse should advise the patient on what meals to eat with each medication. Some medications are better absorbed with particular meals, while others should not be taken with specific foods (Fialová et al., 2018).
Health Promotion And Restoration
Vitacca and Paneroni (2018) advise the nurses to instruct patients to sustain a healthy weight and a well-balanced diet as part of their COPD education strategy. During the day, the patient needs to drink at least 6-8 glasses of water. Eating 4-6 small meals per day helps the diaphragm to move more freely and allows patients to breathe more effortlessly. The nurse needs to encourage the patient to consume complex carbs, protein, and mono- and poly-unsaturated fats. According to Vitacca and Paneroni (2018), pulmonary rehabilitation improves exercise capacity and well-being and reduces hospitalization, unplanned healthcare visits, and symptoms.
Exercise training improves peak oxygen uptake and cardiac autonomic function during exercise while decreasing ventilatory demand and dyspnea in COPD patients. Furthermore, exercise training lowers the degree of dynamic lung hyperinflation in COPD patients, resulting in enhanced arterial oxygen concentration and central hemodynamic responses, hence enhancing systemic muscle oxygen availability (Vitacca & Paneroni, 2018). Pulmonary rehabilitation reduces chest wall volumes during exercise by reducing stomach volumes, and it improves exercise performance.
Suggestions for Improving Patient Education
Nurses must continually enhance patient education before discharge to achieve this. Some of the things nurses may do to help patients learn more include: Begin teaching patients as soon as they are admitted. According to (Hinkle & Cheever, 2018), teaching patients in simpler words as much as possible and utilizing visual aids as much as possible aids in patient education. Inquiring about their understanding of the care and preparing the next lesson is a teaching strategy. The nurse needs to use a return presentation and include the patient from the start while providing treatment. Make sure the patient understands the medications when you hand them out. Finally, the nurse should inform patients about their illness’s clinical signs that demand quick attention.
COPD Triggers That Can Increase Exacerbation Frequency
According to the case scenario, Smoking is one of the COPD triggers that might increase the frequency of exacerbations. Breathing cigarette smoke might aggravate pre-existing COPD symptoms (Viniol & Vogelmeier, 2018). Smoking can irritate the airways, raise the risk of lung infection, and hasten the course of COPD. Options for quitting smoking should include a Pharmaceutical nicotine inhaler or nasal spray. nicotine patches, gum, and lozenges (Viniol & Vogelmeier, 2018). Prescription of non-nicotine smoking cessation medications includes bupropion and aids in smoking cessation.
References
- Fialová, D., Kummer I., Držaić M., & & Leppee, M. (2018). Ageism in medication use in older patients. In Contemporary Perspectives On Ageism (pp. 213-240). Springer, Cham.
- Groenewegen, A., Rutten, F. H., Mosterd, A., & Hoes, A. W. (2020). Epidemiology of heart failure. European Journal of Heart Failure, 22(8), 1342–1356. https://doi.org/10.1002/ejhf.1858
- Hinkle, J. L., & Cheever, K. H. (2018). Brunner and Suddarth’s textbook of medical-Surgical Nursing. Wolters Kluwer.
- Seifert, R. (2019). Basic knowledge of pharmacology. Springer International Publishing. https://doi.org /10.1007/978-3-030-18899-3
- Viniol, C., & Vogelmeier, C. F. (2018). Exacerbations of COPD. European Respiratory Review: An Official Journal of the European Respiratory Society, 27(147), 170103. https://doi.org/10.1183/16000617.0103-2017
- Vitacca, M., & Paneroni, M. (2018). Rehabilitation of patients with coexisting COPD and heart failure. COPD Journal of Chronic Obstructive Pulmonary Disease, 15(3), 231–237. https://doi.org/10.1080/15412555.2018.1468427
Case Study Mrs J NRS410V
Assessment Description
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Case Study Mrs J NRS410V Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise.
Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
- Is very anxious and asks whether she is going to die.
- Denies pain but says she feels like she cannot get enough air.
- Says her heart feels like it is “running away.”
- Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
- Height 175 cm; Weight 95.5kg.
- Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
- Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
- Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
- Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
- IV furosemide (Lasix)
- Enalapril (Vasotec)
- Metoprolol (Lopressor)
- IV morphine sulphate (Morphine)
- Inhaled short-acting bronchodilator (ProAir HFA)
- Inhaled corticosteroid (Flovent HFA)
- Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:
- Describe the subjective and objective clinical manifestations present in Mrs. J.
- Describe four cardiovascular conditions in which Mrs. J is at risk, and that may lead to heart failure. What can be done in the form of medical/nursing interventions to prevent the development of heart failure in each of the presented conditions?
- By following the nursing process, were the interventions at the time of admissions beneficial for Mrs. J? Would you change any of the interventions to ensure patient independence and prevent readmission?
- Explain each of the seven medications listed in the scenario above. Include the classification, the action, and the rationale for each of these. Discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
- Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed, including maintenance of medications. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence and prevent readmission.
- Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion
Case Study Mrs J NRS410V Rubric
Clinical Manifestations of Patient
12 points
Criteria Description
Description of subjective and objective clinical manifestations
- Target
12 points
Subjective and objective clinical manifestations are thorough.
- Acceptable
10.68 points
Subjective and objective clinical manifestations are detailed.
- Approaching
9.48 points
Subjective and objective clinical manifestations are present.
- Insufficient
9 points
Subjective and objective clinical manifestations are present but lack detail or are incomplete.
- Unsatisfactory
0 points
Subjective and objective clinical manifestations are omitted.
Cardiovascular Conditions Leading to Heart Failure and Interventions
18 points
Criteria Description
Description of four cardiovascular conditions in which the patient is at risk and may lead to heart failure. Explanation of what can be done in the form of medical/nursing interventions to prevent heart failure development in each of the presented conditions.
- Target
18 points
Description of four cardiovascular conditions in which the patient is at risk and may lead to heart failure, and an explanation of what can be done in the form of medical/nursing interventions to prevent heart failure development in each of the conditions are thorough.
- Acceptable
16.02 points
Description of four cardiovascular conditions in which the patient is at risk and may lead to heart failure is and an explanation of what can be done in the form of medical/nursing interventions to prevent heart failure development in each of the conditions are detailed.
- Approaching
14.22 points
Description of four cardiovascular conditions in which the patient is at risk and may lead to heart failure, and an explanation of what can be done in the form of medical/nursing interventions to prevent heart failure development in each of the conditions are present.
- Insufficient
13.5 points
Description of four cardiovascular conditions in which the patient is at risk and may lead to heart failure and/or explanation of what can be done in the form of medical/nursing interventions to prevent heart failure development in each of the conditions are present, but lack detail or are incomplete.
- Unsatisfactory
0 points
Description of four cardiovascular conditions in which the patient is at risk and may lead to heart failure and/or explanation of what can be done in the form of medical/nursing interventions to prevent heart failure development in each of the conditions are omitted.
Evaluation of Nursing Interventions at Admissions
12 points
Criteria Description
Description of the benefit of the intervention at the time of admission using the nursing process. Explanation of any changes to the interventions to ensure patient independence and prevent readmission.
- Target
12 points
Description of the benefit of the intervention at the time of admission using the nursing process and an explanation of any changes to the interventions to ensure patient independence and prevent readmission are thorough.
- Acceptable
10.68 points
Description of the benefit of the intervention at the time of admission using the nursing process and an explanation of any changes to the interventions to ensure patient independence and prevent readmission are detailed.
- Approaching
9.48 points
Description of the benefit of the intervention at the time of admission using the nursing process, and an explanation of any changes to the interventions to ensure patient independence and prevent readmission are present.
- Insufficient
9 points
Description of the benefit of the intervention at the time of admission using the nursing process and/or explanation of any changes to the interventions to ensure patient independence and prevent readmission are present, but lack detail or are incomplete.
- Unsatisfactory
0 points
Description of the benefit of the intervention at the time of admission using the nursing process and/or explanation of any changes to the interventions to ensure patient independence and prevent readmission are omitted.
Nursing Interventions for Older Patients to Prevent Problems Caused by Multiple Drug Interactions
18 points
Criteria Description
Explanation of seven medications listed in the scenario, including the classification, action, and rationale for each. Discussion of four nursing interventions to prevent problems caused by multiple drug interactions in older patients, including rationale for the recommended interventions.
- Target
18 points
Explanation of seven medications listed in the scenario, including the classification, action, and rationale for each, and discussion of four nursing interventions to prevent problems caused by multiple drug interactions in older patients, including rationale for the recommended interventions are thorough.
- Acceptable
16.02 points
Explanation of seven medications listed in the scenario, including the classification, action, and rationale for each, and discussion of four nursing interventions to prevent problems caused by multiple drug interactions in older patients, including rationale for the recommended interventions are detailed.
- Approaching
14.22 points
Explanation of seven medications listed in the scenario, including the classification, action, and rationale for each and discussion of four nursing interventions to prevent problems caused by multiple drug interactions in older patients, including rationale for the recommended interventions are present.
- Insufficient
13.5 points
Explanation of seven medications listed in the scenario, including the classification, action, and rationale for and/or discussion of four nursing interventions to prevent problems caused by multiple drug interactions in older patients, including rationale for the recommended interventions is present, but lacks detail or are incomplete.
- Unsatisfactory
0 points
Explanation of seven medications listed in the scenario, including the classification, action, and rationale for each, and/or discussion of four nursing interventions to prevent problems caused by multiple drug interactions in older patients, including rationale for the recommended interventions are omitted.
Health Promotion and Restoration Teaching Plan
18 points
Criteria Description
Health promotion and restoration teaching plan is provided for patient including multidisciplinary resources for rehabilitation and any modifications that may be needed, including maintenance of medications. Explanation of how the rehabilitation resources and modifications will assist the patient’s transition to independence and prevent readmission.
- Target
18 points
Health promotion and restoration teaching plan is provided for patient including multidisciplinary resources for rehabilitation and any modifications that may be needed, including maintenance of medications, and explanation of how the rehabilitation resources and modifications will assist the patient’s transition to independence and prevent readmission are thorough.
- Acceptable
16.02 points
Health promotion and restoration teaching plan is provided for patient including multidisciplinary resources for rehabilitation and any modifications that may be needed, including maintenance of medications, and explanation of how the rehabilitation resources and modifications will assist the patient’s transition to independence and prevent readmission are detailed.
- Approaching
14.22 points
Health promotion and restoration teaching plan is provided for patient including multidisciplinary resources for rehabilitation and any modifications that may be needed, including maintenance of medications, and explanation of how the rehabilitation resources and modifications will assist the patient’s transition to independence and prevent readmission are present.
- Insufficient
13.5 points
Health promotion and restoration teaching plan is provided for patient including multidisciplinary resources for rehabilitation and any modifications that may be needed, including maintenance of medications and/or explanation of how the rehabilitation resources and modifications will assist the patient’s transition to independence and prevent readmission are present, but lack detail or are incomplete.
- Unsatisfactory
0 points
Health promotion and restoration teaching plan is provided for patient including multidisciplinary resources for rehabilitation and any modifications that may be needed, including maintenance of medications and/or explanation of how the rehabilitation resources and modifications will assist the patient’s transition to independence and prevent readmission are omitted.
COPD Triggers and Options for Smoking Cessation
18 points
Criteria Description
Discussion of options for smoking offered considering patient’s current and long-term tobacco use. Outline of COPD triggers that can increase exacerbation frequency, resulting in readmission.
- Target
18 points
Discussion of options for smoking cessation offered considering patient’s current and long-term tobacco use, and outline of COPD triggers that can increase exacerbation frequency, resulting in readmission are thorough.
- Acceptable
16.02 points
Discussion of options for smoking cessation offered considering patient’s current and long-term tobacco use, and outline of COPD triggers that can increase exacerbation frequency, resulting in readmission are detailed.
- Approaching
14.22 points
Discussion of options for smoking cessation offered considering patient’s current and long-term tobacco use, and outline of COPD triggers that can increase exacerbation frequency, resulting in readmission are present.
- Insufficient
13.5 points
Discussion of options for smoking cessation offered considering patient’s current and long-term tobacco use and/or outline of COPD triggers that can increase exacerbation frequency, resulting in readmission are present, but lack detail or are incomplete.
- Unsatisfactory
0 points
Discussion of options for smoking cessation offered considering patient’s current and long-term tobacco use is omitted and/or outline of COPD triggers that can increase exacerbation frequency, resulting in readmission are omitted.
Thesis, Position, or Purpose
6 points
Criteria Description
Communicates reason for writing and demonstrates awareness of audience.
- Target
6 points
The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.
- Acceptable
5.34 points
The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated.
- Approaching
4.74 points
The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.
- Insufficient
4.5 points
The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience.
- Unsatisfactory
0 points
The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.
Development, Structure, and Conclusion
6 points
Criteria Description
Advances position or purpose throughout writing; conclusion aligns to and evolves from development.
- Target
6 points
The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose.
- Acceptable
5.34 points
The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.
- Approaching
4.74 points
Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.
- Insufficient
4.5 points
Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose.
- Unsatisfactory
0 points
No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.
Evidence
6 points
Criteria Description
Selects and integrates evidence to support and advance position/purpose; considers other perspectives.
- Target
6 points
Specific and appropriate evidence is included. Relevant perspectives of others are clearly considered.
- Acceptable
5.34 points
Relevant evidence that includes other perspectives is used.
- Approaching
4.74 points
Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.
- Insufficient
4.5 points
Evidence is limited or irrelevant. The interpretation of other perspectives is superficial or incorrect.
- Unsatisfactory
0 points
Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.
Mechanics of Writing
3.6 points
Criteria Description
Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.
- Target
3.6 points
No mechanical errors are present. Appropriate language choice and sentence structure are used throughout.
- Acceptable
3.2 points
Few mechanical errors are present. Suitable language choice and sentence structure are used.
- Approaching
2.84 points
Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.
- Insufficient
2.7 points
Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.
- Unsatisfactory
0 points
Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.
Format/Documentation
2.4 points
Criteria Description
Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc., appropriate to assignment and discipline.
- Target
2.4 points
No errors in formatting or documentation are present.
- Acceptable
2.14 points
Appropriate format and documentation are used with only minor errors.
- Approaching
1.9 points
Appropriate format and documentation are used, although there are some obvious errors.
- Insufficient
1.8 points
Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.
- Unsatisfactory
0 points
Appropriate format is not used. No documentation of sources is provided.
Case Study: Mrs. J. Resources
- Pathophysiology: Clinical Applications for Client Health
Read Chapter 1 in Pathophysiology: Clinical Applications for Client Health.
Pathophysiology: Clinical Applications for Client Health (Second Edition)
Editor: Grand Canyon University
© 2022 Grand Canyon University. All Rights Reserved. No part of this eBook may be
reproduced, in any form or by any means, without permission in writing from the publisher.
Photography credits and illustrations: Grand Canyon University, Copyright © 2022.
Authors: Angel Falkner, Sue Z. Green, Andrea Johnson, Jeannie Randall, and Stacey Whitney
- Acute Myocardial Infarction
Read “Acute Myocardial Infarction,” by Reed, Rossi and Cannon, from The Lancet (2017).
- Congestive Heart Failure and Congenital Defects
Read “Congestive Heart Failure and Congenital Defects,” located on the American Heart Association website.
- Evaluating the Effectiveness of an Online Cardiac Rehabilitation Resource (www.svhhearthealth.com.au) in Improving Knowledge and Confidence for Patients With Newly Diagnosed Cardiac Conditions: A Pre-Experimental Pilot Study
Read “Evaluating the Effectiveness of an Online Cardiac Rehabilitation Resource (www.svhhearthealth.com.au) in Improving Knowledge and Confidence for Patients With Newly Diagnosed Cardiac Conditions: A Pre-Experimental Pilot Study,” by Molan, Emmanuel, Langley and Holloway, from Heart, Lung and Circulation, 2019.
- GOLD Initiative for Chronic Obstructive Lung Disease
Explore the Global Initiative for Chronic Obstructive Lung Disease (GOLD) website.
- Identifying Self-Care Practices in Heart Failure Patients
Read “Identifying Self-Care Practices in Heart Failure Patients”, by Koster, J, from The Nursing Voice, 9(1) (2021).
- Patient Perceived Impact of Nurse-Led Self-Management Interventions for COPD: A Systematic Review of Qualitative Research. Case Study Mrs J NRS410V
Read “Patient Perceived Impact of Nurse-Led Self-Management Interventions for COPD: A Systematic Review of Qualitative Research,” by Baker and Fatoye, from International Journal of Nursing Studies (2019).
- Nurseslabs-For All Your Nursing Needs
Refer to the nurseslabs.com website for pharmacology support in completing the assignment for the topic 1 case study.
- Optional- A Nursing Care of Patients After Cardiac Arrest in the Course of Myocardial Infarction
For additional information, the following is recommended:
“A Nursing Care of Patients After Cardiac Arrest in the Course of Myocardial Infarction,” by Kaminska and Krzeminska, from Journal of Education, Health and Sport (2018).
https://doaj.org/article/39ac6a139c46478997596aa30cf17811?
- Optional- Atrial Fibrillation Symptom Perception
For additional information, the following is recommended:
“Atrial Fibrillation Symptom Perception,” by Streur, from Journal for Nurse Practitioners (2019).
- Optional- Exploring New Pathways and Emerging Data for Better Control and Management in the Personalized Treatment of Severe Asthma.
For additional information, the following is recommended:
“Exploring New Pathways and Emerging Data for Better Control and Management in the Personalized Treatment of Severe Asthma,” by Bernstein, D.I., Journal of Managed Care Medicine, 23(1) (2020).
- Optional- Ludwig’s Angina: a Multidisciplinary Concern
For additional information, the following is recommended:
“Ludwig’s Angina: A Multidisciplinary Concern,” by Parker and Mortimore, from British Journal of Nursing (2019).