Abstract Cardiovascular diseases mostly affect the elderly and people with family history of this disease. In the United States, the health problem has cost the National Budget many expenses as the country struggles for better health care. With the victory on the Medicare bill by the Obama government, also termed...
Hypertension Hypertension, also referred to as arterial hypertension or high blood pressure, refers to a chronic bodily condition characterized by the constant elevated blood pressure in the arteries. The disease is always asymptomatic during its onset. If the condition persists for a long time, then it predisposes one to the...
Problem Statement Official statistics says that the residents of Miami, Dade have recently been showing a conspicuous tendency to develop CVD (Carey & Gray, 2012). According to the existing data, these rates have reached an egregious scale over the past few years. Women in their 60s seem to prevail among...
The leading cause of death in the United States and Alabama is cardiovascular disease (cVd). The disease comprises stroke and heart disease, accounting for about 33% of deaths in Alabama State (Centers for disease control and Prevention, 2010). Mortality rate for heart disease in the US was 201 per 100,000...
Introduction Quality improvement is an important strategy in nursing, as it helps in improving the quality of life and the treatment outcomes. This paper seeks to show that hypertension control is an effective quality improvement initiative that will result in benefits for everyone in the medical field. Purpose The initiative...
The elevated blood pressure in the pediatric populace is frequently perceived at the present. Hypertension is recognized to be the main reason for diseases and death not only in the United States but in various other countries as well. The long-standing wellbeing dangers to youngsters with the elevated blood pressure...
Introduction The aim of this research paper is to identify related NANDA, NIC, and NOC elements for a patient scenario in the cardiology (telemetry-medsurg) floor and then describe in detail the data, information, knowledge, and wisdom (DIKW FRAMEWORK) that guided the work. JB is a 60-year-old male patient complaining of...
Kreutzer, J. (2015). Catastrophic Adverse Events During Cardiac Catheterization in Pediatric Pulmonary Hypertension May Not Be So Rare. Journal of the American College of Cardiology, 66(11), 1270-1272. The article “Catastrophic Adverse Events During Cardiac Catheterization in Pediatric Pulmonary Hypertension May Not Be So Rare” begins by examining how medical practitioners...
Background Information Prevalence of non-communicable diseases such as the coronary atherosclerosis and artery diseases has raised concern in public health institutions worldwide. There is a need to establish appropriate interventions that are based on evidences to solve such problems. Evidence-based approaches such as screening instil elements of community engagement, systematic...
Differential Diagnosis Possible Diagnosis Rationale Chronic obstructive pulmonary disease (COPD) History: Shortness of breath, cough which produces yellowish phlegm, and unexplainable fatigue. Frequent infection of the respiratory tract. History of cigarette smoking is considered to be a major cause. Physical Exam: Increased rate of respiration which decreased oxygen saturations, mild...
Coyne, C. J., Testa, N., Desai, S., Lagrone, J., Chang, R., Zheng, L., & Kim, H. (2015). Improving Door-to-balloon Time by Decreasing Door-to-ECG time for Walk-in STEMI Patients. Western Journal of Emergency Medicine, 16(1), 184-9. Web. The guidelines provided by the American College of Cardiology/American Heart Association recommend fast door-to-electrocardiography...
Heart rate is the main variable characterizing the work of the patient’s cardiovascular system. According to Reil et al. (2011), “heart rate is a major determinant of myocardial oxygen demand, coronary blood flow, and myocardial performance” and it “affects nearly all stages of cardiovascular disease” (p. 13). In connection with...
Analysis of the disorder Pathophysiology Angina is a disorder that has become very common in the current society, especially among those who work in highly stressful environments. Kendal (2010) defines angina as “A chest discomfort due to poor blood flow through the blood vessels in the heart” (p. 37). This...
Introduction According to authors, heart rate variability is a complex analysis done in the medical profession. Therefore, the experiments on this analysis are done using complex statistical methods. The most effective technique that has been in use is the Poincare plot of RR intervals. The Poincare plot is a “visual...
Introduction Cardiac failure patients have been identified to possess a low level of physical endurance as well as emotions as a result of certain crucial changes within their lifestyles. This condition could be attributed to the quality of life the patient is subjected to and also the level of attention...
Plan and Implementation The previously selected problem is hypertension prevention in high-risk populations for high blood pressure. The proposed plan will emphasize helping these categories of patients (older adults, patients with obesity) to recognize their health risks (Cook et al., 2018). Such patients will learn more about the necessary lifestyle...
Mr. K., a man of 57 years, arrived with a suspicion of peripheral atherosclerosis. His symptoms include marked leg pains while playing golf, increased fatigue and discomfort in his legs, and reddening of the lower extremities and feet numbness if sitting for prolonged periods with his legs dangling. There are...
Introduction Anemia of chronic diseases is a group of anemias that occurs with a long course of various chronic infectious, inflammatory, oncological, and autoimmune diseases and having the features of iron deficiency. In the development of the disease, a set of factors of iron metabolism play a role, as a...
The work of medical staff includes assessing patient health parameters and reaching final verdicts. In this case, the choice of specific practices, diets, and exercises should be justified by the individual characteristics of the patient. The clinical picture of the disease should consist not only of biological health indicators but...
What is Arterial Insufficiency? Any condition slowing or stopping blood flow Arteries are the affected vessels Arteries transport blood from the heart to body parts This leads to decreased blood flow Arteries are blocked or narrowed Arterial insufficiency is a blood condition characterized by decreased or lack of flow of...
Introduction Patients with hypertension comprise one of the most populous and vulnerable groups (Dasgupta et al., 2014). 20% of the population in the U.S. suffers from this condition. Center for Community Health and Evaluation (2017) state that adequate management of hypertension relieves patients from further complications. However, less attention has...
Ms. A. is suffering from hypochromic, microcytic anemia (Siegenthaler & Aeschlimann, 2007). Normally, the body of such a patient cannot meet the demand for iron because of dietary deficiency, chronic blood loss, or defective absorption (Nayak, 2008). This type of anemia is characterized by absent or low levels of iron,...
Introduction Hypertension is a major issue. It is difficult to diagnose but can have disastrous consequences, including those related to cardiovascular illnesses, eye damage, kidney disease, and so on (NIH, 2018). However, hypertension can be prevented because many of its risk factors are modifiable (Campbell & Niebylski, 2014; CDC, 2018)....
Introduction There are many health conditions that develop as a person is aging and most of them are considered to be inevitable. Nevertheless, many of them can be prevented in case the risk of having them is identified. For example, the participant under consideration is likely to develop hypertension because...
Congestive heart failure (CHF) is an issue that presents multiple health constraints. The solution of the telehealth monitoring system is the focus of the proposed health plan targeted at decreasing readmission rates and increasing patient compliance. The current design proposal will focus on providing a change model overview, outline the...
In the case of Mr. P., the situation is complexified by his age and the fact that his spouse is unable to leave the house. Also, he seems to be in a frustrated state of mind. The approach that is to be taken should, firstly, stabilize the client so that...
Disorders of the cardiovascular system include diseases of blood vessels and the heart. These conditions are commonly treated with four categories of medications: diuretics, angiotensin-converting enzyme (ACE) inhibitors, calcium channel blockers, and vasodilators. This paper will discuss the difference between the four mentioned types of medications. After that, an example...
C.D is an African American patient in his mid-fifties who has visited his primary care provider complaining of headache and chest pressure, which have persisted for the last two days. Upon being interviewed, he says that he has been smoking a pack of cigarettes daily for the last fifteen years...
Introduction In diagnosis and treatment, the topic of hypertension plays a vital role because it represents a health issue contributing to a variety of other problems. Hypertension occurs when the long-term force of the blood against the walls of the arteries is high; moreover, the higher amounts of blood the...
Patient Initials: N. S., a 52-year-old male. Subjective Data Chief Complaint: The patient reports vertigo, shortness of breath, and palpitations. History of Present Illness: Heart palpations associated with exercising are observed for some time, and they cease when resting. Shortness of breath was observed two days ago, but the associated...
Introduction Advanced Practice Nurse intervention is an essential tool in evaluating and assessing clinical problems with an application of nurse care. The primary purpose of the given APN pilot project is to overview and analyze the methodologies and approaches of cardiovascular diseases. Chronic heart failure (CHF) is today one of...
Background Information for the PICOT The chosen PICOT question targets the issue of congestive heart failure (CHF) and costs effective approaches to mitigating it. CHF is a condition that primarily affects older individuals and often leads to death. Moreover, CHF patients frequently are readmitted to hospital units for monitoring. These...
Congestive heart failure (CHF) is a considerable bother for healthcare both in the US and internationally. CHF treatment is associated with an increased number of hospital readmissions, especially for older adults, which leads to additional health costs. However, according to Hasanpour-Dehkordi, Khaledi-Far, Khaledi-Far, and Salehi-Tali (2016), multidisciplinary disease management programs...
Introduction Diabetes is one of the most common metabolic disorders in the world. Its development is largely defined by multiple environmental and genetic factors. However, unhealthy lifestyle patterns such as a poor diet and the lack of physical activity contribute to the progression of diabetes the most. When not controlled...
The case study is focused on an 82-year-old female patient who suffers from several chronic conditions, including congestive heart failure and hypertension. She also has a difficult home situation since her husband died recently, and she lives alone now. Upon discharge from the hospital, it is essential to outline the...
The Healthy People 2020 initiative is an official resource that provides evidence-based goals for enhancing the health of Americans. One of the topics covered by this resource is heart disease and stroke assigned a national priority in the US. It should be noted that this disease belongs to preventable ones,...
Introduction Cardiovascular-diseases are becoming more prevalent in the United States, affecting the quality of life and increased the risk of adverse events. Hypertension is commonly associated with a range of co-morbidities. Certain populations may be more affected by race, age, and lifestyle, which impact health management practices. This report discusses...
Introduction The adult patient selected for this plan is likely to develop coronary artery disease (CAD) due to her lifestyle choices and family history. The patient’s parents have a health history of high cholesterol, which predisposes her to CAD. Additionally, the patient smokes, eats unhealthily especially at work, has a...
Prevalence Congestive heart failure (CHF) is a critical public health problem that is prevalent worldwide in terms of mortality and morbidity. Despite the progress in the study of its pathogenesis, diagnostics, and treatment, the outcomes of patients with CHF remain unfavorable (Ambrosy et al., 2014). According to the results of...
Hypertension is a condition that most people often disregard as not dangerous or fail to notice. However, it affects many people throughout the world and can lead to adverse patient outcomes if left unattended. Furthermore, hypertension generally cannot be treated in the long term using medical interventions. As such, the...
Introduction First of all, it is necessary to ascertain the specific nature of the abnormalities that affect the patient. Chest pains may result from a variety of complications, which demand different approaches and treatments. It is also essential to understand the overall condition of the patient to determine whether he...
Introduction Atherosclerosis is the most common form of arteriosclerosis, which is a general term for several diseases that cause thickening and loss of elasticity of the arterial walls. Atherosclerosis is also the most serious and clinically significant form of arteriosclerosis, as it causes coronary heart disease and cerebrovascular disease. Atherosclerosis...
Caring for the patient should comply with the treatment plan for patients with congestive heart failure (CHF). In addition to standard medical intervention, a patient-centered approach is to be applied since this type of care gives medical specialists an opportunity to help people cope with depression caused by their bad...
Introduction In this research, the focus is on studying the relationship between following a specific diet by patients with congestive heart failure and changes in their readmission rates. In order to determine the relationship, it is necessary to apply an experimental research design and analyze data with the help of...
Research Topic for the Proposal The education of older adults suffering from hypertension is potentially effective in the fight against this disease. Nursing interventions aimed at increasing health literacy among patients may be useful as one of the methods for normalizing blood pressure and improving well-being. At the same time,...
Abstract Hypertension is a condition that affects many elderly people and has a variety of risk factors, including BMI, smoking, and low physical activity level. Addressing these common risk factors could help to prevent the development of hypertension in the elderly. However, the vast part of research on patient education...
The article by Pals et al. (2015) throws light on patients’ and physicians’ perceptions regarding the use of the Cardiovascular Autonomic Neuropathy (CAN) test. This technology is aimed at measuring heart rate variability. In this study, patients who have diabetes have been interviewed, as well as care providers monitoring their...
Subjective Data: The patient is a 52-year-old male who presents with fatigue after being hospitalized for two weeks for stent placement. Chief Complaint: The patient states that his heart has been “racing” (Case Study, n.d.). History of Present Illness: The man is physically active. He had palpitations caused by exercise....
Patient Initials Not Given Subjective Data: 52-year-old, Irish American Male, 2-miles walks daily, 3-times exercise bicycle weekly Chief Complaint: lightheadedness, palpitations in the heart, shortness of breath the last two days History of Present Illness: palpitations associated with the exercises which went away with rest, shortness of breath, and the...
Introduction Based on previous assessments it can be concluded that one preventable disease that the adult participant can prevent is hypertension. The condition is notable due to the fact that it can develop without specific symptoms; however, the impact it has on a person’s heart is vast and can lead...
Patients with congestive heart failure (CHF) often have to be readmitted to the hospital after being treated. This issue puts patients’ health at risk and destabilizes hospitals, forcing them to distribute additional resources and staff to care for returning clients. To resolve this problem, organizations can implement an early discharge...
Introduction There are many illnesses the treatment for which has not been found yet. Some of these diseases are rather serious, whereas others are considered not to be life-threatening but may have severe complications. One of such disorders is hypertension: it is not counted as a very serious problem, but...
Heart Disease among African Americans Problem Heart disease (HD) is currently proven to be the primary cause of death among the U.S. population (Buxbaum & Ruberg, 2017). Although the specified condition affects all members of the American population, representatives of the African American community suffer to the greatest extent from...
Mr. P is an elderly patient suffering from heart failure (HF) and edema. It is difficult for him to manage the condition independently and, living only with his wife, whose psychological state became negatively affected by the patient’s multimorbidity, he does not have a lot of support sources. The spouses...
Introduction The patient under consideration is an adult woman aged 45. She is obese with a BMI of 37.4 and a 22-year history of smoking. Also, the patient has type II diabetes mellitus and primary hypertension. Moreover, she has been diagnosed with chronic bronchitis. Currently, she observes clinical manifestations typical...
This case describes an anamnesis of a patient with congestive heart failure (CHF). A 76-year-old male cannot properly follow a prescription and fails to go on a diet. He suffers 4+ pitting edema, moist crackles throughout lung fields, and labored respiration. His wife cannot handle all responsibilities associated with medical...
Specific Diagnosis Myocardial Infarction of unspecified site. ST-Elevation Myocardial Infarction (STEMI) is referred to the clinical presentation of the ST-segment elevations. The patient’s major arteries are blocked, and the ECG detects abnormalities. The ST segment is the flat, isoelectric section of the ECG between the end of the S wave...
How would you diagnose and manage this 17-year-old male whose symptoms include palpitations, fever, and malaise? Fever, chest pain and palpitations are three of the most common symptoms among patients who address emergency departments (ED) (Perkins & Liang, 2017). For this reason, there is a wide array of possible etiologies...
Approach to Care The process of managing the needs of patients with CHF is complicated extensively by the fact that CHF is a chronic disease (Baudendistel et al., 2015). In the case under analysis, the lack of financial support and health complications have led to the development of severe psychological...
What is the Problem? Ineffective coping with a disease and the lack of support at home. How Important is the Problem? The problem is acute as the patient has a history of chronic congestive heart failure that might occur at any moment. What is the Substantiating Evidence? Sallie Mae has...
R505 Advanced Research Methods Author (year) Purpose Sample/Number of Participants (provide descriptive statistics) Design Level of Evidence Findings (provide any inferential statistics) Limitations Cronberg, Horn, Kuiper, Friberg , & Nielsen, 2013 To describe and analyze the efficiency and applicability of cooling measures and therapeutic hypothermia (TH) in neurological assessment. 950...
Nursing Diagnosis Heart diseases are identified as a health risk affecting Cuban Jews in Miami, Florida. There are different types of diagnostic methods for heart conditions, such as an electrocardiogram (ECG), sonograms, and chest x-rays (Lindenfeld, 2010). However, this paper focuses on sonograms as the main diagnostic method for the...
Initial Differential Diagnoses According to Miguel’s symptoms and complaints, he was likely to have heart problems such as heart attacks. Taking into consideration the type of pain that he had, we can also suggest that he had a cardiac neurosis. What is more, it could be intercostal neuralgia that is...
Presentation Planning and Delivery There are many ways in which a presentation can be made. The oral presentation is one of the most effective and comprehensive manners of information delivery. It is a more interactive way of communication than a written presentation. In particular, the oral presentation is beneficial because...
Diabetes is regarded as a serious disorder that can lead to chronic micro- and macrovascular complications. Patients who are diagnosed with diabetes mellitus type 2 often die from silent myocardial infarction and heart failure. Glycemic control is usually associated with a positive effect and reduces microvascular complications, but the macrovascular...
Cardiovascular diseases are known to produce devastating symptoms that result in emergencies. One of these conditions is called acute coronary syndrome (ACS). The disease occurs when the human heart receives low volumes of blood. Some of the unique signs of ACS include heart attacks and unstable anginas. Within the past...
Since reducing the cardiac morbidity and mortality rates is recognized as the task of paramount importance, proper STEMI patient care becomes the cornerstone of hospitals’ activities (Lawson et al., 2014). Kendall Regional Medical Center (KRMC) is not an exception: following the recommendations provided by the American Heart Association (AHA), it...
Abstract The essay is dedicated to the assessment of cardiac and peripheral vascular systems. The most effective methods are described. The essay specifies the ways and circumstances in which the assessment should be performed. The preferred approaches for future practice are delineated. The essay also establishes the benefits for the...
Introduction Mr. P is a 76-year-old male diagnosed with cardiomyopathy and congestive heart failure. Frequently hospitalized, he suffers from 4+ pitting edema, moist crackles throughout lung fields, and labored breathing as well as symptoms of depression. Additionally, the patient struggles with his diet restrictions and polypharmacy. The patient’s wife is...
Ethical Issues Ethical issues should be a primary concern of any research in nursing and medicine. It is considered that “the welfare of any participant within a research study should take precedence over the advancement of science” (Greany et al., 2012, p. 38). Thus, ethical principles should be regarded at...
The investigations of congestive heart failure (CHF) at the beginning of the 2000s showed the increasing number of cases among adult patients with 300,000 deaths per 1,000,000 patients annually (Scott & Winters, 2015). The numbers are impressive, and many researchers continue investigating the field in order to find out new...
The article was written by Theodosios Stavrianopoulos, an infection control nurse working in General Hospital of Pyrgos Ilia, Greece. It was published in the Health Science Journal in 2016. The article was meant to address the impact of a nurses-led telephone intervention program on the quality of life in patients...
Abstract The paper describes the need for educational measures in relation to elderly patients with hypertension and the possibility of preventing cardiovascular diseases through appropriate implementations. The PICOT question is used as a research base. As methods of implementing the plan, special courses will be organized for the vulnerable population,...
Article Summary The article studies the issue of hypertension, more specifically, the rate of patient awareness, level of available treatment, and control. According to the authors, hypertension remains among the leading causes of mortality and morbidity worldwide. At the same time, the data which could be used to systematically assess...