Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children. In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.
In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Identify and describe at least four medical and/or nursing interventions.

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As a group, observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).
Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.
Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:
Essay Portion
After viewing the home visit, write an essay of 500-750-words in which you do the following:
1. Identify, prioritize, and describe at least four problems.
2. Provide substantiating evidence (assessment data) for each problem identified.
3. Identify and describe at least four medical and/or nursing interventions.
4. Discuss your rationale for the interventions identified.

Discuss the mechanism of action of these two drugs, and relate to the underlying pathogenesis of an acute exacerbation of chronic left-sided heart failure.

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Concept Map (500 words)
• The concept map must be computer generated.
• When researching the topic, use the pathophysiology template that is on the unit vUWS site to assist you in organising your information. The template will also assist in identifying key concepts and their relationships.
• Concept boxes should have titles with relevant content summarised within the box.
• The summarised content may be in point format and size 10 font (Arial or Times New Roman) may be used on the concept map.
• Concept boxes must be linked using lines and linking words/phrases to demonstrate logical relationships between concepts.
• For conciseness, numbers may be used to replace traditional APA referencing within concept boxes. If you use numbers, you must include a reference list in numerical order, corresponding to your references immediately after the concept map.
• Critical thinking and creativity are essential components of the concept map. The map design needs to be visually stimulating.

Guided Questions (1000 words)
Case study
Mrs Brown, a 78 year-old female, was admitted to the Emergency Department at 6am after waking up with severe breathlessness. Her family informed you that the patient has a history of heart failure that had been diagnosed two years ago. On admission to the Emergency Department the clinical manifestations were:
• Severe dyspnoea
• Respiratory rate of 24 breaths/minute
• SpO2 85%, on room air
• BP 170/95mmHg
• Pulse rate of 120 beats/minute • Auscultation of lungs identifies bilateral basal crackles
Mrs Brown was connected to an ECG monitor that showed atrial fibrillation. A diagnosis of acute exacerbation of chronic left-sided heart failure was made.
Question 1. (500 words)
Explain the pathogenesis causing the clinical manifestations with which Mrs Brown presented.

Question 2. (200 words)
Discuss two high priority nursing strategies to manage Mrs Brown and provide evidence-based rationales for these strategies.

Question 3. (300 words)
Two of the drugs that were given to Mrs Brown were IV furosemide and sublingual glyceryl trinitrate.
a. Discuss the mechanism of action of these two drugs, and relate to the underlying pathogenesis of an acute exacerbation of chronic left-sided heart failure. And,
b. Describe the nursing implications (monitoring for and responding to adverse effects, and evaluating therapeutic effect) when administering these two drugs to a patient with an acute exacerbation of chronic left-sided heart failure.

Briefly discuss your chosen patient’s presenting condition in relation to their diagnosis (i.e. why they came to into hospital), cause of the condition, the reasons the patient may be susceptible i.e. risk factors & complications of the condition.

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Case Study 2: Alan Jones Alan Jones is 60 year old man who was admitted to hospital for surgery following urinary symptoms that led to a diagnosis of benign prostatic hyperplasia (BPH). He has a history of obesity and type 2 diabetes mellitus. Alan lives alone but his adult son is with him on admission and reports that his father drinks a lot of alcohol (at least a bottle of wine per night). Alan was taken to surgery and underwent a transurethral resection of the prostate (TURP) under spinal anaesthesia. After 2 hours in the post-anaesthetic recovery room (PARU) he was transferred to the ward. He has continuous bladder irrigation via a three lumen urethral catheter. His urine contains large blood clots. PRESENTATION TO THE WARD: On return to the ward Alan’s observations are as follows: • Respirations 30 breaths per minute • BP 160/90mmHg • Pulse 128bpm • Temperature 35.0o C. • Pain score 0/10 It is planned for Alan to be discharged after two days on the ward. QUESTIONS TO BE ADDRESSED In relation to Alan Jones: • Discuss the aetiology and pathophysiology of the patient’s presenting condition (LO1; LO3) • Critically discuss the underlying pathophysiology of the patient’s post-operative deterioration. Prioritize, outline and justify the appropriate nursing management of the patient during this time (LO1; LO2; LO3; LO5: LO6) • Identify three (3) members of the interdisciplinary healthcare team, apart from the primary medical and nursing team, who you would involve in the care of the patient before their discharge and provide justification for their involvement. (LO1; LO4: LO5; LO6)

Briefly discuss your chosen patient’s presenting condition in relation to their diagnosis (i.e. why they came to into hospital), cause of the condition, the reasons the patient may be susceptible i.e. risk factors & complications of the condition. You are not required to discuss the surgical procedure but you need to show you understand it in the care of the patient.  Prioritise your patient’s needs. Think about Airway Breathing Circulation Disability. Which of your patient’s needs come first e.g. pain is in D (disability). What comes before that you need to address?  Link the changes that the patient is experiencing in the ward to the presenting condition and the effects of surgery and anaesthesia.  Discuss the reason for the changes in the patients vital signs with references e.g. low blood pressure – what could have caused this in your patient?  Discuss how you would manage each of the abnormal vital signs in priority order needs. What do you need to do?  Identify three specific members of the MDT you might refer the patient to during their admission. You are not required to discuss the role of the multidisciplinary team who would normally care for the patient e.g. surgeon, nurses etc.