Nurs 6551 week 10 discussion

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Discussion: Diagnosing and Managing Common Cardiovascular and Neurologic Conditions

Cardiovascular and neurologic conditions are among the leading causes of death and hospitalization of women in the United States (Centers for Disease Control and Prevention, 2008a). As an advanced practice nurse, you must routinely monitor patients at risk of these conditions and recommend the appropriate health screenings and preventive services. When assessing patients for these conditions, it is important to keep in mind that while some female patients might present with typical signs and symptoms, others might present with atypical signs and symptoms that are unique to women. For this Discussion, consider signs and symptoms presented by the women in the following case studies and develop differential diagnoses:

Case Study 1

A 48-year-old overweight African American female is in the clinic for a wellness visit. A routine fasting lipid panel returned with the following results:

·        Total cholesterol: 305 mmol/L

·        Low-density lipoprotein (LDL): 180 mg/dl

·        High-density lipoprotein (HDL): 30 mg/dl

·        Triglycerides: 165 mg/dl

Case Study 2

You are seeing a 63-year-old African American female for a two-week history of intermittent chest pain. The pain varies in intensity and resolves with rest. She does not believe it has increased over time. She is a nonsmoker with a history of hypertension treated with Lisinopril 10 mg once daily. She had an exercise stress test one year ago that was within normal limits. Her physical exam findings are as follows: HR–90, BP–150/92, R–22, O2Sat 98% RA; lungs: clear to auscultation bilaterally; cardiovascular: apical pulse of 90 RRR, no rubs, murmurs, or gallops. Chest wall mildly tender to palpation that reproduces her complaint of pain. Extremities include no clubbing, cyanosis, or edema. The remainder of the exam is within normal limits.

Case Study 3

A 32-year-old Asian American female is in the clinic for a history of recurrent headaches for the past year, occurring monthly, lasting up to 12–18 hours. The headaches are sometimes associated with photophobia, nausea, and vomiting. She takes either acetaminophen or ibuprofen for relief that is not always successful. She uses Ortho Tricyclin for birth control. Her physical exam is within normal limits.

To prepare:

·        Review Chapter 8 of the Tharpe et al. text and the McSweeney et al. article in this week’s Learning Resources.

·        Review and select one of the three provided case studies. Analyze the patient information.

·        Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

·         

·        Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.

·        Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.

 

Post at least 250 words

1.     an explanation of the differential diagnosis for the patient in the case study you selected.

2.     Explain which is the most likely diagnosis for the patient and why.

3.     Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments.

 

4.     Finally, explain strategies for educating patients on the disorder.

Select a Grand or Mid-Range Theory that is appropriate to your practice setting

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Select a Grand or Mid-Range Theory that is appropriate to your practice setting

Nursing Theory Analysis Paper Overview/Description: The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below. Theory/Author Name and Background Select a Grand or Mid-Range Theory that is appropriate to your practice setting. Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development. Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory. Identify the phenomenon of concern or problems addressed by the theory. Theory Description Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion. Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory? Interpret how the concepts are defined. Implicitly or explicitly? Examine the relationships (propositions) among the major concepts. Evaluation Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build? Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why? Discuss the clarity of the theory. Did it have lucidness and consistency? Application Examine how the theory would guide nursing actions. Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration). Download

 

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Described the final outcome and categorized it as a flow state, peak performance, and/or peak experience, providing rationale.

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Discussion Questions
Submit your response to the question to the  Discussion Area by the due date assigned. Through the end of the module, comment on the responses of others.
You will be attempting two discussion questions in this module worth 28 points each.
Discussion Question 1
Optimal Experience
Describe a time in which you had an optimal experience in sport. Provide details of the situation that led up to the optimal experience and what the resulting consequences were in terms of your performance. Also clarify and elaborate on the extent to which your optimal experience was a flow state, peak performance, and/or peak experience according to how each of these are defined.
Evaluation Criteria for Discussion Question Response:
Described the final outcome and categorized it as a flow state, peak performance, and/or peak experience, providing rationale. [8 points]Clarified and elaborated on the extent to which your optimal experience was a flow state, peak performance, and/or peak experienceaccording to how each of these are defined. [8 points]
Discussion Question 2
Psychological Skills to Achieve Peak Performances
Based on your experiences as an athlete and/or coach, what psychological skills do you believe are most critical to achieve peak performances in sport more consistently? Are there any psychological skills mentioned in this module that you have attempted to use to enhance your performance that did not work for you? Provide an explanation why you think the use of those particular psychological skills did not facilitate your performance
Evaluation Criteria for Discussion Question Response:
Identified and described the psychological skills you believe are most critical to achieve peak performances in sport more consistently. [8 points]Described experiences where the psychological skills mentioned in this module that you used to enhance your performance did notwork for you and explained why you believe they failed to do so. [8 points]
All written assignments and responses should follow APA rules for attributing sources.
Assignment 2 Grading CriteriaMaximum PointsDiscussion Question Response:Please see specific evaluation criteria listed below each discussion question.16×2Discussion Participation:Participated in the discussion by asking a question, providing a statement of clarification, providing a point of view with rationale, challenging a point of discussion, or making a relationship between one or more points of the discussion.4x2While responding, justified ideas and responses by using appropriate examples and references from texts, Web sites, and other references or personal experience.4x2Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources, displayed accurate spelling, grammar, and punctuation.4×2Total:56

Which statements are true about atmospheric circulation

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Which statements are true about atmospheric circulation patterns?

Wind is another name for atmospheric circulation patterns.
Atmospheric circulation patterns keep the temperature of an area constant.
Atmospheric circulation patterns are often responsible for hurricanes.
Wind that moves from west to east is called a westerly.
Air circulation patterns generally follow a straight line.
Winds move easily across the plains.