Scenario: 76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now must sleep on two pillows to get enough air. 

Resources to use:

• Cance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
  • Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review
  • Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review
  • Chapter 35: Structure and Function of the Pulmonary System; Summary Review 
  • Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery  hypertension); Summary Review
• Inamdar, A. A. & Inamdar, A. C. (2016). Heart failure: Diagnosis, management, and utilizationLinks to an external site., 5(7). doi:10.3390/jcm507006

Pneumonia

• MedCram. (2015, September 14). Pneumonia explained clearly by MedCram.comLinks to an external site. [Video file]. Retrieved from https://www.youtube.com/watch?v=nqyPECmkSeo

In your Case Study Analysis related to the scenario provided, explain the following:

1. The cardiovascular and cardiopulmonary pathophysiologic processes result in the patient presenting these symptoms.
2. Any racial/ethnic variables that may impact physiological functioning.
3. How these processes interact to affect the patient.

A paragraph or two per question asked in the scenario and at least three current primary references are needed to support your points (peer-reviewed current articles, classroom textbook)

 

Week 1 Learning Exercise Analysis: Ethical Issues/Legal and Legislative Issues

Solve one of the following Learning Exercises from Huston’s Leadership Roles and Management Functions in Nursing, 11th edition.

• Learning Exercise 4.2 (page 85)
• Learning Exercise 4.7 (page 96)
• Learning Exercise 4.10 (page 98)
• Learning Exercise 5.2 (page 109)
• Learning Exercise 5.8 (page 126)
• Learning Exercise 5.9 (pages 126-127)

  

Week 6 Critical Appraisals of One (1) key study (2 to 3-pages) excluding first page and references and Appendices.

Article to write on

 ” Relevance of Depression among adolescents in the American society”

 Learning Objectives: 2, 5, 6To ensure students utilize quality studies and research, the implementation of a Rapid Critical Appraisal (RCA) can assist in evaluating key research information to determine its strength and reliability.Objectives: The purpose of this assignment is for students to select an RCA that best applies to current research, a study, or other evidence, to validate its content. Utilize one of the RCAs made available in Week 6, or an RCA of their own choosing. Readings – Beginning in Week 5, please read:

1. Melnyk &      Fineout-Overholt (2014) Chapters 4-6
2. Optional:      Explore other sites and tools for other RCAs

Preparation

1. Choose a Rapid      Critical Appraisal from Melnyk & Fineout-Overholt. Alternatively, you      can choose an RCA from another source but you must share that source.
2. Evaluate a      chosen article using the selected RCA.
3. Prepare your      paper (2-3 pages).  For submission, title your file:  “Last      Name_RCA”
   1. Construct your       2-3 page paper based on rubric criteria.
   2. Attach your       RCA as an Appendix (APA format)
   3. Don’t forget       your APA format and references!

SOCIAL DETERMINANTS OF HEALTH

Introduction: Use Walden White paper or the CDC 

According to the Centers for Disease Control and Prevention (2022), “Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life… SDOH are one of three priority areas for Healthy People 2030, along with health equity and health literacy. Healthy People 2030 sets data-driven national objectives in five key areas of SDOH: healthcare access and quality, education access and quality, social and community context, economic stability, and neighborhood and built environment. Some examples of SDOH included in Healthy People 2030 are safe housing, transportation, and neighborhoods; polluted air and water; and access to nutritious foods and physical health opportunities”. 

https://www.cdc.gov/about/sdoh/index.html

To Prepare:

· Reflect on the concept of social determinants of health as presented in the resources. 

· Contemplate whether digital inclusion or broadband access should be added to the 5 key areas of social determinants of health.  

· Using the optional outside resources or other peer reviewed journal articles, consider how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health.  

Post a description of your views on whether or not digital inclusion or broadband access should be added as a key area to the social determinants of health. Be specific and provide examples that support your position. Explain how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health. Support your explanation with the required or optional resources.   

LEARNING RESOURCES

Required Readings

· McGonigle, D., & Mastrian, K. G. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)

· Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)

· Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)

· Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)

· Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)

· Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). 
Broadband internet access is a social determinant of health!Links to an external site.. 
American Journal of Public Health, 
110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784 

· Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). 
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study
 Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. 
Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

· HealthIT.gov. (2018c). 

What is an electronic health record (EHR)?Links to an external site.
 Retrieved from 
https://www.healthit.gov/faq/what-electronic-health-record-ehr

· Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). 
Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site.. 
Pain Management Nursing, 19(3), 212–221. 

· Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). 
Digital inclusion as a social determinant of healthLinks to an external site.. 
NPJ Digital Medicine, 
4(1), 52.  https://doi.org/10.1038/s41746-021-00413-8 

· Skiba, D. (2017). 
Evaluation tools to appraise social media and mobile applicationsLinks to an external site.. 
Informatics, 4(3), 32–40. 

· Sharma, P., & Patten, C. A. (2022). 
A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site.. 
Permanente Journal, 
26(3). https://doi.org/10.7812/TPP/21.156 

Initial Post Instructions

First, let’s differentiate all the detailed vocabulary about all these cells we learned this week. When looking under microscope what structural differences would you see between two types of cells.

Now choose ONE cellular component (e.g. a part of a cell) that is found only in bacteria. Discuss what its role is.

-OR-

Choose ONE cellular component that is only found in eukaryotes. Discuss what its role is.

For your second post, comment on a peer’s post. If they chose a prokaryotic cellular structure, please share whether or not you think that structure would be a good target for antibiotics and why?

If your peer chose an eukaryotic cellular target, I want you to think about evolution and the endosymbiotic theory. The endosymbiotic theory states that mitochondria and chloroplasts were initially free living organisms that entered larger cells through endocytosis, but were not digested. What is the evidence, and are you convinced? Why or why not?