Filter By:

Sort By:

Reset Filters

Congestive Heart Failure Essays (Examples)

Having trouble coming up with an Essay Title?

Use our essay title generator to get ideas and recommendations instantly

Congestive Cardiac Failure
Words: 1248 Length: 4 Pages Document Type: Term Paper Paper #: 93034941
Read Full Paper  ❯

Congestive Cardiac Failure: Nursing Perspective

Congestive heart failure is a congenital condition that affects millions of American's every year. Heart failure often manifests in a chronic condition for victims of the disease.

There are several nursing interventions important for control and maintenance of the condition. Congestive heart failure can result in serious complications including edema, respiratory disorders and can lead to premature death. Treating congestive heart failure appropriately is critical to a patient's outcome. Perhaps even more critical to a patient's outcome is patient education targeted at prevention and healthy living. Nursing management of the condition depends upon appropriate medical evaluation, medication administration, monitoring and patient education. These ideas are explored in greater detail below.

Congestive heart failure is often congenital in nature. Congestive heart failure usually manifests when the cardiac muscle is old and tired and stops circulating properly. This may result from damage to the heart; alternatively myocarditis…

References

AMA. (2004). "Congestive Heart Failure." American Heart Association, Inc. {Online} Available:  http://www.americanheart.org/presenter.jhtml?identifier=4585 

Adomeit, A; Baur, A; Salfeld, R. (2001). "A New Model for Disease Management." The McKinsey Quarterly.

Antoni, M; Ironson, G; Saab, P; Schneiderman, N. (2001). "HEALTH PSYCHOLOGY: Psychosocial and Biobehavioral Aspects of Chronic Disease Management." Annual Review of Psychology

Arocha, J; Patel, V. (1995). "Novice Diagnostic Reasoning in Medicine: Accounting for Evidence." Journal of the Learning Sciences, Vol. 4

Congestive Cardiac Failure Mr Ward Is a
Words: 2011 Length: 6 Pages Document Type: Case Study Paper #: 2196173
Read Full Paper  ❯

Congestive Cadiac Failue

M Wad is a 71-yea-old male who epots feeling a non-adiating, "heavy" discomfot in the lowe etostenal and epigastic egion paticulaly when he bends ove o walks shot distances. He also epots a futhe 7 days of dyspnoea duing modeate exetion. On examination his blood pessue was 165/95 mm HG, pulse 90 -100 bpm, espiatoy ate of 24 with inspiatoy cackles at both lung bases.

The following blood tests whee odeed: a full blood count (FBC), Uea Electolytes and Ceatinine (UEC), Live Function Tests (LFT), CK and Toponin. All esults wee within nomal limits.

An Ateial Blood Gas was also collected esulting in: pH [HIDDEN], pCO2 38.7mmHg, PO2 69.8mmHg, HCO3 24.0mmol/L, BE -0.7mmol/L and O2 SAT 89.3%

M Wad also has an ECG that showed nomal sinus hythm, and a chest x-ay showing cadiac enlagement and lowe-lobe infiltates, suggesting the pesence of acute exacebation of congestive cadiac…

references  http://www.umm.edu/patiented/articles/what_causes_congestive_heart_failure_000013_2.htm 

 http://www.medicinenet.com/congestive_heart_failure/page4.htm 

 http://my.clevelandclinic.org/heart/services/tests/labtests/bnp.aspx   http://www.lef.org/protocols/heart_circulatory/congestive_heart_failure_05.htm 

 http://www.heartfailure.org/eng_site/hf_signsympt.asp   http://epublications.bond.edu.au/cgi/viewcontent.cgi?article=1228&context=hsm_pubs 

 http://www.netdoctor.co.uk/health_advice/examinations/ecg.htm

Treatment of Heart Failure in Nursing Home Residents
Words: 1274 Length: 3 Pages Document Type: Essay Paper #: 18136259
Read Full Paper  ❯

Treatment of Heart Failure in Nursing Home Residents

Heart failure (HF) symptoms may occur because of systemic and pulmonary congestion, structural defects arising on account of HF, structural defects leading to HF, or from treatment complications. At first, studies addressing the issue of heart failure focused on HF patients and decreased left ventricular contraction. As a result, therapies were tested within this patient cluster. This patient cluster's agreed description is HF with LVSD (left ventricular systolic dysfunction) (NCGC, 2010).

In order to treat chronic HF, non-pharmacological as well as pharmacological therapy ought to be utilized for patients. While this condition is quite frequently witnessed among patients living in nursing homes, whether the suggestions put forward in the pharmacological therapy guidelines are implemented within this cluster of patients is unclear (Daamen, et al., 2016).

Issue

Owing to the lack of awareness of the precise prevalence of chronic HF, this phenomenon is…

Bibliography

Barents, M., Horst, V., Voors, A., Hillege, J., & Jongste, M. (2008). Prevalence and misdiagnosis of chronic heart failure in nursing home residents: the role of B-type natriuretic peptides. Neth Heart J., 123 -- 128.

Davidson PM, Cockburn J, Newton PJ, et al. (2010). Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients? Eur J. Cardiovasc Prev Rehabil. 2010;17:393 -- 402

Dinkelaker S. (1999) Can A Nurse-Managed Medication Discharge Planning and Follow-Up Program Affect Readmission Rates of Patients with a Diagnosis of congestive Heart Failure?

Daamen, M., Hamers, J., Gorgels, A., Tan, F., Schols, J., & Rocca, H. (2016). Treatment of heart failure in nursing home residents. J Geriatr Cardiol., 44 -- 50.

Management of Left Ventricular Heart
Words: 3436 Length: 12 Pages Document Type: Essay Paper #: 90872428
Read Full Paper  ❯

(NHS Institute for Innovation and Improvement, 2008)

The Angiotensin-converting enzyme inhibitors are stated to be "recommended as first-line treatment in all people with left ventricular systolic dysfunction (LVSD) "with or without symptoms of heart failure." (NHS Institute for Innovation and Improvement, 2008) Additionally it is stated that strong evidence exists that ACE inhibitors "...increase life expectancy in people with LVSD and reduce the risk of hospitalization -- the effect is greatest in those with more severe LVSD or more severe symptoms, but benefit occurs for all degrees of severity." (NHS Institute for Innovation and Improvement, 2008)

Prescribed for individuals who are intolerant of ACE inhibitors due to cough are

Angiotensin-II receptor antagonists which provide an alternative to angiotensin converting enzyme (ACE) inhibitors." (NHS Institute for Innovation and Improvement, 2008) There is stated to be evidence that AIIRAs supports life expectancy improvement and symptoms for those with heart failure due to…

Bibliography

Clinical Practice Guideline for Heart Failure Due to Left-Ventricular Systolic Dysfunction (2000) Kaiser Diagnostic and Treatment Documents. February 2000. Online available at: http://*****/cajud/heart/leftven.html

Heart Failure: Age from 16 Years Onwards (2008) Clinical Knowledge Summaries. NHS Institute for Innovation and Improvement. Online available at: http://www.cks.nhs.uk/heart_failure_chronic/evidence/references#

NHS Confederation and BMA (2005) New GMS contract. Department of Health. www.dh.gov.uk.

NICE (2002) Guidance on the use of nicotine replacement therapy (NRT) and bupropion for smoking cessation. Technology appraisal no.39. National Institute for Health and Clinical Excellence. www.nice.org.uk [Accessed: 19/06/2007]. [Free Full-text]

Mortality Morbidity Heart Conditions
Words: 736 Length: 2 Pages Document Type: Essay Paper #: 48574328
Read Full Paper  ❯

Care Plan

Morbidity and Mortality Statistics:

Hypertension affects around 1 in 3 Americans and according to the CDC only 52% of people have this condition under control (CDC.gov, 2016). In older men, two-thirds have hypertension, and one-third of white men have hypertension. There are nearly 1000 deaths from hypertension daily in the United States, around 360,000 per year. Hypertension is related to first heart attacks, strokes and chronic heart failure.

The patient also suffers from orthostatic hypotension, which is when blood pressure drops when going from a lying or sitting position to standing. The largest risk for elderly people is the increased risk of falling that this brings. The patient may have fallen because of this condition. It is caused by, or linked to, high blood pressure and prolonged bed rest, as well as other conditions not faced by this patient. Anemia or vitamin B12 deficiency is another potential contributor…

References

CDC.gov (2015). Postural hypotension. CDC.gov. Retrieved May 14, 2016 from  http://www.cdc.gov/steadi/pdf/postural_hypotension-a.pdf 

CDC.gov (2016). Atrial fibrillation fact sheet. CDC.gov. Retrieved May 14, 2016 from  http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_atrial_fibrillation.htm 

CDC.gov (2016) Heart disease facts. CDC.gov. Retrieved May 14, 2016 from  http://www.cdc.gov/heartdisease/facts.htm 

CDC.gov (2016). High blood pressure. CDC.gov. Retrieved May 14, 2016 from  http://www.cdc.gov/bloodpressure/index.htm

Care Issler Is a Patient Who Recently
Words: 1314 Length: 4 Pages Document Type: Essay Paper #: 36359617
Read Full Paper  ❯

Care:

Issler is a patient who recently moved with his daughter-in-law who is no longer married to his son. As part of her interest in helping to take care of Mr. Issler, she noticed that he was pale and diaphoretic after a two and a half hour flight. The daughter-in-law took him to an emergency room where he was attended to by a cardiologist and set a follow-up check up for an echo cardiogram next week. Mr. Issler has complained of congestive heart failure and a history of deep vein thrombosis. The cardiologist recommended that he seeks out a primary care provider and check up of his thyroid. As the primary care provider, the patient has also expressed his uncertainties on whether he has hyper of hypo thyroidism though he has been under thyroid medication for several years. In addition to being very pale, he has a large bag of…

References:

Bray, D.L. (n.d.). Thyroid Storm and the AACN Synergy Model. Journal of Nursing. Retrieved from http://rnjournal.com/journal-of-nursing/thryoid-storm-and-the-aacn-synergy-model

Drewes at. al. (2012, October). The Effectiveness of Chronic Care Management for Heart Failure: Meta-Regression Analyses to Explain the Heterogeneity in Outcomes. Health Services Research, 47(5), 1926-1959.

Hardin, S. & Hussey, L. (2003, February). AACN Synergy Model for Patient Care Case Study of a CHF Patient. Critical Care Nurse, 23(1), 73-76. Retrieved from  http://ccn.aacnjournals.org/content/23/1/73.full.pdf 

Kaplow, R. & Reed, K.D. (2008). The AACN Synergy Model for Patient Care: A Nursing

Exercises 10 Points Each How
Words: 1259 Length: 4 Pages Document Type: Essay Paper #: 8076657
Read Full Paper  ❯

The patient should drink less, participate in more physical activity and should eat a better diet. The blood pressure and cholesterol both need to come down immediately.

Question 6

The patient needs to take the recommendations in question 5 or he likely has a very dim future if his BP and cholesterol is not lowered a lot. Blood pressure should be measured after the patient has rested for at least five minutes. He should be instructed in advance of the appointment what not to eat or drink so that the test result is not improperly influenced (e.g. drinking caffeine).

Question 7

There is no advancement or progression in symptoms but blood pressure is still entirely too high. It needs to drop by at least 30 points to be within a non-hypertension range. Needs to be made clear to patient that while he is feeling fine for now, that will change…

Pharmacist In This Case the Pharmacist
Words: 1583 Length: 5 Pages Document Type: Case Study Paper #: 11882532
Read Full Paper  ❯



eflection

A reflection on the case shows me that ethical and moral guidelines must be instilled in pharmacy as a profession. It is therefore necessary for the pharmacies to collaborate with other key stakeholders in ensuring that proper guidelines are put in place together with polices aimed at ensuring an ethical and moral pharmaceutical practice. Case esolution Model (CM) (Brincat & Wike,1999) is therefore an important model since it has taken me through all the necessary steps that can allow me to effective conclude this case amicably.

eferences

World Health Organization (2001). The ole of the Pharmacist in Self-Care and Self-Medication.Available online at http://apps.who.int/medicinedocs/pdf/whozip32e/whozip32e.pdf

Brincat, C.,Wike, vs (1999). Morality and the Professional Life: Values at Work. Pearson; 1st ed.

Passmore P, Kailis SG (1994).In pursuit of rational drug use and effective drug management: clinical and public health pharmacy viewpoint. Asia Pac J. Public Health. 1994;7(4):236-41.

outledge, PA., O'Mahony, MS., WoodhouseKW…

References

World Health Organization (2001). The Role of the Pharmacist in Self-Care and Self-Medication.Available online at  http://apps.who.int/medicinedocs/pdf/whozip32e/whozip32e.pdf 

Brincat, C.,Wike, vs (1999). Morality and the Professional Life: Values at Work. Pearson; 1st ed.

Passmore PR, Kailis SG (1994).In pursuit of rational drug use and effective drug management: clinical and public health pharmacy viewpoint. Asia Pac J. Public Health. 1994;7(4):236-41.

Routledge, PA., O'Mahony, MS., WoodhouseKW (2003).Adverse drug reactions in elderly patients. Br J. Clin Pharmacol. 2004 February; 57(2): 121 -- 126. doi: 10.1046/j.1365-2125.2003.01875.x PMCID: PMC1884428

Treating Geriatrics With Despondency Issues
Words: 635 Length: 2 Pages Document Type: Case Study Paper #: 71764547
Read Full Paper  ❯

Mr. P is suffering cardiomyopathy, congestive heart failure, 4+ pitting edema, labored breathing, and an inability to stick to a restricted diet or manage his polypharmacy. He is 76-years-old and in a state of declining health. The medical bills are mounting (and indeed have become overwhelming for Mrs. P who has never had to deal with the couple's financial affairs, as they were always taken care of by Mr. P). The couple is depressed/despondent: Mr. P over his inability to understand why God allows him to linger in this condition rather than just take him immediately, Mrs. P over her inability to have a moment of rest outside the home, where she tends to her husband. Life is difficult for the two. This paper will consider the condition of Mr. P, how it affects Mrs. P, and how the situation can be approached so as to provide a high degree…

References

Barry, C. B. (2000). Teaching the older patient in the home: Assessment and adaptation. Home Healthcare Nurse, 18(6): 374.

Connor, S. (2009). Hospice and Palliative Care. CRC Press. Boca Raton, FL: CRC

Press.

Cardiovascular Disorders One of the
Words: 704 Length: 2 Pages Document Type: Chapter Paper #: 15397723
Read Full Paper  ❯

Those who are the vulnerable will have specific genes they inherit from their relatives, who were impacted by the condition. This increases their chances of having similar complications when they become older. (Kolata, 2010)

Congestive Heart Failure and Hypertension

Congestive heart failure and hypertension are interconnected with each other. According to a study conducted by the University of Texas, they found that there are 660 thousand new cases reported each year. This is accounting for 7% of all deaths associated with cardio vascular disease. One of the biggest factors that will determine if someone is at risk is hypertension. As this is used in 75% of all cases, to predict if someone will be impacted by congestive heart failure and the long-term effects it will have on them. (Merla, 2009)

Hypertension can lead to complications by increasing the chances of ventricle or systolic dysfunction taking place. This improves the chances…

References

Heart Disease Fact. (2013). CDC. Retrieved from:  http://www.cdc.gov/heartdisease/facts.htm 

Heart Disease and Stroke. (2012). Lasker Foundation. Retrieved from:

http://www.laskerfoundation.org/media/pdf/factsheet2cardiovasc.pdf

Heart Failure. (2013). Mayo Clinic. Retrieved from:  http://www.mayoclinic.com/health/heart-failure/DS00061

Nurse Speech to Group of Residents in
Words: 540 Length: 2 Pages Document Type: Essay Paper #: 12719716
Read Full Paper  ❯

Nurse Speech to Group of esidents in a Large Independent Living Facility

The information addressed today in this speech are those involving the body's regulation of the correct numbers and ratios of blood cells and how blood pressure homeostasis is achieved as well as age-related changes to the heart including coronary artery disease, congestive heart failure and myocardial infarction.

Homeostatis and the Body's Balancing Act

The work of Vikrant and Tiwan (nd) report that studies on the population indicate that blood pressure is a continuous variable and there is really not a line that divides normal and abnormal values. However, there is a point of balance also called internal equilibrium and this is known as homeostasis. This state of balance describes how the human body reacts to certain changes. This can be viewed by picturing a set of scales in which coins are poured in unevenly with one side heavier…

References

Vikrant, S. And Tiwan, SC (nd) Essential Hypertension -- Pathogenesis and Path physiology. Retrieved from: http://medind.nic.in/jac/t01/i3/jact01i3p140.pdf

Problems and Interventions
Words: 870 Length: 3 Pages Document Type: Essay Paper #: 16949402
Read Full Paper  ❯

Interventions

Home health visits can be a useful method of identifying potential and actual health issues. Visiting the patient's home may provide the opportunity to identify issues which may not be readily apparent at a medical office. The home health visit is meant to assist in the promotion of the patient's health maintenance; limit further disability, and increase baseline health.

The visiting nurse will gain the ability to build a caring, professional, trusting, patient focused relationship. The home health nurse will be able to assist the patient by identifying, procuring and providing education for interventional items. The nurse will also know how to facilitate the communication of identified patient needs, in the home, to interdisciplinary members of the health care team (Liebel, Powers, Friedman, & Watson, 2012, p. 80).

Problem #1

The patient has been prescribed oxygen for home use by her physician. The patient states the she has not…

Nurse Case Manager Case Management in the
Words: 952 Length: 3 Pages Document Type: Essay Paper #: 84835461
Read Full Paper  ❯

Nurse Case Manager:

Case management in the nursing field is basically described as the functions and activities carried out by the nurse case manager within a specific care setting. In some cases, these functions and activities are usually performed by a self-governing practitioner, especially in private case management practices and community nursing facilities (Cohen & Cesta, 2005, p.278). Generally case management responsibilities are provided by the nurse case manager in acute care, primary care, home care, and managed care organizations. Nonetheless, these activities may be offered to particular patient populations and communities like the elderly. Some of the most case management activities include patient identification and intake, problem identification and assessment, patient outreach, development and implementation of plan of care, and coordination of care.

oles and Functions of Nurse Case Manager:

In acute care organizations, the roles and functions of the nurse case manager includes coordinating the care provided to…

References:

Blancett, S.S. & Flarey, D.L. (2006). Case studies in nursing case management: health care delivery in a world of managed care. Gaithersburg, MD: Aspen Publishers, Inc.

Cohen, E.L. & Cesta, T.G. (2005). Nursing case management: from essentials to advanced practice applications (4th ed.). St. Louis, MO: Elsevier Health Sciences.

Meadows, P. (2009, January). Community Health Nursing. American Journal of Nursing,

109(19). Retrieved from  http://journals.lww.com/ajnonline/fulltext/2009/01001/community_health_nursing.5.aspx

Sallie Mae Fisher Ms Fisher Is an
Words: 335 Length: 1 Pages Document Type: Case Study Paper #: 22623704
Read Full Paper  ❯

Sallie Mae Fisher

Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. With her age, and such an acute medical condition, she may undergo substantial changes in function and living standards.

Ms. Fisher has been hospitalized four times for exacerbation of her CHF in the last 6 months. One of her primary problems is most likely to be decline in function in activities of daily living (ADLs). During Post hospitalization, older patients experience changes in functional status, Mary seems not to recover well after hospitalization revealed by her frequent hospitalizations.

In addition, Ms. Fisher seems to gain weight fast an indication that her body is retaining extra fluid. This is a common complication associated with CHF. It appears that Ms. Fisher is not strict with her diet or in not monitoring her diet well to eliminate salt (De Lorgeril, Salen,…

References

De Lorgeril, M., Salen, P., & Defaye, P. (2005). Importance of nutrition in chronic heart failure patients. European Heart Journal, 2215-2217.

Mahoney, J.E., Eisner, J., Havighurst, T., Gray, S., & Palta, M. (2000). Problems of Older Adults Living Alone After Hospitalization. Journal Gen Intern Med, 611 -- 619.

Healthcare Leadership and Management in Healthcare Effective
Words: 1197 Length: 4 Pages Document Type: Research Paper Paper #: 10516037
Read Full Paper  ❯

Healthcare Leadership

Leadership and Management in Healthcare

Effective Leadership and Management

Leadership is much like communications in regards to the complexity inherent in these concepts. There are many different perspectives that are used to examine these issues and researchers study leadership and management from such disciplines includes Industrial and Organizational Psychology, Social Psychology, Business, and Sociology. There have been somewhere in the neighborhood of six to eight major approaches, depending on the vantage point, to leadership theory produced in the scientific literature over the last sixty years and even more have emerged from outside academia (Kilburg & Donohue, 2011). Competing theories include such perspectives as trait theory, situational theory, behavioral theory, competencies theory, network theory of leadership and many more.

Much of the work that a nurse-leader engages in on a daily basis rests in their ability to communicate with others; including clients, colleagues, superiors, and subordinates. Therefore, since this…

Works Cited

Judge, J., & Bono, J. (2000). Five factor model of personality and transformational leadership. Journal of Applied Psychology, 751-765.

Kilburg, R., & Donohue, M. (2011). Toward a "Grand Unifying Theory" of Leadership. Consulting Psychology Journal, 6-25.

Marquis, B., & Huston, C. (2011). Leadership Roles and Management Functions in Nursing: Theory and Application. Lippincott Williams & Wilkins.

Straker, D. (2011). Transformational Leadership. Retrieved February 6, 2011, from Changing Minds:  http://changingminds.org/disciplines/leadership/styles/transformational_leadership.htm

a patient who has bad lifestyle habits
Words: 2814 Length: 9 Pages Document Type: Essay Paper #: 35005722
Read Full Paper  ❯

M.K., a 45-year-old female who has a history of Type II diabetes mellitus and primary hypertension. In addition to this, M.K. is overweight and persists with a poor diet. The patient has also been smoking for the past 22 years, and has recently been diagnosed with chronic bronchitis. Current symptoms include chronic cough, which tends to be more severe in the mornings and productive with sputum, light-headedness, distended neck veins, excessive peripheral edema, and increase urination at night. The patient is currently on several medications including Lotensin and Lasix for the hypertension, along with Glucophage for the Type II diabetes mellitus. From an analysis of M.K.'s lab results, this report will offer clinical findings and treatment recommendations, as well as suggestions for what other conditions M.K. may be at risk for given her health history, lifestyle, and lab results as follows:

Vitals

BP

158/98 mm Hg

CBC

Hematocrit

57%

Glycosylated…

References

American Heart Association (2015). Types of heart failure. Retrieved online:  http://www.heart.org/HEARTORG/Conditions/Heartfailure/Aboutheartfailure/Types-of-Heart-Failure_UCM_306323_Article.jsp#.WEy-h6IrKRs 

CDC (2016). High blood pressure facts. Retrieved online:  http://www.cdc.gov/bloodpressure/facts.htm 

Cheung, M.M. & Li, C. (2012). Diabetes and Hypertension: Is There a Common Metabolic Pathway? Curr Atheroscler Rep. 2012 Apr; 14(2): 160 -- 166.

Elliot, W.J. (2003). The economic impact of hypertension. J Clin Hypertens (Greenwich). 2003 May-Jun;5(3 Suppl 2):3-13.

Care in U S Hospitals --
Words: 455 Length: 2 Pages Document Type: Article Review Paper #: 73376447
Read Full Paper  ❯



Prior to the HQA initiative, the Centers for Medicare and Medicaid Services as well as the Joint Commission both collected data on these quality of care indicators; however, in the past, these reports were submitted in different forms making across-the-board comparisons difficult or impossible. As a result of the HQA initiative, though, it is possible to compare these quality of care indicators at the national level.

Using quality of care indicators for acute myocardial infarction, congestive heart failure, and pneumonia, these researchers assessed the quality of care being provided by 4,203 hospitals that submit data to the HQA database and determined quality of care exists along a broad continuum that ranges from superior care in these areas to some that are deficient, with acute myocardial infarction being rated among most disparate in the quality of care provided. Although generally rated as high on these metrics, the study found that the…

Affect of Tylenol Overdose on the Cardiopulmonary System
Words: 2649 Length: 8 Pages Document Type: Research Paper Paper #: 63499844
Read Full Paper  ❯

Tylenol Overdose

Health Sciences 101

The Health Impact of Acetaminophen Overdose

Acetaminophen (APAP) is a common over-the-counter (OTC), antipyretic, anti-inflammatory, analgesic that is more commonly known as Tylenol®, a product of Johnson & Johnson1. Overseas the drug is called paracetamol and is manufactured and sold by countless generic drug makers.

A number of concerns regarding the safety of APAP have arisen over the past several years, including liver and kidney toxicity and adverse cardiovascular and cardiopulmonary effects. This essay will provide an overview of APAP, its uses, and safety issues, with an emphasis on the cardiopulmonary system.

Mechanisms of APAP Activity

The analgesic and antipyretic activity of APAP was thought to be similar to other non-steroidal anti-inflammatory medications because it was believed to inhibit prostaglandin (PGE2) synthesis2,3. This assumption has not withstood the test of time, for either APAP or other popular OTC non-steroidal anti-inflammatory drugs (NSAIDs). The main evidence…

Works Cited

1. National Center for Biotechnology Information, U.S. National Library of Medicine. Tylenol (TN): Substance summary (SID 7847284). PubChem 2011. Accessed 5 Nov 2011 at  http://pubchem.ncbi.nlm.nih.gov/summary/summary.cgi?sid=7847284 

2. Hamza M, Dionne RA. Mechanisms of non-opioid analgesics beyond cyclooxygenase enzyme inhibition. Curr Mol Pharmacol 2009; 2(1):1-14.

3. Kaufman G. Basic pharmacology of non-opioid analgesics. Nurs Stand 2010; 24(30):55-61.

4. Chan AT, Manson JE, Albert CM, Chae CU, Rexrode KM, Curhan GC, et al. Nonsteroidal anti-inflammatory drugs, acetaminophen, and the risk of cardiovascular events. Circulation 2006; 113(12):1578-1587.

Effects of the Experimental Anti-Cancer Drug Anaerobin on the Body
Words: 2091 Length: 7 Pages Document Type: Essay Paper #: 73531200
Read Full Paper  ❯

Anti-Cancer Drug Anaerobin

a) EFFECTS ON KIDNEYS, HEART AND BRAIN

Cytotoxic metabolites are created when bio-reductive drugs go through a metabolic process because they contribute to curing cancer by lowering oxygen to areas where the cancer affects the body. The local auto regulation process of the body provides the oxygen to all parts of the body where it is needed. The arterioles supplying that tissue for oxygen dilate to supply more oxygen than usual. This happens also in the case of the tumor when it demands more oxygen; it is supplied by the body and anaerobin affects the auto regulation process in all areas as it reduces the blood flow to all organs, except the lungs. It can reduce the oxygen and supply of nutrients to the tumor by up to 99%. Therefore this bio-reductive drug can help in treatment of cancer in modern therapy.

Anti-cancer drugs reduce the cell…

Linda Bren, 2005. Cancer Drugs: weighing the Risks and Benefits. FDA Consumer, 41(1), pp.10+.

Nootropic. Available at:  Http://en.wikipedia.org/wiki/Nootropic#Vitamins_and_supplements  (Accessed at 2 December 2011)

Paual Ravasco, Isabel Monterio-Grillo, Pedro Marques Vidal & Maria Ermelinda Camilio, 2005. Dietary Counseling Improves Patient Outcomes: A Prospective, Randomized, Controlled Trial in Colorectal Cancer Patients Undergoing Radiotherapy. Journal of Clinical Oncology, 23(7), pp. 1431-1438.

Cardiac Cycle Diastole and Systole Phases and
Words: 1411 Length: 3 Pages Document Type: Research Paper Paper #: 90976222
Read Full Paper  ❯

Cardiac Cycle: Diastole and Systole Phases and Heart Disease

The objective of the research in this study is to examine the cardiac cycle from the anatomy and physiology perspective. Toward this end, literature in this area of inquiry, which for the purpose of this study is the cardiac cycle, is examined and reported.

Two Phases of the Cardiac Cycle

The work of Klabunde reports that the single cycle of cardiac activity may be divided into two primary phases stated to be those of: (1) the diastole phase; and (2) the systole phase. (Klabunde, 2012, p.1, p.1) Diastole is representative of the span of time when the "ventricles are relaxed…blood is passively flowing from the left atrium (LA) and right atrium (RA) into the left ventricle (LV) and right ventricle (RV), respectively." (Klabunde, 2012, p.1) The mitral and triscuspid or atrioventircular valves are reported to "separate the atria from the ventricles…

Bibliography

Chute, RM (2012) Chapter 19: The Cardiovascular System: Blood Vessels. Retrieved from:  http://www.apchute.com/ap2chap/chapt19.htm 

Fukuta, H. And Little, W.C. (2008) The Cardiac Cycle and the Physiological Basis of Left Ventricular Contraction, Ejection, Relaxation, and Filling. Heart Fail Clin. 2008. Jan 4(1):1-11. Retrieved from:  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2390899/ 

Klabunde, R.E. (2012) Cardiac Cycle. Cardiovascular Physiology Concepts. Retrieved from:  http://www.cvphysiology.com/Heart%20Disease/HD002.htm 

Limacher, MC (2004) Understanding the Impact of Abnormal Cardiac Activation on Cardiac Function. J Am Cardiol 2004;43(9): 1532-1533. Retrieved from:  http://content.onlinejacc.org/article.aspx?articleid=1135544

Senior Fitness
Words: 2521 Length: 10 Pages Document Type: Term Paper Paper #: 66413783
Read Full Paper  ❯

* The effects on normal aging and metabolism is that after the age of forty, metabolism usually decreases by about 5% every ten years. That does not mean that metabolism cannot be controlled to some extent; it can. Metabolism is loosely defined as the chemical workings within our bodies that help us to maintain a certain level of energy use, calorie burning and general energy (even at rest). As we age, our metabolism rate slows down, meaning that we burn less calories and the ones we do burn are burned at a slower rate. It also means that we may have less energy and our overall health slows as well.
* As individuals grow older their muscle mass is less likely to maintain its composition. Bill Sonnemaker, the 2007 IDEA Health and Fitness Personal Trainer of the year states that building muscle mass at any age provides a number of…

References
American College of Sports Medicine (1995) Guidelines for Exercise Testing and Prescription, 5th Ed. Baltimore: Williams and Wilkins, pp. 1-373
American Diabetes Association (2011) Hyperglycemia, accessed on May 5, 2011 at  http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hyperglycemia.html 
Van Dusen, A. (2011) Tips to build your muscle mass at any age, accessed on May 1, 2011 at:  http://www.msnbc.msn.com/id/20515088/ns/health-forbescom/ 

Organelle Functioning in the Human Cell
Words: 1568 Length: 6 Pages Document Type: Research Paper Paper #: 89357581
Read Full Paper  ❯

a&P Lab

Design Project -- A&P Lab

Ammonia (NH3) is produced by cells located throughout the body; most of the production occurring in the intestines, liver, and the kidney, where it is used to produce urea. Ammonia is particularly toxic to brain cells, and high levels of blood ammonia can also lead to organ failure. The imaginary organelle referred to as a hydrosome functions in a manner that decreases the blood ammonia levels in people, thereby circumventing the need for medications such as to treatment to prevent hepatic encephalopathy and conditions associated with a failing liver. The hydrosome functions similarly to a primary lysosome, also containing a highly acidic interior with lytic enzymes called hydrolases. However, the waste disposal that the hydrosome conducts serves to convert ammonia to a water-soluble waste that is then excreted by the kidneys.

About this Organelle

I came up with the idea for this organelle…

Works Cited:

Batshaw ML, MacArthur RB, Tuchman M. Alternative pathway therapy for urea cycle disorders: twenty years later. Journal of Pediatrics. 2001; 138: S46-55.

Haberle J, Boddaert N, Burlina A, Chakrapani A, Dixon M, Huemer M, Karall D, Martinelli D, Crespo PS, Santer R, Servais A, Valayannopoulos V, Lindner M, Rubio V, and Dionisi-Vici C. "Suggested guidelines for the diagnosis and management of urea cycle disorders." Orphanet Journal of Rare Diseases 2012: 7, 32. doi:10.1186/1750-1172-7-32. PMC 3488504. PMID 22642880 Retrieved  http://www.ojrd.com/content/7/1/32 

Interactive Concepts in Biochemistry - Interactive Animations. John Wiley & Sons Publishers, Inc. 2002. Retrieved http://www.wiley.com/legacy/college/boyer/0470003790/animations/cell_structure/cell_structure.htm

Prasad S, Dhiman RK, Duseja A, Chawla YK, Sharma A, Agarwal R. "Lactulose improves cognitive functions and health-related quality of life in patients with cirrhosis who have minimal hepatic encephalopathy." Hepatology 2007: 45 (3): 549 -- 59.

Airway Pressure the Effects of Airway Pressure
Words: 2088 Length: 8 Pages Document Type: Essay Paper #: 67559861
Read Full Paper  ❯

Airway Pressure

THE EFFECTS OF AIRWAY PRESSURE RELEASE VENTILATION AND HIGH FREQUENCY OSCILLATION VENTILATION ON THE HEART - SPECIFICALLY WHEN THE PATIENT HAS CONGESTIVE HEART FAILURE.

MECHANICAL VENTILATION

CONGESTIVE HEART FAILURE

AIRWAY PRESSURE RELEASE VENTILATION (APRV)

APRV & CONGESTIVE HEART FAILURE

HIGH FREQUENCY OSCILLATION VENTILATION (HFOV)

HFOV & CONGESTIVE HEART FAILURE

MECHANICAL VENTILATION

Mechanical Ventilation refers to the process of helping the normal breathing process of an individual when his breathing patterns are compromised due to either a pathology within the lung or due to a collective collapse of the related organs. Mechanical ventilation can be of two types: negative pressure ventilation where the air is made to suck into the lungs or positive ventilation where air is forced into the lungs through the airway. During the process of providing ventilation to the lungs it becomes important to "secure the airway" which means that the air should go through the…

Bibliography

Calzia E, R.P. (1997). Airway pressure release ventilation and biphasic positive airway pressure:a 10-year literature review. Clinical Intensive Care, 8:296-301.

Cartotto R, E.S. (2004). High frequency oscillatory ventilation in burn patients with the acute respiratory distress syndrome. Burns, 30(5):453-463.

Dickstein K, C.-S. A. (2008). "ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Hear. Eur. Heart J., 29(19):2388-442.

dorland's medical dictionary . (2009).

Care Coordination Relating to Elderly
Words: 1709 Length: 5 Pages Document Type: Annotated Bibliography Paper #: 10090609
Read Full Paper  ❯

The results of this analysis highlight the need for hospitals to fine-tune their discharge process to reduce readmissions, and support the expenditure of additional resources for this purpose as a cost-effective intervention; as an example, author cites a hospital in Iowa that implemented a rigorous post-discharge planning process for patients with heart failure and 30-day readmission rates were reduced by 3-9% during the 3-month period following implementation.

Conclusion

The research showed that many elderly patients who suffer from congestive heart failure also suffer from a wide range of comorbid conditions, including diabetes and hypertension. These patients can be reasonably expected to require periodic or even frequent treatment in emergency departments and/or hospitalizations for these conditions, making the need for effective and seamless post-discharge planning especially important. In this regard, the research also showed that there are some valuable evidence-based practice guidelines available, though, that can help clinicians better coordinate post-discharge…

New Suppliers of Health Supplements a Promising
Words: 1932 Length: 7 Pages Document Type: Essay Paper #: 16092922
Read Full Paper  ❯

New Suppliers of Health Supplements

A promising new addition to the company's current line of health supplements was identified during a recent trip to Bangkok, Thailand, to meet suppliers of a promising antioxidant, coenzyme Q10. A growing body of research suggests this antioxidant is effective in improving cardiovascular function and may also be useful in alleviating the symptoms of angina pectoris, cardiac arrhythmia, high blood pressure, moderate gingival disease, congestive heart failure, dilated cardiomyopathy and severely impaired immune systems. Based on the documented efficacy, high quality and low costs of the health supplement offered by this vendor, this report provides the background and an overview of the supplier, a description of the health supplement, and current applications for coenzyme Q10. A summary of the business trip and meeting with the company's president is followed by recommendations and a brochure illustrating various aspects of the product.

esults of Business Trip to…

References

Cerrato, P.L. (1999, June). Coenzyme Q. And heart disease. RN, 62(6), 61 -- 62.

Chalmers, A.H., Blake-Mortimer, J.S. & Winefield, A.H. (2003). The prooxidant state and psychologic stress. Environmental Health Perspectives, 111(1), 16.

Complete-Pharma Co., Ltd. (2011). Retrieved from  http://www.alibaba.com/member  / th107560976.html.

Freeman, M.S. & June, C. (2005). The Harvard Medical School guide to lowering your cholesterol. New York: McGraw-Hill.

Discharge Education After HF
Words: 2817 Length: 10 Pages Document Type: Dissertation or Thesis complete Paper #: 24277540
Read Full Paper  ❯

Discharge Education to Promote Self-Efficacy in Heart Failure

An Education Intervention For Patients With Heart Failure

Management of congestive heart failure (CHF) continues to be a financial burden on the economy of the United States of America (USA); responsible for multiple hospital admissions and readmissions of patients with HF within thirty days post discharge. The disease has been associated with personal, physical, and economic challenges. As the population increases, the number of individuals affected with this condition is also increasing. According to the American Heart Association (2009), an estimated 400,000 to 500.000 new cases occur annually, with additional annual cost of more than $33 billion dollars added to the U.S. economy.

Discharge education, which attempts to reduce readmission rate, has become a valuable metric in the provision of health care. For effective management of heart failure symptoms, patient education is a necessity (Gruszczynski, 2010). Sara Paul (2008) discussed the importance…

References

Anderson, C., Deepak, B.V., Amoateng-Adjepongn, Y.,Zarich, S., (2005). Benefits of Comprehensive inpatient education and discharge planning combined with outpatient

Support in elderly patients with congestive heart failure. Congestive Heart Fail, 11(6),

315-321

Annema, C, Luttik ML, Jaarsma, T, (2009), Reasons for readmission in heart failure:

Factors for Keeping Employees
Words: 1370 Length: 5 Pages Document Type: Essay Paper #: 95305652
Read Full Paper  ❯

Readmission of Hispanic Populations for CHF
Abstract
Background: The specific phenomenon examined within this paper is the readmission of Hispanic patients for congestive heart failure (CHF). Hispanic patients are representative of myriads of underserved populations in this regard and are frequently troubled by readmissions for this ailment due to an assortment of factors revealed from an thorough literature review about this subject.
Literature Review: The literature review for this paper involved searching and parsing through scholarly articles specific to this phenomenon. The author of this document sought out articles focused on this particular population segment and issues contributing instances of readmission for CHF. The literature examined was within the past 15 years. Moreover, this literature was analyzed within the context of middle ground theory as it applies to the nursing profession.
History of the Theory: Middle ground theory is innately multidisciplinary when it is utilized within the context of nursing.…

Diabetes Management

Early Detection and Management of Diabetic Neuropathy in a Clinical and Homecare Setting

The objective of this study is to examine early detection and management of diabetic neuropathy in a clinical and homecare setting and specifically through examination of articles published after 2002. The information from each source will be summarized listing the strengths and weaknesses of each article in separate paragraphs. As well, this work will utilize table or graphs to present the findings.

O'eilly, Caryl Ann (2005) Managing the Care of Patients with Diabetes in the Home Care Setting, Diabetes Spectrum, July 2005. Vol. 18. No. 3. etrieved from: http://spectrum.diabetesjournals.org/content/18/3/162.full

The work of O'eilly (2005) reports that more patients than ever before are released earlier from hospitals and rehabilitation center and that those with diabetes are included in this trend. Diabetes is reported to be ranked second following congestive heart failure as the primary diagnosis at…

References

Zieger, Anne (2009) Studies Offer Mixed Grades for Remote Diabetes Care. 6 July 2009 Retrieved from FierceHealthIT at:  http://www.fiercehealthit.com/story/studies-offer-mixed-grades-remote-diabetes-care/2009-07-06 

O'Reilly, Caryl Ann (2005) Managing the Care of Patients with Diabetes in the Home Care Setting, Diabetes Spectrum, July 2005. Vol. 18. No. 3. Retrieved from:  http://spectrum.diabetesjournals.org/content/18/3/162.full 

McLaughlin, Sue (2005) From Research to Practice/Diabetes Care in Special Settings: Meeting the Challenges: Diabetes Care in Special Settings Diabetes Spectrum July 2005 18:143-145. Retrieved from:  http://www.vnsny.org/research/projects/1_implemetation.html

Patient Overview -- Mr C Is a
Words: 475 Length: 2 Pages Document Type: Case Study Paper #: 50480817
Read Full Paper  ❯

Patient Overview -- Mr. C. is a 52-year-old business executive with indigestion that an entire roll of TUMS did not help. Initially he blamed this on his lunchtime pizza, but his staff convinced him to go to the E where he presented epigastric pain. An EKG was done indicating ST segment elevation. Additionally, the pain remained unrelieved after three sublingual nitroglycerine tablets. Three doses of morphine sulfate given intravenously relieved the pain enough for a transfer to the cardiac unit. Mr. C's skin is clammy and cool; he has inspiratory crackles, temp of 98.6, 120 pulse, and respiration 24, BP 90/62. The Cardiac monitor showed sinus rhythm with occasional premature ventricular contractions (PVCS). Labs showed elevated isoenzymes, topponis, creatin kinase myocardial bound, and lactic acid dehydrogenase. We find out also that Mr. C has been having dental pain for the past 48 hours.

Part 1 -- The ST segment is…

REFERENCES

ST Elevation. (2012). Family Practice Notebook. Retrieved from:  http://www.fpnotebook.com/cv/exam/StElvtn.htm 

Dains, J., et al. (2012). Advanced Health Assessment & Clinical Diagnosis in Primary Care.

St. Louis, MO: Mosby/Elsevier.

Hudson, K. (2012). Congestive Heart Failure. DynamicNursingEducation.com. Retrieved from:  http://dynamicnursingeducation.com/class.php?class_id=130&pid=23

Beta Blockers Invented by Sir
Words: 1964 Length: 7 Pages Document Type: Essay Paper #: 19181337
Read Full Paper  ❯



1958

After studying the cardiovascular effects of various catecholamines, Moran and his research partner, Perkins, are published in the same journal as Ahlquist arguing "that DCI's activity belonged to Ahlquist's 'beta-adrenergic' type, and coined the term 'beta-adrenergic blocking drug', later shortened to 'beta-blocker'"

1959

Sir James Black joins the cardiovascular team at Imperial Chemical Industries, Ltd., reads Moran's research and realizes the possibilities of synthesizing an analog to DCI that would be clinically useful.

1959

Black's ICI report contradicts Waring's arguing that the "altered fat metabolism with associated changes in blood coagulability interact, permissively, with sympathetic neurohumoural stress responses to produce fatal damage."

1962

Black synthesizes propranolol (Inderal)

1963

ICI launches Black's first beta blocker treatment -- pronethalol (Alderlin).

1964

The first clinical studies are conducted for the use of proopranolol.

1965

ICI launches propranolol, the replacement for propranolol as it was found to cause thymic tumors in mice.

1966…

References

Altman, L. (2 Feb 1982), New class of drugs revolutionizes therapy for heart disease, [Online], Available:  http://www.nytimes.com/1982/02/02/science/new-class-of-drugs-revolutionizes-therap-y-for-heart-disease.html?&pagewanted=print  [22/10/09].

Archard, G. (2005), Beta-Blocker Use in CHF Patients: History of CHF Treatments, [Online], Available:  http://www.medscape.com/viewarticle/510212_2  [22/10/09].

Betaxolol, (2008), [Online], Available:  http://www.medicinenet.com/betaxolol/article.htm  [22/10/09].

Bisoprolol, (2008), [Online], Available:  http://www.medicinenet.com/bisoprolol/article.htm  [22/10/09].

Kidneys and How They Function
Words: 2771 Length: 8 Pages Document Type: Term Paper Paper #: 33287328
Read Full Paper  ❯

However, Harvard Medical School (HMS) reports that in that study of 1,400 patients, 222 "composite events occurred." Those "events" included 65 deaths, 101 "hospitalizations for congestive heart failure, 25 myocardial infarctions and 23 strokes."

In an understatement, the HMS report - written by Dr. Singh - concluded that while improving the lives of patients with CKD is "of paramount importance," this particular study reveals, "...Aiming for a complete correction of anemia is associated with increased risk, increased cost and no quality of life benefits." The study was published in the November 16, 2006 issue of the New England Journal of Medicine.

Meantime, the National Institutes of Health / Medline Plus (www.nim.nih.gov) explains that epoetin alfa is also used with people who have HIV, it is used prior to surgery and after surgery "to decrease the number of blood transfusions needed" in the predicable loss of blood during surgery. It is…

Works Cited

Harvard Medical School. (2005). Blood test can accurately diagnose heart failure in patients

With kidney dysfunction. Retrieved February 10, 2008, at  http://www.hms.harvard.edu .

Harvard Medical School. (2006). Higher Doses of Anemia Drug for Chronic Kidney Disease

Does Not Improve Quality of Life and Increases Risk for Cardiovascular Events. Retrieved February 9, 2008, at

Healthcare Quality Improvement Program Proposed
Words: 1786 Length: 7 Pages Document Type: Term Paper Paper #: 21517976
Read Full Paper  ❯

Success in several high-profile areas, such as stroke prevention, acute coronary intervention, or nosocomial infection have the benefits of focusing the organization on a task which can bring tangible results, measured in clinically-relevant ways.

Specific Program for our Institution

This memo recommends that we choose five treatment areas, and implement specific quality improvement programs for each one. The focus on each should include procedures which are important to the overall quality of this institution's morbidity and mortality results. Given the hospital's focus on acute care, the following procedures might be candidates for quality improvement programs:

Ischemic stroke treatment

ACS treatment (acute coronary syndrome).

Trauma in the ER related to gunshot wounds.

Maternal ward delivery performance

Nosocomial infection reduction.

In each case, the procedures should proceed as outlined above: (1) an identification of the problem, (2) identification of best practices as demonstrated in peer-reviewed clinical trials, (3) adoption of the best…

Bibliography

CancerCenter. (2007). Cancer Treatment Centers of America. Retrieved November 23, 2007, from CCA: www.cancercenter.com

Civitarese, L.A. (1999). Congestive Heart Failure Clinical Outcomes Study in a Private Community Medical Group. Journal of American Board of Family Practice, 467-472.

Dana Farber. (2005). Dana-Farber attains nation's highest honor for nursing excellence; first cancer center in New England to earn Magnet recognition. Boston: Dana Farber Cancer Institute.

Katzan, I.L. (2003). Quality Improvement and Tissue-Type Plasminogen Activator for Acute Ischemic Stroke. JAHA, 799-800.

Addressing the Psychological Aspects of Treatment in Patients With CHF
Words: 951 Length: 3 Pages Document Type: Essay Paper #: 72319413
Read Full Paper  ❯

Care, Treatment, and Education Plan for a Patient with Cardiac Problems

P. Presenting with Cardiomyopathy and Congestive Heart Failure

Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

Question:

Considering Mr. P's condition and circumstance, write an essay of 500-750 words that includes the following: Describe your approach to care. ecommend a treatment plan. Describe a method for providing…

References

Inglis, S.C., Clark, R.A., McAlister, F.A., Ball, J., Lewinter, C., Cullington, D., Stewart, S., and Cleland, J.G.F. (2010). Structured telephone support or telemonitoring programmes for patients with chronic heart failure. Chronic Review, 8. The Cochrane Library. Retrieved from http://eprints.qut.edu.au/43722/1/CD007228_-_Structured_telephone_support_or_telemonitoring_programmes_(2).pdf

____. (2015). Heart failure (HF) and your treatment plan. John Muir Health. Retrieved from  https://www.johnmuirhealth.com/content/dam/jmh/Documents/Cardiovascular/Heart_Failure_and_Your_Treatment_Plan.pdf 

____. (2015). MedicineNet. Retrieved from  http://www.medicinenet.com/congestive_heart_failure_chf_overview/page6.htm#what_is_the_treatment_for_congestive_heart_failure

Manufacturer S Role in Creating a Healthy America
Words: 1159 Length: 3 Pages Document Type: Research Paper Paper #: 60200786
Read Full Paper  ❯

NUSING

OLE OF GOVENMENT IN CEATING A HEALTHFUL ENVIONMENT

ecent data show that Americans consume, on average, more than three times the recommended level of sodium per day in their food and beverages. High salt intake contributes to high blood pressure and its complications -- stroke, heart attack, congestive heart failure, and kidney failure (Gulis? et al., 2014). In fact, thousands of lives could be saved if sodium consumption could be lowered in people with hypertension (high blood pressure).

The government has the sole purpose of providing safe and healthy environments to its citizens at all times. A healthy environment is beneficial directly to the people, and indirectly to the government. The safety of the environment is dependent on the legislative, social, and commercial actions that are taken by the individual people within and without governments. For instance, the world climate is largely dependent on the sole contributions of each…

References

Gulis?, G., Mekel, O., A-da-m, B., & Cori, L. (2014). Assessment of Population Health Risks of Policies: [delta]. New York, NY: Springer New York.

International Conference of the Asia-Pacific Society for Agricultural and Food Ethics, & In Soraj, H. (2015). Food security and food safety for the Twenty-first century: Proceedings of APSAFE2013.

Nestle, M. (2007). Food Politics: How the Food Industry Influences Nutrition and Health. Berkeley: University of California Press.

Pinstrup-Andersen, P., & Watson, D. D. (2011). Food policy for developing countries: The role of government in global, national, and local food systems. Ithaca, N.Y: Cornell University Press.

Allopathic Medicine Outweigh the Risks
Words: 4631 Length: 15 Pages Document Type: Term Paper Paper #: 37148611
Read Full Paper  ❯

" Prescription drugs invade the markets today only to mask the symptoms of disease instead of preventing disease from happening. In this back-end approach to fighting disease instead of preventing it from occurring in the first place, pharmaceutical companies have profited at the expense of society." (Karel M.)

There is therefore also the feelings and the growing suspicion that prescription drugs are controlled by large pharmaceutical corporations and these influence practitioners and the health care industry. Modern medical practitioners are also "... subject to persuasion from drug manufacturers and rely on them for their information, despite their obvious bias to use their drugs." (Karel M.) This is an area that has been severely critiqued in allotropic health care; namely the fact that modern medicine is dominated by large drug companies which to a large extent are more concerned with their profit margins than with the quality and the ultimate effectives…

References

Bawaskar H.S. Non- allopathic doctors form the backbone of rural health.

Retrieved March 8, 2007, at  http://www.issuesinmedicalethics.org/044ed112.html 

Death by Modern Medicine. Retrieved March 8, 2007, at  http://www.ashtreepublishing.com/bookshop/carolyn-dean.php 

Definition of Allopathic. Retrieved March 6, 2007, at  http://www.medterms.com/script/main/art.asp?articlekey=33612  www.questia.com/PM.qst?a=o&d=5010938986

Cardiovascular Case Study Management
Words: 3112 Length: 10 Pages Document Type: Case Study Paper #: 51501524
Read Full Paper  ❯

Although the severities of congestive signs may be similar, medical evaluation should be instructed to determine whether there is accompanying proof of cardiovascular disease. Physical proof of cardiovascular disease contains the narrow pulse pressure, cool arms, and legs, and sometimes changed mentation, with supporting proof sometimes provided by reducing serum sodium level and deteriorating renal function. Cardiovascular disease is frequently difficult to recognize through phone contact but may be suspected when previously effective diuretic increases fail, nurses report lower blood pressure, or patients explain improved lethargy.

Facilitators and barriers to optimal disorder management and outcomes

Environmental factors and cultural beliefs; motivators and hinders

In this case, the client thought he was suffering from a heart attack and feared to come to the hospital. The symptoms had presented for four days before the patient sought help. The patient had been suffering from similar symptoms for the past six months, but thought…

References

American Association of Cardiovascular (2013). Guidelines for cardiac rehabilitation and secondary prevention programs. John Wiley & Sons.

Bunting-Perry, L.K., & Vernon, G.M. (2007). Comprehensive nursing care for Parkinson's disease. New York: Springer Pub.

Holloway, N.M. (2014). Medical-surgical care planning. Philadelphia: Lippincott Williams & Wilkins.

Gulanick, M. (2007). Nursing care plans: Nursing diagnosis and intervention. St. Louis: Mosby.

Mazen Bader and David S
Words: 1138 Length: 4 Pages Document Type: Term Paper Paper #: 66850004
Read Full Paper  ❯

The focus of the article is upon the unique constitution and needs of the elderly, not upon herpes zoster or influenza as a national phenomenon particular to the United States. However, all of the studies it cites are based in the United States, and SV has been primarily studied as a phenomenon occurring in the U.S. The prevalence of nursing homes in the United States might also make the article more relevant to U.S. practitioners, and the regulatory and drug treatments it discusses are particular to North American, such as the FDA.

Supporting evidence: What scientific evidence does the author(s) present to support his or her claims?

The article's most conclusive evidence is found in its treatment of influenza. It notes that in the 40% to 60% of elderly patients in whom the influenza vaccine produces the desired immunity, an effective immune response can be mounted within 10 to 14…

References

Bader, Mazen & David S. McKinsey. (2005, Nov). "Viral infections in the elderly."

Postgraduate Medicine. 118.5: 45-54

Sallie S Problems and Nursing Interventions
Words: 934 Length: 3 Pages Document Type: Research Paper Paper #: 14465210
Read Full Paper  ❯

Home Visit With Sallie Mae Fisher

Good morning, Sallie Mae, my name is Alexis Jorgenson and I will be your nurse today. I understand you are not feeling well today?

Sallie: Hello Nurse, I am feeling a little better than last time but still finding it hard to cope.

I understand you are having problems with chronic congestive heart failure.

Sallie: This disease is giving me a lot of problems that range from frequent hospitalizations to excessive medications. I just feel sick when I think about the medication and usually feel like avoiding them.

That's sad to hear. I am here to help identify why you are not feeling very well today.

Sallie: Thank you, I really appreciate your help and hope that I'll be feeling much better very soon.

Nurse: Your medical history shows that you have been hospitalized four times in the past 6 months for exacerbation of…

References

Adams, M. (n.d.). How to Find Help Treating a Grief Management Problem. Retrieved December 15, 2015, from  http://www.psychguides.com/guides/how-to-find-help-treating-a-grief-management-problem/ 

Haiken, M. (n.d.). Blood Pressure: 90/50. Retrieved December 15, 2015, from  https://www.caring.com/charts/blood-pressure-90-50 

Orenstein, B.W. & Bass, P.F. (2011, March 30). Bowel Movements: What's Considered Normal? Retrieved December 15, 2015, from  http://www.everydayhealth.com/hs/guide-to-constipation-relief/bowel-movements-whats-normal/

Metoprolol and Cardiac Surgery
Words: 2123 Length: 7 Pages Document Type: Essay Paper #: 41078419
Read Full Paper  ❯

Does taking Metoprolol before cardiac surgery reduce the incidence of post-op atrial fibrillation
Abstract
Postoperative atrial fibrillation (POAF) remains a prevalent supraventricular arrhythmia. PoAF has associated effects such as deteriorating hemodynamic, increased risk of stroke and increased probability of death. Beta-blockers have been recommended as effective intervention mechanism of preventing PoAF. Metoprolol is one such beta-blocker that is commonly administered to prevent the incidence of PoAF. The systematic review below entails an analysis of six clinical trials that explore the effectiveness of metoprolol. The analysis identifies reduced hospitalization length, reduced mortality and reduced financial burden as the beneficial impact associated with the administration of prophylactic. The small number of studies reviewed limits the validity of the conclusion warranting future large sample size research.
Introduction
Annually, approximately 750,000 cardiac surgery are performed globally with postoperative atrial fibrillation (PoAF) being the prevalent complications (George, et al., 2018). With the increasing proportion of elderly population…

Influence of Mean Airway Pressure on Cardiovascular Performance
Words: 2734 Length: 9 Pages Document Type: Research Paper Paper #: 88942822
Read Full Paper  ❯

Airway Pressure on Cardiovascular Performance

HEART-LUNG CONNECTION

The Influence of Mean Airway Pressure on Cardiovascular Performance

reathing, also known as pulmonary ventilation, is the basic connection between the heart and lungs (Williams & Whitney, 2006). The connection allows air between the lungs and the atmosphere and the exchange of gases between the air and the alveoli in the lungs. ody receptors can detect changes involved in the movement of air and the pressure that accompanies it. These receptors can either increase or decrease breathing rate. They encourage slower breathing when blood pressure rises and faster breathing rate if the blood pressure goes down. Meanwhile, an exchange of gases between body tissues and capillaries is needed to maintain life. It brings in the gases living tissues need for survival. lood carries oxygen molecules when leaving the heart and distributes it throughout the body. Very small capillaries coordinate in the flow and…

BIBLIOGRAPHY

Byrd, R.P. And Mosenifar, Z. (2010). Mechanical ventilation. Medscape: WebLLC.

Retrieved on August 18, 2011 from  http://emedicine.medscape.com/article/304068-overview 

Daoud, E.G. (2007). Airway pressure release ventilation. Vol 2 (4) Annals of Thoracic

Medicine: Pub Med Central. Retrieved on August 12, 2011 from  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2732103

Acetaminophen Tylenol the Drug of
Words: 1750 Length: 4 Pages Document Type: Term Paper Paper #: 85437300
Read Full Paper  ❯

Also no pill will change everything. One must be willing to change their lifestyle as well.

hy do some people still need an antihyperlipidemic agent even though they have reduced their dietary intake of cholesterol and saturated fats?

hy is it better to sue selective beta2 agonists, rather than non-selective beta-adrenergic agonists, for a patient who has both asthma and heart disease?

hy is the combination of a glucocorticoid and a beta2 adrenergic agonist used sometimes in treating asthma? hat is the difference in their mechanisms of action?

Use

http://lungusa.org/asthmato answer: (a) what is a peak flow meter and how is it used in asthma clients? (b) Is low or high humidity in the home better for asthma clients? - hat aspects of weather are triggers for asthma?

Based upon your knowledge of the mechanism of action of the following drug classes, explain the rationale for using the following to…

Aortic Brief History of Acute
Words: 688 Length: 2 Pages Document Type: Essay Paper #: 83230679
Read Full Paper  ❯

"Valve sparing root replacements may be performed to replace the entire ascending aorta without leaving residual dissection behind" (Type A, 2011, Columbia Surgery). For type B, the usual prescription is blood pressure control, given the risks of surgery. However, endovascular stent grafting is often offered as an alternative and less invasive treatment (Type B, 2011, Columbia Surgery).

When operating, the femoral artery is usually selected for aortic cannulation. But in some patients, "although the femoral artery seems to be intact, its use for aortic return carries a high risk of cerebral embolism because of the atheromatous changes in the thoracic aorta. Alternatively, surgeons may use the axillary artery in the presence of peripheral artery disease or femoral artery dissection" although "the use of the axillary artery for cannulation can be troublesome because of the vessel's small diameter" (Yamamoto et al. 2001). Aortic cannulation through the apex of the left ventricle…

References

Aortic dissection. (2011). Columbia Surgery. Retrieved  http://www.columbiasurgery.org/aortic/aortic_dissection.html 

Christ, Michael; Yulia Sharkova, Gootz Geldner, & Bernhard Maisch. (2005). Preoperative and Perioperative care for patients with suspected or established aortic stenosis facing noncardiac surgery. CHEST, 128 (4) 2944-2953.

Type A. (2011). Columbia Surgery. Retrieved  http://www.columbiasurgery.org/aortic/dissection_type_a.html 

Type B. (2011). Columbia Surgery. Retrieved  http://www.columbiasurgery.org/aortic/dissection_type_b.html

Diabetes Harvard Citation Studies Conducted Over Decades
Words: 1255 Length: 4 Pages Document Type: Case Study Paper #: 90965581
Read Full Paper  ❯

Diabetes

(Harvard Citation)

Studies conducted over decades have concluded that there is a significant link between diabetes mellitus and cardiovascular disease. For instance, the most common form of diabetes is type 2 diabetes, which involves both the impairment in insulin resistance and the defective secretion of insulin by the pancreas. The development of diabetes often comes with a number of cardiovascular complications including "coronary heart disease (CDC), stroke, peripheral arterial disease, nephropathy, retinopathy, and possibly neuropathy and cardiomyopathy." (Grundy 1999)

Specifically both diabetes type 1 and type 2 are considered to be risk factors for atherosclerotic coronary heart disease. "Moreover, myocardial ischemeal due to coronary atherosclerosis commonly occurs without symptoms in patients with diabetes." (Grundy 1999) In other words, patients with diabetes are more likely to be stricken with congestive heart failure. But it is not only the risk of heart failure that diabetes sufferers are at risk from, another…

References

"eGFR." Lab Tests Online, Available from  http://labtestsonline.org/understanding/analytes/gfr/tab/test 

"Glomerular Filtration Rate (GFR)" National Kidney Foundation Available from  http://www.kidney.org/kidneydisease/ckd/knowgfr.cfm 

Grundy, Scott. Et al 1999, "Diabetes and Heart Disease: A Statement for Healthcare

Professionals from the American Heart Association" AHA Scientific Statement.

Cultural Ethical and Legal Factors in Research
Words: 779 Length: 2 Pages Document Type: Essay Paper #: 47198053
Read Full Paper  ❯

Cultural, Ethical, And Legal Factors in esearch

In research, there are cultural, ethical, and legal factors that have to be addressed, and that are highly significant to the quality and appropriateness of the research and its conclusions. These include IB approval and informed consent, along with whether the study participants were part of a population that was vulnerable. Three articles will be reviewed and addressed here, in order to see whether they were handled acceptably from cultural, ethical, and legal standpoints. Whether the populations that were used for the studies were treated correctly is highly significant when it comes to the safety of those populations and their use in future studies. When older research is used and compiled there are no serious worries about population safety, but when the researchers of a current study decide to conduct a survey or experiment, it is vital to be sure the participants are…

References

Bibbins-Domingo, K., Pletcher, M.J., Lin, F., Vittinghoff, E., Gardin, J.M., Arynchyn, A., Lewis, C.E., & Williams, O.D. (2009). Racial differences in incident heart failure among young adults. The New England Journal of Medicine, 360(12): 1179-1190.

Gottdiener, J.S., McClelland, R.L., Marshall, R., Shemanski, L., Furberg, C.D., Kitzman, D.W., Cushman, M., Polak, J., Gardin, J.M., Gersh, B.J., Aurigemma, G.P., & Manolio, T.A. (2002). Outcome of congestive heart failure in elderly persons: Influence of left ventricular systolic function. Annals of Internal Medicine, 137(8): 631-639.

Yancy, C.W., Fowler, M.B., Colucci, W.S., Gilbert, E.M., Bristow, M.R., Cohn, J.N., Lukas, M.A., Young, S.T., & Packer, M. (2001). Race and the response to adrenergic blockade with carvedilol in patients with chronic heart failure. The New England Journal of Medicine, 344(18): 1358-1365.

Role of Information Technology in Promoting Lean
Words: 3186 Length: 9 Pages Document Type: Essay Paper #: 52372178
Read Full Paper  ❯

Role of Information Technology in Promoting Lean Thinking/Practices in a Hospital:

How it Helps Streamlining Processes

Lean Thinking and Healthcare

Lean thinking has evolved from well-known business management disciplines such as the Toyota Production System (TPS), Just-in-Time (JIT) and Kaizen. The core principles of lean are fundamentally the same as these other disciplines, but lean thinking has developed this theory into a generic concept that can be more readily applied in a diverse range of industries using a more people focused approach. Lean thinking is more than an initiative; it is an all-encompassing business ethic that every function throughout the company supply chain must be committed to if the company is to achieve an integrated approach to improving our products, processes, people and plant capability.

Lean thinking is based on creating value driven activity by defining the value stream of a product from the customers' perspective. The value stream is…

Bibliography

Bartlett J, Cameron P, Cisera M. The Victorian emergency department collaboration. Int J. Qual Health Care 2002; 14: 463-70.

Balle, F., & Balle, M. The gold mine: A novel of Lean turnaround. Cambridge, Massachusetts: Lean Enterprise Institute. 2005.

Bicheno, J. The Lean toolbox for service systems. Buckingham, UK: Picsie Books. 2008.

Doll R. Controlled Trials: The 1948 Watershed. BMJ. 1998; 317:1217 -- 20. [PMC free article] [PubMed]

Orem's Theory of Self-Care Deficit
Words: 3089 Length: 10 Pages Document Type: Research Proposal Paper #: 90083470
Read Full Paper  ❯

In reaction, diabetes research looks into pharmacological options and changes in lifestyle to contain the trend. Recent findings point to the need for healthcare professionals to empower diabetes sufferers to take recourse in self-management as the best option at the moment (Kumar).

The purposefulness of a plan and its implementation in assisting a client with diabetes helped fill in her self-care deficit (Kumar 2007). The interpersonal relationship between a nurse and her client minimizes the stress experienced by the latter and her family. This enables the client or patient and her family to act more responsibly in health matters. An assessment and plan of care may use Orem's client-related concepts -- of self-care, self-care agency, therapeutic self-care demand and self-care deficit --, the concepts of nursing agency and nursing system and the basic conditioning factors. Integrating these concepts into other theories on health promotion and family systems may guide effective…

Bibliography

Aldridge, V. (2005). Self-monitoring of blood, glucose invaluable in managing diabetes. 3 pages. Journal of Diabetes Nursing: SB Communications. Retrieved on October 24, 2008 at  http://findarticles.com/p/articles/mi_mOMDR/is_10_9/ai_n27865119?tag=content;col1 

Aliha, J.M., et al. (2006). Relation between self-care behavior and self-care needs in patients with heart failure.2 pages. Southern African Journal of Critical Care: South African Medical Association. Retrieved on October 24, 2008 at  http://findarticles.com/p/article/mi_6870/is_1_23/ai_n28450856?tag=content;col1 

Bruce, E., et al. (2008). Dorothea Orem's theory of self-care. 38 pages. SlideShare, Inc. Retrieved on October 24, 2008 at  http://www.slideshare.net/jben501/dorothea-orem-theory 

Cook, a., et al. (2006). Self-care needs of caregivers dealing with stroke. 9 pages.

Charcot-Marie Tooth Syndrome Definition and
Words: 2666 Length: 10 Pages Document Type: Term Paper Paper #: 66269973
Read Full Paper  ❯

In the third trimester of pregnancy, caution must be taken concerning congestive heart failure, hypertension and decreased renal and hepatic function, interstitial nephritis, hyperkalemia, hyponatremia and renal papillary necrosis, anticoagulation abnormalities, leucopenia, granulocytopenia and thrombocytopenia. The use of Celecoxib is aimed primarily at suppressing pain and inflammatory stimuli, but it may contribute to NSAID gastrointestinal toxicity. The lowest possible dose of celecoxib should be prescribed and taken. On the whole, NSAIDs can mask the usual signs of infection, therefore, caution must be taken in the presence of existing controlled infection. The physician should investigate symptoms and signs, which suggest liver dysfunction or abnormal liver lab results.

On September 30, 2004, Merck and Company voluntarily withdrew rofecoxib from the American and world markets because of its association with an increase in cardiovascular incidence (Keldaya 2005). A major Food and Drug Administration study linked the medication to a three-fold rise in the…

Bibliography

Avicena. (2005). Charcot-Marie-Tooth Syndrome. Disease Targets. Avicena Group. http://www.avidenagroup.com/disease_targets/neuromuscular/cmt_php?print=on

Kedlaya, D. (2005). Charcot-Marie=Tooth Syndrome. eMedicine.com, Inc. http://www.emedicine.com/arthoped/topic43.ht

National Center for Biotechnology Information (2005). Charcot-Marie-Tooth Syndrome. Genes and Diseases. U.S. National Library of Medicine.  http://www.ncbi.nlm.nih.gov/books/bv_fcgi?call=bv.view.ShowSection&rid=gnd.section.197 

National Human Genome Researc Institute. (2004). Learning About Charcot-Marie-Tooth Disease. National Institutes of Health.  http://www.genome.gov/11009201

Cardiology Telemetry Annotated Bibliography
Words: 1273 Length: 4 Pages Document Type: Annotated Bibliography Paper #: 26541553
Read Full Paper  ❯

Compendium to Research in Cardiology and elemetry

Cotiga, D., et al. (2007). Acute Conversion of Persistent Atrial Fibrillation During Dofetilide Initiation. Pacing & Clinical Electrophysiology, 30(12), 1527-1530. doi:10.1111/j.1540-8159.2007.00902.x.

he researchers look at the role of Dofetilide (D) as "a highly selective blocker of the rapid component of the delayed rectifier potassium current;" approved for the treatment of atrial fibrillation (AF). he study is a replication of clinical trials that concluded in a satisfactory safety/efficacy profile in patients with left ventricle (LV) dysfunction or heart failure. he participants to the investigation all received at least 6 dosing intervals D. while admitted in the elemetry unit. Seventy seven percent (77%) of the patients converted to sinus rhythm (SR) after the first 2.2 ± 1.2 doses. Findings to the investigation revealed that: 1) D. had an unusually high pharmacological conversion rate; 2) demonstrated response with incremental dosage; and 3) correlated with a high…

The stent-based antenna can be used in monitoring of blood pressure from a minimally invasive device inserted for tracking the pulmonary artery in diagnostic and early warning system for cardiac health. In cardiac diagnostics, the foremost challenge in using a like device is the wireless transfer of data and power from within the blood vessel to external devices; whilst maintaining unrestricted blood flow through the artery.

Paoletti, R., Suess, T., Lesko, M., Feroli, A., Kennel, J., Mahler, J., et al. (2007). Using bar-code technology and medication observation methodology for safer medication administration. American Journal of Health-System Pharmacy, 64(5), 536-543. doi:10.2146/ajhp060140.

A three (3) inpatient nursing unit study on the implementation of a multidisciplinary approach to systematically decrease medication errors through the use of observation methodology and the deployment of electronic medication administration records (EMARs) and bar-coded-medication administration (BCMA) is discussed. Testing of two (2) intervention groups: 1) 20-bed cardiac control group in the telemetry unit; 2) a 36-bed medical-surgical unit. Testing was conducted utilizing a direct observation technique for data collection, the measurement of medication errors used the observation process was conducted in two (2) phases: 1) reimplementation; and 2) postimplementation. In the first phase of the study evaluating the medication administration process associated with a manual five (5) day medication administration record (MAR), a total of 188 errors were reported. During the second phase of the study, evaluation of the MAR process using EMAR and BCMA technology implemented under direct-observation. Accuracy rate in reporting before BCMA concluded at (86.5%); after BCMA, the rate rose to (97%). A (54%) reduction of errors to the MAR was observed following implementation the group's approach to medication safety.

Obesity An Overview What Is the Disease
Words: 693 Length: 2 Pages Document Type: Term Paper Paper #: 58097195
Read Full Paper  ❯

Obesity: An Overview

hat is the disease?

Obesity is an increasingly prevalent metabolic disorder whereby a patient's BMI or body mass index, defined as the patient's weight in kilograms divided by the patient's height in meters squared in kilograms, is greater than 30. Obesity puts one at greater risk for a number of ailments, and a BMI less than 21 is associated with the greatest protection from coronary heart disease mortality and other life-threatening ailments affecting the heart, other vital organs, and the body's metabolism. (Eckel, 1997)

However, there are problems with the BMI-based definition of obesity, as many women with a BMI of near 30 may be less at risk for heart disease if their increase in adipose tissue is distributed in the pelvis and not the abdomen. Substantial evidence now indicates that an increased waist circumference, or waist-to-hip ratio, better predicts co-morbidities and mortality from obesity, such as…

Works Cited

Benson, Lorna. (2003) "MPR: Obesity as a Disease." Minnesota Public Radio (MPH) Special Report. Retrieved 11 Aug 2005 at  http://news.minnesota.publicradio.org/features/2004/03/29_bensonl_desease/ 

Eckel, Robert H. (1997) "Obesity and Heart Disease: A Statement for Healthcare Professionals From the Nutrition Committee, American Heart Association. Circulation. 96:3248-3250. Retrieved 11 Aug 2005 at  http://circ.ahajournals.org/cgi/content/full/96/9/3248#SEC1

Migraine Management Migraine Also Known as Hemi
Words: 3782 Length: 14 Pages Document Type: Term Paper Paper #: 72867345
Read Full Paper  ❯

Migraine Management

Migraine, also known as hemi crania and megrim, is a severe and recurring headache. Commonly known as sick headache, it often affects only one side of the head, and is usually accompanied by nausea, vomiting, visual disturbances, and sensitivity to motion, light sound and odors.

'The, International Headache Society (HIS) has created a checklist by which migraine can be diagnosed. This is a simplified, standardized and globally accepted diagnostic test for migraine. The following criteria define common migraine, which is the migraine without aura:

A patient should have had at least five of these headaches.

The headache lasts from 4 to 72 hours.

The headache must have at least two of the following:

a. One sided location.

Pulsing or throbbing quality.

c. Moderate or severe intensity, making daily activities difficult or impossible to perform

d. Headache is worsened by routine physical activity. Such a bending over or climbing…

Reference:

1. Stewart J. Tepper, M.D, 2004, Understanding Migraine and Other Headaches, Jackson, Ms. Publication, University Press of Mississippi.

2. Kathleen M. Heins, April 2003, Stopping migraine pain: don't let the doctor dismiss your migraine symptoms. New medicines and treatments are giving millions of women relief from the worst headache of all - Second Opinion, Better Homes and Gardens.

3. Ben Harder, Feb 19, 2005, Against the migraine: a procedure's serendipitous success hints that some headaches start in the heart, Science News.

4. Karen Goldberg Goff, August 1, 1999, HEADING OFF Migraine pain: Finding "Trigger," Right Treatment for debilitating pain, The Washington Times, pg: 1.

Animal Assisted Therapy Animals When
Words: 2537 Length: 7 Pages Document Type: Term Paper Paper #: 31991308
Read Full Paper  ❯

69). Petting a dog lowered blood pressure and respiratory rate -- even if the dog was somebody else's. Pet owners that have heart surgery recover faster and stand a better chance of full recovery. Touching a warm furry animal gives them relief.

Moreover, pet ownership is a predictor of survival after hospitalization for any serious illness (Gunter & Furnham, 1999).

Demello (1999) found that the "mere presence of an animal" could lower blood pressure and that the effect persisted even after the animal was gone. Visual contact with an animal, although it helped, was not as good as touching. Heart rates decreased significantly in a three-minute period of physical contact with the animal (Demello, 1999).

A story in Time magazine (2001) tells how a brain-injured man needed help to get back his sense of balance. Ginger, an Australian shepherd, liked to fetch, so physical therapy for this man was to…

References

Brodie, S., Biley, F.C., and Shewring, M. (2002). An exploration of the potential risks associated with using pet therapy in healthcare settings. Journal of Clinical Nursing, 11 (4), 444-456.

Demello, L. (1999). The effect of the presence of a companion-animal on physiological changes following the termination of cognitive stressors. Psychology & Health, 14 (5), 859.

Gunter, B. And Furnham, a. (1999). Are pets good for our physical well-being? In Pets and People: The Psychology of Pet Ownership, Chapter 5, 6. London: Wherr Publishing, 66-81/

Hooker, S.D., Freeman, L.H., and Stewart, P. (2002). Pet therapy research: A historical review. Holistic Nursing Practice, 16 (5), 17-23.

People Die Each Year of Cardiac Related
Words: 1615 Length: 6 Pages Document Type: Research Proposal Paper #: 41112606
Read Full Paper  ❯

People die each year of cardiac related health problems. Some die of heart attacks and others of congestive heart failure and so forth. This research proposal highlights five peer reviewed journal articles that show how to improve, step-by-step, the infrastructure of a hospital cardiac program. Quantitative data from the studies along with in-hospital data will reveal the need for quality improvement as well as how successful certain methods are when implemented among specific populations. Information was gathered through the search engine Google Scholar and PubMed. All articles are less than four years old and reveal ways to not just improve the safety and care of patient's but also how to improve surgical outcomes and enhance IT infrastructure, all of which are essential to running a great hospital cardiac program.

Introduction

Several patients in (Hospital Name) have come in complaining of cardiac related health problems. Some have had issues with cardiothoracic…

References

Elliott, M.J. (2012). The role of information in ensuring quality and patient safety. Progress in Pediatric Cardiology, 33(1), 5-10. Retrieved from  http://www.sciencedirect.com/science/article/pii/S1058981311000853 

Grace, S.L., Poirier, P., Norris, C.M., Oakes, G.H., Somanader, D.S., & Suskin, N. (2014). Pan-Canadian Development of Cardiac Rehabilitation and Secondary Prevention Quality Indicators Endorsed by the Canadian Association of Cardiac Rehabilitation. Canadian Journal of Cardiology, 30(8), 945-948. Retrieved from  http://www.sciencedirect.com/science/article/pii/S0828282X14002335 

Guillamondegui, O.D., Gunter, O.L., Hines, L., Martin, B.J., Gibson, W., Clarke, C., Cecil, W.T. (2012). Using the National Surgical Quality Improvement Program and the Tennessee Surgical Quality Collaborative to Improve Surgical Outcomes. Journal of the American College of Surgeons, 214(4), 709-714. Retrieved from  http://www.sciencedirect.com/science/article/pii/S1072751511013287 

IEEE Conference on Software Engineering Education and Training, & IEEE Computer Society. (2011). Educating software engineers of the future: Software quality research through problem-based learning. In CSEE&T 2011: Proceedings (pp. 91-100). Los Alamitos, California: IEEE.

Advice - Smoking Cessation Advice
Words: 605 Length: 2 Pages Document Type: Essay Paper #: 71584562
Read Full Paper  ❯

Besides the most serious medical consequences, smoking causes bad breath, yellowing of teeth and is considered equally damaging to the skin in terms of premature aging and wrinkles as overexposure to the sun. Finally, the increased awareness of the dangers of second-hand smoke have already led to laws prohibiting smoking in the workplace, in restaurants and other public areas, and even in residential buildings. In general, smoking is becoming something that many people consider evidence of poor decision making or even low intelligence.

The decision to start smoking is just not consistent with good judgment and intelligent choices. The fact that so many people who already smoke wish they had never started and the difficulty they experience in trying to quit should be enough proof to anybody that starting is a very bad idea. Healthcare costs are one of the most expensive bills that Americans pay and a substantial amount…

References

Brody, Jane. In Adolescents, Addiction to Tobacco Comes Easy. The New York Times. (February 2, 2008).

O'Neill, Xana and Lite, Jordan. Real Estate Companies Making it Tougher for Smokers in Their Homes. The New York Daily News (March 30, 2008).

Inappropriate Hospital Admission Raising Health
Words: 5078 Length: 17 Pages Document Type: Term Paper Paper #: 82715825
Read Full Paper  ❯

Therefore, a basis is formed on which to reduce the inappropriate admissions after the correct rates are determined (estuccia, Shwartz, Ash, and Payne, 1996).

The connection between hospitalization rates and the inappropriateness of the admissions cannot be confirmed. A study of adults revealed that there was no link between the rates of hospitalization and the inappropriateness of the admission while a similar study conducted with no age limits produced contrary results. Three procedures of coronary angiography, upper gastrointestinal endoscopy, and carotid endarterectomy were used in another study to find out the relationship between the varying admission rates and their appropriateness (estuccia, Shwartz, Ash, and Payne, 1996).

It was revealed that there was more inappropriateness in high-use areas. When this study was repeated for a small area, the outcomes were quite different. This showed that inappropriateness cannot be used as a basis to find out the cause for the differing hospitalization…

References

Apolone G., Fellin G., Tampieri a., et al. (1997). Appropriateness of hospital use: Report from an Italian study. European Journal of Public Health Vol. 7, 1997 No. 1

Campbell J. (2001). Inappropriate admissions: thoughts of patients and referring doctors. JR Soc Med 2001;94:628-631.

Chopard P., Perneger T.V., Gaspoz J.M., Lovis C., et al. (1998). Predictors of inappropriate hospital days in a department of internal medicine. International Journal of Epidemiology 1998:27.513-519

Chopard P., Gaspoz J.M., Lovis C., et al. (1998). Predictors of inappropriate hospital days in a department of internal medicine. International Journal of Epidemiology, Volume 27, Number 3, June 1998, pp. 513-519(7).

Patent Ductus Arteriosus Is a
Words: 699 Length: 2 Pages Document Type: Term Paper Paper #: 3318860
Read Full Paper  ❯

Fatigability and dyspnea on exertion may be seen in PDA patients that have reached 40 years old, however, if their PDA has not been treated, or has not been treated properly (www.med-help.net).

Having a PDA allows for blood to shunt from left to right, or from the systemic circulation to the pulmonary circulation. The flow of blood is therefore excessive on the pulmonary side and there are very few factors that can control how severe this actually is. The larger the narrowest point of the ductus arteriosus, the larger the shunt. A restrictive ductus arteriosus can also have an effect, depending on the length of the narrowed area. Having a longer ductus is often associated with having a smaller shunt. It is also partially controlled by how much pulmonary vascular resistance there is when compared with systemic vascular resistance. Low pulmonary vascular resistance or high systemic vascular resistance creates a…

Bibliography www.emedicine.com.(2004). Patent Ductus Arteriosus. Retrieved 23 January 2005 at  http://www.emedicine.com/ped/topic1747.htm  www.med-help.net.(n.d.) Patent Ductus Arteriosus. Retrieved 23 January 2005 at  http://www.med-help.net/PatentDuctusArteriosus.html

Family Practice Spec Icd Codes Much of
Words: 545 Length: 2 Pages Document Type: Essay Paper #: 1081451
Read Full Paper  ❯

Family Practice Spec. ICD Codes

Much of the treatment scope associated with the specialty family practice revolves around prevention. In other words the family practice provider often sees individuals when they are not ill at all but need health care access to determine normal values and a general state of health for developmental purposes in children and sometimes for school or vocational reasons in adults. Family practice often sees multiple minor injuries as well. Family Practice can also manage as a primary care provider many chronic conditions or disorders with or without intervention of a specialist, such as diabetes mellitus types 1 and 2, hypertension, hyperlipidemia, heart diseases of various kinds and most minor infections. Below is a list of just a few diagnostic codes for some of these commonly seen disorders and/or cases seen in the family practice specialty.

outine Physicals exams for Adults

outine general medical examination at…

Resources

Endres, Chris "Free online searchable ICD9 Codes," retrieved November 25, 2011 at  http://icd9cm.chrisendres.com/ 

Taylor, R.B. (2002) Manual of family practice. Philadelphia, PA: Lippincott, Williams & Wilkins.

Palliative Case Study Example
Words: 555 Length: 2 Pages Document Type: Case Study Paper #: 18524835
Read Full Paper  ❯

A.J., an 82-year-old female, was admitted three weeks ago with acute on chronic congestive heart failure (CHF) after presenting to the emergency department (ED) with c/o progressive worsening SOB, leg edema, and fatigue. She has a history of severe CHF, atrial fibrillation, myocardial infarction (MI), renal insufficiency, and hypothyroidism. Since admission, A.J. has needed intubation and ventilation for acute decompensated heart failure due to a massive MI. She is alert when not sedated but has been too unstable for a cardiac catheterization and has needed vasoactive medications to support her blood pressure. Her renal function has declined and plans are being made for hemodialysis. Today when speaking with A.J.'s husband, he conveys to you her nurse that "she would not have wanted all of this." "

Discuss the pros and cons of continued therapy and what role nursing can play in helping the patient and family.

This case deals with…