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Renin Angiotensin System and Antidiuretic Hormone
Words: 641 Length: 2 Pages Document Type: Essay Paper #: 73897089
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The human body’s Renin-Angiotensin Aldosterone System (RAAS) regulates blood pressure and fluid balances. When a person’s blood pressure or water levels drop, the body’s baroreceptors identify the drop, as do cells in the kidneys, which are responsible for releasing rennin into the body. In the case of a decline in blood pressure, the enzyme Renin transforms angiotensinogen to angiotensin I. Angiotensinogen is a protein in the liver, and, essentially, a chain-reaction process gets under way in which the body’s RAAS acts like a line of dominoes responding to the drop in low blood pressure: the kidney gets the chain reaction underway first, by releasing Renin. Renin converts the protein in the liver to the hormone angiotensin I. Angiotensin I is then converted by an enzyme in the lungs, which is called the angiotensin-converting enzyme (Angiotensin I is transformed into Angiotensin II). So kidneys, liver and lungs all work together in…

Wasilewski, M. A., Myers, V. D., Recchia, F. A., Feldman, A. M., & Tilley, D. G. (2016). Arginine vasopressin receptor signaling and functional outcomes in heart failure. Cellular Signalling, 28(3), 224-233.

Effectiveness of In home Monitoring of CHF Patients
Words: 2655 Length: 9 Pages Document Type: Essay Paper #: 76857727
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How Does the Use of In-home Monitoring for CHF Impact Re-hospitalization Rates?
Impact on In-home Monitoring for CHF on Re-hospitalization Rates
Congestive heart failure (CHF) is one of the major cardiovascular diseases with high global incidence and prevalence in the United States. While numerous advances in evidence-based medical therapy continues to occur, congestive heart failure remains a major problem as it results in significant burden of mortality, morbidity, and costs. The United States has a prevalence of 5.8 million individuals with the condition and more than 960,000 cases annually. It is estimated that approximately one million hospitalizations linked to congestive heart failure occur annually. Most of these hospitalizations arise from worsened congestion among already diagnosed patients. The United States spends approximately $32.7 billion on congestive heart failure annually. Martirosyan et al. (2017) states that readmission rates for this condition remain high as nearly 20% of patients are readmitted within 30…

Heart Transplant Asthma & Pulmonary
Words: 1811 Length: 6 Pages Document Type: Thesis Paper #: 74860934
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Its use on those with acute PAH should be performed with caution. The complication rate was observed at 2%

in patients with acute PAH. The use of the procedure was deemed relatively safe for chronic pulmonary arterial hypertension. Severely ill patients should be subjected to non-invasive imaging method exhaustively before resorting to pulmonary angiography (Hofman et al.).#


Albert, Nancy M. Caring for Patients with Pulmonary Hypertension. Nursing:

Springhouse Corporation, May 1999. Retrieved on April 25, 2009 from;col1

adesch, David, et al. Medical Therapy for Pulmonary Arterial Hypertension.

131 (6). Chest: American College of Chest Physicians, July 20, 2007. Retrieved on April 25, 2009 from

Flattery, Maureen P. And Kathy M. aker. Evidence for Racial Disparity in Cardiac

Transplantation Survival Rates. Journal of Cultural Diversity: Tucker Publications,

March 22, 2004. Retrieved on April 26, 2009 from;col1

Hofman, Lawrence V., et al. Safety and Hemodynamic Effects of Pulmonary…


Albert, Nancy M. Caring for Patients with Pulmonary Hypertension. Nursing:

Springhouse Corporation, May 1999. Retrieved on April 25, 2009 from;col1 

Badesch, David, et al. Medical Therapy for Pulmonary Arterial Hypertension.

131 (6). Chest: American College of Chest Physicians, July 20, 2007. Retrieved on April 25, 2009 from

Heart Problems Linked to Those Born With HIV Health
Words: 711 Length: 2 Pages Document Type: Research Paper Paper #: 43715537
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Heart Problems Linked to Those Born with HIV

HIV treatment now improves the longevity of infected persons, and researchers have since shifted their focus to the health-related complications that such persons could face later in life. Cardiovascular disease has been found to be one, and perhaps the most significant, of these complications. esearch has, in fact, established that "children born with HIV are more likely to have heart problems later in life, even if they are treated early with antiretroviral drugs" (McNeil Jr., 2014). Whereas almost no child in America is now born with HIV, owing to the availability of preventive drugs, more than 250, 000 children born every year in the developing world are not as lucky, and have to take antiretroviral drugs their entire lives. This text establishes how the "combination of the effects of HIV itself and the antiretroviral drugs used to treat it" increases the likelihood…


Fox News. (2013). HIV Linked to Higher Chance of Heart Attack. Fox News. Retrieved 26 April 2014 from 

McNeil Jr. D.G. (2014). Heart Problems Linked to Those Born with HIV. Positive Living Society of British Columbia. Retrieved 26 April 2014 from 

NIH. (2014). Youth Born with HIV may have Higher Heart Disease Risk, NIH Network Study Shows. National Institutes of Health. Retrieved 26 April 2014 from

Heart the Basic Work of the Heart
Words: 1089 Length: 3 Pages Document Type: Essay Paper #: 65551499
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The basic work of the heart is to pump blood to the entire body. It performs two types of functions, electrical and mechanical. The electrical function of the heart is the periodic contraction that is triggered by the pacemaker. The pacemaker generates the pumping effect throughout the heart. This pumping action commonly known as action potential is carried in an electrical conduction system. The mechanical function is the fluidic movement of blood; the heart is a pump. The heart's anatomical features include; ventricle, which is the pump, heart valves; that allow blood to flow one way and the atria, which includes the four chambers of the heart. The heart is susceptible to disease and as a result if unable to pump blood can lead to failure in other body organs.

Treated Heart Conditions

Cardiology is generally a field of medicine focusing on diagnosis and treatment of the heart. Discussed…


American Medical Association. (2011). CPT Professional Edition. Chicago: American Medical


Fishbein, M.C. (2012). Heart Transplant. Retrieved February 27, 2012, from 

Heartmart. (2007). Commonly Performed Heart Procedures - Fixing Broken Hearts. Retrieved February 27, 2012, from

Damage to Heart Valves
Words: 622 Length: 2 Pages Document Type: Essay Paper #: 57262851
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Heart Valves

Heart disease is something that is negatively impacting 735 thousand Americans annually. Most patients manifest heart failure based upon inactivity and poor diet. This makes it difficult for the body to adequately pump blood to the rest of the body. Older adults will develop the condition based upon an increase in weight and they will have excessive fluid in their legs and arms. Someone who is suffering from heart failure will have blood pressure of 160 / 100 and above. Their arterial pressure will be 179 / 109 and central venous pressure is 180 / 110. This places tremendous amounts of strain on their valves. Once this occurs, is when the damage can become severe and negatively impact the underlying health of the patient causing cardiac arrest. (Silverstein, 2006) To fully understand what is occurring requires focusing on the extent of these injuries, the deformities and impact it…


Robinson, B. (2007). Biomedicine. Boulder, CO: Blue Choppy Press.

Silverstein, A. (2006). Heart Disease. Minneapolis, MN: 21st Century Books.

Failure Teaches More Than Success Ever Can
Words: 402 Length: 1 Pages Document Type: Admission Essay Paper #: 22237220
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Failure teaches more than success ever can. My greatest failure reveals the human tendency towards hubris. Luckily the incident happened early enough in my career that my ego was not bruised too badly and I bounced back better than ever. I believed so strongly in the supreme power of my superior technical skills that I was completely unprepared for the major blow that failure would bring. After all, a track record of successfully completed projects had me coasting right along. Moreover, my clients offered no end of positive feedback -- as did my supervisors and my colleagues. I was on top of the world creating and implementing unique networking solutions and services that were used by millions of users.

Why should I, a technical genius, pay attention to boring stuff like returns on investment? That gobbledygook was for finance majors. Capital productivity, customer service, capacity utilization, and process analysis? I…

Management of Left Ventricular Heart
Words: 3436 Length: 12 Pages Document Type: Essay Paper #: 90872428
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(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…


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:

NHS Confederation and BMA (2005) New GMS contract. Department of Health.

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. [Accessed: 19/06/2007]. [Free Full-text]

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


Acute Renal Failure Is a Serious Medical
Words: 1181 Length: 4 Pages Document Type: Essay Paper #: 2579717
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Acute renal failure is a serious medical condition. The gravity of the condition is manifested itself in the fact that the survival rate for renal failure has not improved for more than forty years. It occurs in 5% of all hospitalized patients and dialysis treatment is required in approximately .5 of cases. Dialysis is required to sustain "fluid and electrolyte balances, minimize nitrogenous waste production and sustain nutrition Infection accounts for 75% of deaths in patients with acute renal failure, and cardiorespiratory complications are the second most common cause of death" (Agrawal & Swartz 2000). Pathophysiology can vary depending upon the type: "patients who develop AKI can be oliguric or nonoliguric, have a rapid or slow rise in creatinine levels, and may have qualitative differences in urine solute concentrations and cellular content.... Oliguria is defined as a daily urine volume of less than 400 mL/d and has a worse prognosis,…


Epstein, Murray. (1997). Alcohol's impact on kidney function. Alcohol Research and Health21. 1 (1997): 84-91.

Malay, Agrawal & Richard Swartz. (2000). Acute Renal Failure. American Family

Physician. Retrieved October 29, 2011 at 

Page, Timothy F. & Robert S. Woodward. (2009). Cost-effectiveness of Medicare's coverage of immunosuppression medications for kidney transplant recipients.

Congestive Cardiac Failure
Words: 1248 Length: 4 Pages Document Type: Term Paper Paper #: 93034941
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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…


AMA. (2004). "Congestive Heart Failure." American Heart Association, Inc. {Online} Available: 

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

Dealing With Heart Disease
Words: 539 Length: 2 Pages Document Type: Case Study Paper #: 93378314
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patient most likely manifest hypervolemia?

A patient would most likely develop hypervolemia through eating sodium-based foods, from blood transfusions, medications and diagnostic contrast dyes. (Silverstein, 2006)

What blood pressure, central venous pressure, and arterial pressure would be indicative of hypervolemia?

Any individual who is suffering from hypervolemia would have higher levels of blood (160 / 100), central venous (179 / 109) and arterial pressure (180 / 110). (Silverstein, 2006)

How would a nurse recognize that a hypovolemic patient had received adequate volume replacement?

The way a nurse would recognize a hypovolemic condition is to look for swelling in the legs and arms. At the same time, there will be an increase in the patient's weight. When there is adequate replacement, these levels will come down dramatically. (Silverstein, 2006)

How do neurohormonal mechanisms contribute to the development of heart failure?

Neurohumoral adaptations are impacting the systemic pressure through vasoconstriction. This leads…


Silverstein, A. (2006). Heart Disease. Minneapolis, MN: 21st Century Books.

Preventable Heart Disease in Young
Words: 1733 Length: 6 Pages Document Type: Term Paper Paper #: 91858879
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Likewise, younger adults tend to consume alcohol in patterns more conducive to the development of heart disease than older adults.

Unfortunately, all indications are that these differences between heart disease rates is only likely to increase in the next generation, owing to the current obesity epidemic among American children. Ultimately, many of these risk factors are under our control, but it appears that various elements of American social culture currently militate against making more responsible choices on the part of many contemporary young adults.

orks Cited

American Heart Association (2007) Risk Factors and Coronary Heart Disease. Retrieved November 20, 2007 from the AHA Homepage, at

Edelson, E. (2007) Heart Death Rates orsening for Middle-Aged Adults;

U.S. News & orld Report; Nov. 19 / 07.

Retrieved November 20, 2007 from website, at

Gibbs, N, (2007) One Day in America; Time Magazine

Nov. 26 / 07 (Vol. 170 No.…

Works Cited

American Heart Association (2007) Risk Factors and Coronary Heart Disease. Retrieved November 20, 2007 from the AHA Homepage, at 

Edelson, E. (2007) Heart Death Rates Worsening for Middle-Aged Adults;

U.S. News & World Report; Nov. 19 / 07.

Retrieved November 20, 2007 from website, at

Time it Requires for a Heart to Relax
Words: 499 Length: 2 Pages Document Type: Essay Paper #: 19645879
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hearts spend in diastole?

Heart relaxation

Heart failure is a common concept in the contemporary society and in spite of the fact that the masses are virtually bombarded with information regarding this condition, it appears that many are still unable to take on the attitudes needed in order for them to avoid having heart problems. Until recent years, the majority of people familiarized with heart problems were only acquainted with ideas regarding systolic dysfunctions. This was owed to heart muscles weakening and no longer being able to pump blood efficiently.

In the present, the world of medicine was able to discover much more information about diastolic dysfunctions and about how they affect the body and the heart in particular. In contrast to how many thought, heart failure does not necessarily have to be caused by weakened heart muscles. Instead, it can be caused by stronger heart muscles that are unable…


Chemla, D., Coirault, C., Hebert, J., & Lecarpentier, Y. "Mechanics of Relaxation of the Human Heart." Retrieved February 25, 2015, from 

Lee, T.H. "When The Heart Can't Relax," Retrieved February 25, 2015, from

Reducing Stress as a Help for Heart Disease
Words: 639 Length: 2 Pages Document Type: Case Study Paper #: 55171906
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Care Plan

The client is at risk of heart failure and aside from his physical health issues he carries a great deal of external burdens that contribute to his overall mental and emotional stress. He needs to find some activity that can relieve him of these pressures and volunteering at a local religious organization or charity may provide an outlet as well as a suitable means of making some connection to the community, which could alleviate the internalizing of his pressures as well as provide some spiritual benefit, which researchers have identified as having potential positive effects (Kyziridis, 2005).

An effective nursing intervention customized for the client would be to devise a goal for the client and with the client that would include exercise, stress relief, and community interaction. His triglycerides are high and his cholesterol is borderline high. A diet should be devised so as help with the heart…


Ben-Dor, I., Battler, A. (2007). Treatment of stable angina. Heart, 93(7): 868-874.

Kyziridis, T. (2005). Notes on the history of schizophrenia. German Journal of Psychiatry, 8: 42-48.

managing coronary heart disease
Words: 1466 Length: 4 Pages Document Type: Essay Paper #: 41343563
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Chronic Illness: Coronary Heart Disease

Outline of Coronary Heart Disease

The Coronary Heart Disease (CHD) has been on the increase of late across the globe and this disease, alongside stroke have been the top causes of death in many countries like Australia (Baker Heart and Diabetes Institute, 2017). There have been cases of people succumbing to complications occasioned by the CHD hence the need for any medic or clinician to fully furnish themselves with the CHD and the causes and effects as well as how it can be managed.

CHD is a disuse characterized by the development of a waxy substance called plaque building up in the inner walls of the coronary arteries. These are the arteries responsible for supplying oxygen-rich blood to the heart muscles. The buildup of plaque on the inner walls of the arteries results into atherosclerosis and this takes many years to pile up to harmful…


Baker Heart and Diabetes Institute, (2017). Heart disease and stroke are the top two causes of death -- and among the leading causes of disability -- in Australia. Retrieved April 9, 2017 from 

Cleveland Clinic, (2017). Coronary Artery Disease Symptoms. Retrieved April 9, 2017 from 

Mayo Clinic, (2017). Coronary Heart Disease: Symptoms and Causes. Retrieved April 9, 2017 from 

Southern Cross, (2017). Coronary heart disease - causes, symptoms, prevention. Retrieved April 9, 2017 from

How Rheumatic Fever Can Turn Into Rheumatic Heart Disease
Words: 602 Length: 2 Pages Document Type: Essay Paper #: 18204135
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heumatic heart disease is caused by heumatic Fever or group a streptococci. It consists of "cardiac inflammation" accompanied by scarring which itself is a reaction to the autoimmune system fighting the group A streptococci. The myocardium, endocardium, and epicardium are each affected in turn. In the chronic stage, heumatic heart disease results in valvular fibrosis (Burk, 2013).

The pathophysiology of heumatic heart disease is as follows: The causative agent is group A streptococci. It develops into strep throat, which if untreated can turn into heumatic fever. At this point, the individual suffers inflammation of the layers of the heart as well as the mitral valve. Vegetation also begins to develop. This will lead to valvula regurgitation plus stenosis. The result of all of this is heart failure (Burke, 2010).

heumatic fever typically occurs in individuals between the ages of 5 and 25, so it is neither a newborn's disease nor…


Burke, A. (2013). Pathology of Rheumatic Heart Disease. Medscape. Retrieved from 

Wallace, M. (2014). Rheumatic Fever Medication. Medscape. Retrieved from

Mortality Morbidity Heart Conditions
Words: 736 Length: 2 Pages Document Type: Essay Paper #: 48574328
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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 (, 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 (2015). Postural hypotension. Retrieved May 14, 2016 from (2016). Atrial fibrillation fact sheet. Retrieved May 14, 2016 from (2016) Heart disease facts. Retrieved May 14, 2016 from facts.htm (2016). High blood pressure. Retrieved May 14, 2016 from

Improving Heart Care Treatment
Words: 594 Length: 2 Pages Document Type: Chapter Paper #: 77657941
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emote Monitoring Systems for Seniors

Content Summary: This article examined the efficacy of remote monitoring systems on a couple of extremely salient factors for older patients who had experienced severe trauma related to heart disease: heart failure. The authors hypothesized that the utilization of these monitoring systems would enhance the treatment of such patients. They were able to produce quantifiable evidence that actually demonstrated the accuracy of their hypothesis in specific categories that included self-care, quality of life, and activation. Activation is defined as "self-care knowledge, skills, and self-efficacy" in administering treatment and dealing with the repercussions of heart failure. The crux of the study was based on data produced by two different populations from the study's sample: one was able to utilize remote monitoring systems while the control was not. For three months of the authors of this work were able to collect data about the heart rate, blood…


Evangelista, L.S., Lee, J-A., Moore, A.A., Motie, M., Gahsemzadeh, H., Sarrafzadeh, M., Mangione, C.M. (2015). Examining the effects of remote monitoring systems on activation, self-care, and quality of life in older patients with chronic heart failure. Journal of Cardiovascular Nursing. 30(1), 51-57.

Large Heart and Big
Words: 607 Length: 2 Pages Document Type: Essay Paper #: 30146355
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Enlarged Cardiac Muscle

In most instances, an enlargement of cardiac muscles produces detrimental effects in the person in which such an occurrence takes place. Depending on how large the muscles and the heart actually gets, the noxious nature of those effects increase. For instance, it is possible to still have the heart function normally and pump blood with a degree of efficacy with minimal or even nominal enlargement of the heart muscles. However, when that enlargement becomes too strong, there are a host of detrimental conditions that take place.

There are many different undesirable results that an enlarged heart can produce. For instance, it can lead to strokes, heart attacks, and various forms of heart failure. Still, there is not a direct correlation between enlarged hearts and these maladies for the simple fact that in most instances, enlarged hearts are produced by some other undesirable conditions such as high blood…

Asthma or Heart Disease or Diabetes
Words: 3003 Length: 10 Pages Document Type: Research Paper Paper #: 13855478
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According to Waryasz & McDermott (2009), the global prevalence of diabetes among people aged between 20 and 79 rose to 6.4% affecting 285 million people in 2010 and the rate will rise to 7.7% affecting 439 million people by 2030. Amid 2010 and 2030, the rate of individuals with diabetes will increase by 69% in developing nations, and a twenty percent rate in developed nations. In 2011, the number rose to 366 and it is expected to rise to 552 by 2030. The pervasiveness of diabetes is advanced in males compared to females, yet the number of women with diabetes is more compared to that of men.

Diabetes affects any part of the human body and people with diabetes are likely to die of heart-related problems or stroke. Seventy-percent of individuals with diabetes show signs of high blood pressure which a risk factor for heart-related diseases. The majority of…


Boussageon R, Supper I, Bejan-Angoulvant T, Kellou N, Cucherat M, et al. (2012).Reappraisal of metformin efficacy in the treatment of type 2 diabetes: A meta-analysis of randomized controlled trials. PLoS Med, 9(4): e1001204. doi:10.1371/journal.pmed.1001204.

Karin et al.(2002). Diet and exercise among adults with type 2 diabetes: Findings from the Third National Health and Nutrition Examination Survey (NHANES III) . Diabetes Care, 25 (10), 1722-1728

Wang, H., & Yeh, M.(2012). Systematic to insulin therapy in adults with type 2 diabetes. Mixed- method systematic review. Journal of Advanced Nursing, 68(4), 743 -- 757. doi: 10.1111/j.1365-2648.2011.05853.x.

Waryasz, G., & McDermott, A. (2009). Exercise prescription and the patient with type 2 diabetes: A clinical approach to optimizing patient outcomes. Journal of the American Academy of Nurse Practitioners, 22, 217-227.

Failure to Promise An Uncommon Path to
Words: 1048 Length: 3 Pages Document Type: Essay Paper #: 82782553
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Failure to Promise: An Uncommon Path to Professoriate is Dr. C. Moorer's self-help book that aims to motivate the reader and help to establish a series of self-analytical tools that will help the reader achieve his or her goals. As an individual pursuing a degree in aeronautical science, it is difficult to fully relate to Dr. Moorer's journey to become an engineer and professor because of the background that he describes in his book. However, it is interesting to see how Dr. Moorer, through his own experiences, has come to understand strategic concepts that are frequently taught in managerial programs and how many of his concepts can be traced back to theories that have been studied for centuries.

As someone that has worked hard and has been forced to overcome struggles, personally and academically, I find it difficult to take much of Dr. Moorer's struggles to heart because it appears…


The Economic Collapse. (2012). Retrieved 12 July 2012, from 

Moorer, C. (2010). From Failure to Promise: An Uncommon Path to Professoriate. Lexington,


Tzu, S. (n.d.). The Art of War. Retrieved 12 July 2012, from http://history.cultural-

Failure to Thrive Is There
Words: 1214 Length: 4 Pages Document Type: Research Proposal Paper #: 1301452
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Eventually, he switched from pre-med to economics, much to the displeasure of his father. When he could play tennis at a competitive level, his parents allowed him a certain degree of liberty given that he excelled in something they knew they could not understand. When he stopped playing, the pressures to get a good job and to marry a nice Indian girl increased. It was like a double bondage. Why should he have to suffer for the careless actions of those men in the truck?

Worse, he could never move himself to either be wholly bad or wholly good -- he didn't have Western girlfriends in college like his friends, he felt too guilty, as if he was betraying his parents. But he couldn't obey his parents either. When his parents tried to pressure him to marry a young woman, the daughter of a family friend, he would not even…

Population at Risk
Words: 683 Length: 2 Pages Document Type: Research Paper Paper #: 11116571
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eart Failure in African-Americans

Cardiovascular diseases (CVD) are among the top killers in the world population and number one in the U.S. eart failure is the number one killer in the U.S. And stroke, number three. The African-American Population has even higher numbers that fall victims to these killers. The main factors that lead to heart failure and stroke are: "high blood pressure, high cholesterol, cigarette smoking, diabetes, poor diet and physical inactivity," with their natural consequences: "overweight and obesity" (

Although heart diseases are the number one cause of death in the U.S. today, they are also among the most preventable diseases. An unprecedented opportunity to prevent heart disease and stroke exists today in the United States. "We know what causes these conditions and how to prevent them, largely because of the decades of research supported by NI, the American eart Association, and others" ( ). The African-American Population…

Hansen, Jeff. The Birmingham News. "Health Department Wins Double Grants $13 Million to Fight Obesity, Tobacco." Available at:  Retrieved: Sep 29th, 2014

Centers for Disease Control and Prevention. Heart Disease and Stroke Prevention. Addressing the Nation's Leading Killers: At A Glance 2011. Available at:  Retrieved: Sep 28th, 2014

On the Move to Better Heart Health for African-Americans. U.S. Department of health and Human Services. 2008. Available at:  Retrieved: Sep 29th, 2014

Cardiac Arrest
Words: 3253 Length: 10 Pages Document Type: Research Paper Paper #: 91083108
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Heart Disease

elationship between cardiac arrest and coronary cardiac disease

The heart is an essential organ in the human body, it keeps the individual alive. Understanding how the heart operates and functions is essential to help protect your heart from heart disease. Cardiac arrest and coronary heart disease are significant heart related illness that has a high mortality rate. It is important for individuals with pre-existing heart disease to understand the symptoms of cardiac arrest and coronary heart disease, since these are both leading causes of fatality in the United States. Understanding how the heart works, the individuals risk for heart disease, and how to prevent or delay heart disease is essential. In this paper I will address the relationship between cardiac arrest and coronary heart disease. I will also explain how the heart functions and discuss some ways of preventing cardiac arrest and coronary heart disease.

Cardiac Arrest



Antonini-Canterin et. al. (2009). Association between carotid and coronary artery disease in patients with aortic valve stenosis: an angiographic study. Angiology 60 (5) 596-600

CDC. (2010). Heart disease. Retrieved from 

Dewey et. al. (2004). Coronary artery disease: new insights and their implications for radiology. European Radiology. 14 (6) 1048-1054

Escolar et. al. (2006). New imaging techniques for diagnosing coronary artery disease. Canadian Medical Association Journal. 174 (4) 487-495

Multisystem Failure in a Geriatric Patient
Words: 2043 Length: 7 Pages Document Type: Term Paper Paper #: 98093554
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Multisystem Failure in a Geriatric Patient

Multisystem Failure in a Geriatric

eflect on your analysis of the geriatric patient in multisystem failure by doing the following:

Explain key immediate assessments you should make that would help assess the patient's homeostasis, oxygenation, and level of pain.

There are various diagnoses undertaken in assessing the patient's homeostasis, oxygenation, and level of pain. The immediate objective that nurses prioritize on is checking the patient's vital symptoms. Vital symptoms form the baseline of the assessment by providing significant information that illustrates whether the most essential organs function as required.

The assessment may involve checking the health status of the patient in the laboratory (Kane, 2004). In the laboratory, there is an assessment of the patient's capillary tube, urine test and blood pressure. When there is simultaneous malfunctioning of the body organs, nurses refer to this condition as multiple organ dysfunction (MODs).

Multiple organ dysfunction…


Esteban, A., Anzueto, A., Frutos-Vivar, F., Alia, I., Ely, E.W., Brochard, L., et al. (2004).

Outcome of older patients receiving mechanical ventilation. Intensive Care

Medicine, 30(4), 639 -- 646. Evidence Level IV: Nonexperimental Study.

Happ, M.B., Baumann, B.M., Sawicki, J., Tate, J.A., George, E.L., & Barnato, A.E. (2010).

Winning the Hearts and Minds in Afghanistan
Words: 643 Length: 2 Pages Document Type: Essay Paper #: 32630916
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Winning the Hearts and Minds in Afghanistan

It has been a common belief among military strategists ever since the time of Clausewitz in the early 19th century that gaining the support of the people is necessary for the success of any military endeavor. (Clausewitz 1873) Modern strategists call this idea "winning the hearts and minds of the people," and generally perform this mission by providing aid to the local people in an effort to win approval for the presence of military troops to conduct counterinsurgency (COIN) operations. However, the recent military conflict in Afghanistan has called into question the validity of this assumption.

One common assertion among military strategists is that there three elements in conflicts: the people, the military, and the government. In order to gain the support for the military to conduct operations the government must gain the support of the people. Without winning the hearts and minds…

Reference List

Clausewitz, Carl. 1873. On War. Edited by James John Graham. London: N. Trubner.

Accessed 19 February 2014.

"Winning the Hearts and Minds In Afghanistan: Assessing the Effectiveness of Development Aid in Coin Operations." Report on Wilton Park Conference 1022,

Loss and Failure in Hoagland's
Words: 861 Length: 3 Pages Document Type: Term Paper Paper #: 32611297
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As it flows from his heart, the father is free. This image is one that runs counter to the typical image of money bringing all sort of happiness and solving all sorts of problems.

The poem moves full circle by the end with the poet recognizing that the country has become something of a prison for him as well. He admits he is "asleep in America too" (24) and unaware of how to wake himself. This admission at the poem's conclusion demonstrates the shaping of the poet's mind as well as the shaping of generations before and after him. hile the poet feels there is a world of different between him and the student with the tongue stud, he realizes they are both within the same stream of time, doing the same things. This stream becomes the "river of bright merchandise" (31) that is nothing but a source of pleasure…

Work Cited

Hoagland, Tony. "America." Textbook. City Published: Publisher. Year Published.

Predicting Marital Success or Failure
Words: 2817 Length: 10 Pages Document Type: Research Paper Paper #: 96079012
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In the opinion of Strong, DeVault and Cohen (2010), when it comes to issues marriage, opposites do not often attract. Instead, partners tend to seek each other out on the basis of shared characteristics. It is these shared characteristics that allow couples to foster greater understanding as well as empathy while facilitating or enhancing communication. Hence in that regard, a disconnect of sorts between the personality of couples may be taken to be an indicator of marital failure. Further, still on personality factors, Strong, DeVault and Cohen (2010) note that a clear example of a disconnect between the personality of marriage partners may be evident where one partner has a highly rigid personality. Such a personality may in addition to frustrating conflict resolution also end up clouding negotiations. Similarly, a partner who has a dominating personality may not be willing to cede some level of control so as to give…

Renal Failure Main Functions of the Kidneys
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Renal Failure

Main Functions of the Kidneys

The kidneys are bean-shaped organs, 12 centimeters long, which lie at the sides of the spinal column behind the abdominal cavity (Merck 2010). Their main function is to maintain the proper balance of water and minerals in the body. Their other major functions include filtration and elimination of wastes and toxins, regulation of blood pressure and secretion of some hormones. The amount of water taken into the body must match the amount being eliminated. If the balance is not maintained, water will accumulate fast and illness or death may occur. Excess water will dilute the body's electrolyte and inadequate amount will concentrate electrolytes. The kidneys regulate and help maintain the precise concentrations (Merck).

The kidneys' second major function consists of filtration and excretion (Merck 2010). They pass out urea, a main waste product from protein metabolism. Urea moves through the glomerulus and into…


DHS 2008, 'Developmental disabilities nursing,' Department of Human Services

[Online] Available at ?

Franz 2009, 'Nursing care plan -- renal failure,' Nursing Crib [Online] Available at 

Hudson, K 2007, 'Acute renal failure -- nursing CEs,' Dynamic Nursing Education

Worries of the Heart How Does the
Words: 746 Length: 2 Pages Document Type: Essay Paper #: 41445525
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orries of the Heart

How does the concept of gender change the way we think about colonialism in Kenya and Africa? Give specific examples.

Is colonialism 'bad' or 'good?' Conventional wisdom in the 19th century suggested that colonialism was beneficial to the residents of Africa and East Asia, because it was 'civilizing' and was even necessary, to 'carry the white man's burden' of enlightening non-Christians. Then, in the wake of the decolonization process of the 20th century, colonialism was portrayed as an unmitigated evil by nationalists. In her book orries of the Heart: idows, Family, and Community in Kenya, the African-born writer Kenda Mutongi attempts to question such dichotomies. Mutongi notes that when she was growing up, many of the women she met expressed a kind of nostalgia for the colonial era. The authors' mother, for example, remembers the carefully managed, sanitized hospitals of the British, which she said fell…

Work Cited

Mutongi, Kenda. Worries of the Heart: Widows, Family, and Community in Kenya. Chicago:

University of Chicago Press, 2007.

Habits Heart Creating a Government
Words: 621 Length: 2 Pages Document Type: Term Paper Paper #: 70486500
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At the same time, however, citizens use this belief to attempt to get as much as they can from the "system," exhibiting the same qualities that lead them to distrust the government.

There is also a deeper element to the problem, however, in what can most succinctly be described as the bastardization of the system of government and society envisioned by the revolutionaries like Madison, Washington, Jefferson, and Hamilton (Bellah, 250-6). The notion of democracy has come to be equated with individual freedom and truly rampant individualism, where the ability for each individual in society to protect their own interests is seen as the paramount effect of democracy. The framers of the Constitution and of American government and society as a whole, however, established a republic wherein the individual good was tied to the common good, and this was supposed to remain an explicit and conscious part of society (Bellah,…

Addressing Despondency in Chronic Care
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Heart Disease

A sense of futility and deep despondency are the primary drivers of the patient's approach to his self-care. These emotions are mirrored by his wife, and further complicated by the exhausting circumstances of being a primary caregiver to a depressed and declining patient. It is doubtful that either the patient or his wife are getting enough sleep, eating well -- within the dietary restrictions -- or following a healthy regimen of moderate exercise. The pattern of behaviors described and observed indicate that both the patient and his wife are overwhelmed by difficulties of managing the disease and the centrality of the disease in their life.

To address head-on the emotional fatigue and hopelessness that the couple face, it is imperative to provide examples of other patients and their spouses who have or are successfully dealing with the same disease at a comparable level of severity. Examples must show…


Diseases and Conditions: Heart Failure. Mayo Clinic. Retreived from 

Hoyt, R.E. & Bowling, L.S. (2001, April 15). American Family Physician, 63(8), 1593-1599. Retrieved from 

[Type text]

Geriatric Patient With Multisystem Failure
Words: 1769 Length: 6 Pages Document Type: Term Paper Paper #: 13936281
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6. Identify the collaborative team members pertinent to the care of the geriatric patient in the scenario, including the emergency room nurse's response to changes in the level of consciousness and increasing respiratory distress.

The collaborative team here would consist of a primary care physician / geriatrician, pain management specialist, laboratory specialists, and x-ray team. Additional consultants may be neurologist, neurosurgeon, gastroenterologist, psychologist, and drug and alcohol detoxification specialist.

In the case of increasing respiratory distress, the nurse is advised to continue or modify the interventions: to continue to teach patient how to breath and cough correctly; to summon a productive cough; to attempt to clear lungs to auscultation; and to achieve symmetric chest excursion of at least 4 cm; also that her respirations and pulse beats should be regular, and that she should inhale a normal volume of air. This is done by encouraging Fowler or semi-Fowler's position; monitoring…


Eliopoulos, C. (2001). Gerontological nursing Philadelphia: Lippincott,

Kandel, J. (2009). The encyclopedia of elder care New York, NY: Facts on File,

Marvin J.A. (1995). Pain assessment vs. measurement. J Burn Care Rehabil 16, 348-357

Melzack R. (1975). The McGill Pain Questionnaire: Major properties and scoring methods. Pain 1, 277-299

Predicting Marital Success or Failure
Words: 2378 Length: 8 Pages Document Type: Thesis Paper #: 85011224
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hen it is an issue of culture or race, the more understanding between the couple, the higher the marital success rate. "Different cultures endure vastly diverse moral, ethical and value foundations that influence their perceptions of individual, family and societal lifestyle. hen these foundations are operating alongside the foundation of different cultural roots, as in intercultural marriages, problems and disagreement oftentimes occur." (McFadden).

Religion is extremely important to some people and completely insignificant to others. However, it is a huge factor that can greatly determine the success or failure of a marriage. Studies show that people who are from different religious backgrounds have a higher divorce rate. This may be due to the difference in beliefs. hen faced with two different religious backgrounds, many couples will choose one religion over the other; however, this generally tends to be short lived because after practicing one religion and building beliefs over many…


Sobande, Linda. A Tool to work You Marriage to Success. Ezine Articles.

McFadden, J., Moore, J.L. (2001). Intercultural marriage and intimacy: Beyond the continental divide. International Journal for the Advancement of Counseling, 23, 261 -- 268

Marriage, a History." Psychology Today, May 01, 2005

Wood, Crissy. Predictors of Marriage Success. The Skyliner Campus News. 5/2/01.

Provider Education Pivotal to Optimized Heart Patient Program
Words: 864 Length: 3 Pages Document Type: Essay Paper #: 60717889
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Healthcare Implementation Quality Issues

Instructions-a. For each intervention listed arrange it to tell a story for studies findings of a Health failure program (only use the information given no reference are need. Each intervention story should be no more than 830 character limit that is including spaces). Make sure that the vital point with in each section is captured in the story. b. Paper format Label each section with corresponding story.

Intervention 1?- Symptom and Sign Management Intervention

Symptom and sign management will occur in the care plan development. For each member, this will include a care manager initiated assessment of the member's HF risk group, medication, diet, and methods for monitoring HF status including how to accurately weigh oneself and monitor symptoms. Management of symptoms will be guided by goals established in care plan. For example, a goal to maintain weight within 150-152 pounds will be measured by daily…