Myocardial Infarction Essays (Examples)

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Treatment Delay for Patients With

Words: 1603 Length: 4 Pages Document Type: Essay Paper #: 63670942

Where the hypotheses were well-followed throughout the text, the conclusion ignores the relevance of these factors to the delay experienced by patients in seeking treatment. Instead of developing a correlation between the identified behavior and the subject matter, importance of creating awareness among the general public was the highly emphasized. Furthermore, the responsibility of nurses and government authorities in this regard, was also discussed.

Limitations

The study itself had a rather limited scope. Selection of convenience sample along with a particular racial background and non-inclusion of patients who died within hours of reporting AMI acted as major drawbacks. Secondly, a selection of considerably small sample also raised questions on the reliability of the sample.

Confidence

The evaluation of this research does not lead to a confident and reliable conclusion. The limited scope of the sample, controlled questionnaires, neglect of other factors and the comparative analysis instead of individual examination of…… [Read More]

References

Lesneski, Lisa. (2010). Factors Influencing Tretment Delay for Patients with Acute Myocardial Infarction. Applied Nursing Research. 23, pg- 185-190.
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STEMI Systematic Review

Words: 6098 Length: 17 Pages Document Type: Essay Paper #: 83721716

door to balloon time is an important determinant of the prognosis of STEMI patients. To reduce D2B times, most centers implement a pre-hospital triage which involves the use of pre-hospital ECG to allow direct transfer of patients with confirmed STEMI to the PCI lab. Since most health facilities do not have PCI laboratories, a quick decision needs to be made regarding fibrinolytic therapy or transfer to a PCI facility. The most important factor determining this decision is the time taken from the onset of symptoms to arrival at a hospital facility and the predicted time duration for effective transfer. Through this systemic review, we sought to analyze the role of pre-hospital management in door to balloon time (D2B), door to needle (D2N) time and the long-term mortality of STEMI patients.

Since pre-hospital delay is responsible for the greatest time loss, and is indeed the most variable factor, we tried to…… [Read More]

REFERENCES:

1- Adams R, Appleman Y, Bronzewaer JG, Slagboom T, Amoroso G, Exter PV et al. Implementation of prehospial triage for patients with chest pain and logistics for primary percutaneous coronary intervention in the region of Amsterdam, The Netherlands. American Journal of Cardiology.2011;: 933-935.

2- Bajaj S, Parekh R, Gupta N, Aldehneh A, Rosenburg M, Hamdan A et al. "Code stemi" protocol helps in reducing door to balloon times in patients presenting with ST- segment elevation myocardial infarction during off hours. The Journal of Emergency Medicine.2011;: 1-7

3- Brooks SC., Allan KS, Wellsford M, Verbeek PR, Arntz HR, Morrisin LJ. Prehospital triage and direct transport of patients with st- segment elevation myocardial infarction to primary percutaneous coronary intervention centers: A systematic review and meta-analysis. CJEM JCMU.2009; 11(5): 481-492

4- Camp-Rogers T, Dante S, Kontos MC, Roberts CS, Kreisa L, Kurz MC. The impact of pre-hospital activation of the cardiac catheterization team on time to treatment for patients presenting with ST-segment-elevation myocardial infarction. American Journal of Emergency Medicine. 2011; 29(9);1117-24
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Cardiology Nursing This Is a 12 Lead

Words: 3533 Length: 13 Pages Document Type: Essay Paper #: 41207846

Cardiology Nursing

This is a 12 lead ECG taken for Mr. Long at the Emergency Department. He presented with a two hour history of chest pain radiating to his left arm. The ECG is suggestive of an antero-septal Myocardial infarction. Further scrutiny of the ECG displays a normal sinus rhythm, with a rate of 75 bpm that is regularly regular. There is no axis deviation with a P interval of 200 ms and normal qrs complexes. Leads I and aVL also show a q wave which may be suggestive of an old high lateral wall MI. Leads I, V1, V2, V3 and aVL show ST segment elevation of greater than 2 mm and ST segment depression in leads II and III. Mr. Long is suffering from a fully evolved ST-segment elevation myocardial infarction.

A correlation can be made with the area of myocardium involved and the vessel involved. The antero-septal…… [Read More]

REFERENCES:

B, Deborah, Diercks. (2010). Mission Lifeline: Developing a STEMI regonal care. American Heart Association. -. Print.

Jois, P. (2011). Nstemi and stemi: therapeutic updates 2011. The Practical Journal for Emergency Physicians, 32(1), 1-7.

Katzung, B., & Masters, S. (2011). Katzung's pharmacology. (9 ed.). United States of America: Mc-Graw Hill.

Kumar, V., & Robbins, (2007). Basic pathology. (8 ed.). London: Saunders Company.
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Cardiac Arrest

Words: 3253 Length: 10 Pages Document Type: Essay Paper #: 91083108

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

Cardiac…… [Read More]

References

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  http://www.cdc.gov/heartdisease/ 

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
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Quasi-Randomly Selected Population Tests it Under Laboratory

Words: 696 Length: 2 Pages Document Type: Essay Paper #: 70425730

quasi-randomly selected population, tests it under laboratory conditions using a reliable instrument to do so, and uses statistical data to assess results.

There is little reliable and consistent data existent on women's prodromal symptoms before acute myocardial infarction (AMI) rendering diagnosis of coronary heart disease (CHD) in women a challenging task. The problem statement in this study is relevant to nursing in that accurate description of women's prodromal and acute symptoms of CHD is crucial in providing a clear presentation of the situation. Researchers, accordingly, set out to determine the most frequent prodromal symptoms of AMI as well as to identify how these symptoms related to CHD risk factors and to determine whether prodromal symptoms were predictive of AMI condition.

The main variables in this study are independent variable -- prodromal symptoms, Dependent variable - acute myocardial infarction (AMI). Control factors were risk factors that may have been involved in…… [Read More]

Finally, implications of this study for nursing practice are that accurately describing the women's prodromal and acute symptoms of CHD is crucial in providing a clear presentation of the situation. Lack of this can result in inaccurate diagnosis and cause women to delay in seeking treatment.

Refrences

McSweeney, J. et al. (2010). Racial differences in women's prodromal and acute symptoms of myocardial infarction. Amer Jour of Crit Care,19(1), 63-73.
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Nurse Speech to Group of Residents in

Words: 540 Length: 2 Pages Document Type: Essay Paper #: 12719716

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…… [Read More]

References

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

Words: 2663 Length: 10 Pages Document Type: Essay Paper #: 45911379



Evaluation Plan:

Outcomes to be Assessed:

The primary objective is to see that subjects of the program cease smoking and remain abstinent from tobacco use. This will be the primary outcome to be assessed therefore. Individuals in both the experiment and control groups would be consulted at the six-month juncture and the one year point in order to determine how many among them have remained abstinent from tobacco use in that duration and up to that point.

Other outcomes to be assessed would be long-term health factors relating to the use of tobacco. According to statistics compiled and sponsored by the T.J. Samson Community Hospital in Glasgow, Kentucky and most recently updated in the spring of 2006, habitual smokers of cigarettes are "fourteen times as likely to die of lung cancer" and twice as susceptible to fatality by heart disease. (T.J.S.C.H, 1) This means, according to the Community Hospital, that…… [Read More]

Works Cited:

American Heart Association (AHA). (2009). Smoking Cessation. Americanheart.org.

Bickman, L. & Rog, D.J. (2009). Randomized Controlled Trials for Evaluation and Planning. The Sage Handbook of Applied Social Research Methods.

Euromonitor International (EI). (2009). Tobacco in Costa Rica. Euromonitor.com

Fiore, M.C.; Novotny, T.E.; Pierce, J.P.; Giovino, G.A.; Hatziandreu, E.J.; Newcomb, P.A.; Surawicz, T.S. & Davis, R.M. (1990). Methods Used to Quit Smoking in the United States. The Journal of the American Medical Association, 263(20), 2760-2765.
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Healthcare Leadership and Management in Healthcare Effective

Words: 1197 Length: 4 Pages Document Type: Essay Paper #: 10516037

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…… [Read More]

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
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Hyponatremia in a 38-Year-Old Male the Constellation

Words: 1792 Length: 5 Pages Document Type: Essay Paper #: 63085277

Hyponatremia in a 38-year-Old male

The constellation of signs and symptoms the patient presented with is consistent with a diagnosis of adrenal insufficiency (Betterle, Pra, Mantero, and Zanchetta, 2002, p. 330-331). These include a recent history of gastric distress, partial loss of consciousness, lethargy, dizziness, disorientation, weight loss, hyponatremia, borderline hyperkalemia, low serum and free cortisol levels, and the lack of a rapid cortisol response to ACTH stimulation (Wilson, 2008). Signs and symptoms that may not support a diagnosis of adrenal insufficiency include no mention of hyperpigmentation or pallor, and an unremarkable abdominal CT scan. A discussion of these signs and symptoms, and the possible relevance to a diagnosis of adrenal insufficiency follows.

True Hyponatremia Diagnosis

There are a large number of conditions and diseases that can lead to the development of hyponatremia, so this symptom alone has limited diagnostic utility (Wilson, 2008, p. 519). The combination of severe hyponatremia…… [Read More]

References

Al-Aridi, Ribal, Abdelmannan, Dima, and Arafah, Baha M., 2011. Biochemical diagnosis of adrenal insufficiency: The added value of dehydroepiandrosterone sulfate (DHEA-S) measurements. Endocrine Practice, Published online ahead of print December 6, 2010. Retrieved March 25, 2011 from http://aace.metapress.com/content/u645qx2217t34124/fulltext.pdf

Andrews, Marcia, Johnson, Peter H., Kothare, Vijay S., and Weinstock, Doris, eds., 1999. Handbook of Diagnostic Tests, 2nd Edition. Springhouse, PA: Springhouse

Anglin, Rebecca E., Rosebush, Patricia I., and Mazurek, Michael F., 2006. The neuropsychiatric profile of Addison's disease: Revisiting a forgotten phenomenon. Journal of Neuropsychiatry and Clinical Neurosciences, 18, 450-459.

Betterle, Corrado, Pra, Chiara Dal., Mantero, Franco, and Zanchetta, Renato, 2002. Autoimmune adrenal insufficiency and autoimmune polyendocrine syndromes: Autoantibodies, autoantigens, and the applicability in diagnosis and disease prediction. Endocrinology Reviews, 23, 327-364.
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Million People in This Country

Words: 802 Length: 3 Pages Document Type: Essay Paper #: 89430196

Intravenous access should be obtained and 12 lead ECG/continuous monitoring plus blood draw for enzymes. The patient with angina will respond to sublingual nitroglycerine given 0.3 mg to 0.4 mg repeated every 5 minutes for up to three doses. If pain persists after the third dose, suspicion for MI should be high (Harvey, 2004). An ECG is the next step in assessment of the patient with angina vs. MI, although it should be noted that only 45% of all the patients with MI will have obvious ischemic changes on their ECG. Patients should be monitored for minor changes. ST segment elevations with tall T. waves will usually be the first changes (Docherty, 2003). Evaluators should also be sensitive to ST segment depression in leads which are opposite the site of the injury. T-wave inversion and the development of Q. waves are considered to be pathologic evidence of evolving MI. Changes…… [Read More]

Reference:

Docherty, B. (2003). 12-lead ECG interpretation and chest pain management: 1. British Journal of Nursing, 12(21), 1248-1255.

Harvey, S. (2004). The nursing assessment and management of patients with angina. British Journal of Nursing, 13(10), 598-601.

Sommers, M & Johnson, S. (2002). Diseases and Disorders: A Nursing Therapeutics Manual (2nd Ed.). Philadelphia: F.A. Davis.

Tough, J. (2004). Assessment and treatment of chest pain. Nursing Standard, 18(37), 45-53.
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Master in Quality & Safety

Words: 6426 Length: 14 Pages Document Type: Essay Paper #: 5751190

This particular aspect is what most medical trainers miss when dealing with interns or newly appointed nurses. They found that oxygen use, if below the necessary requirement can be damaging, so can its overuse. In another study, it has been found that using oxygen below the prescribed level can instigate damage in the organs, respiratory structures and can be especially damaging for patients who have chronic obstructive pulmonary disease (Danchin et al., 2009). Hence, the training and instructions that are given must follow be thorough enough to let the health caretakers realize that the monitoring is not merely a game of reading and recording, but it can have serious repercussions if handled carelessly.

Some of the common mistakes, which can be avoided through proper and accurate transference of instructions and training, occur in different medical circumstances. Sometimes nurses tend to miss the monitoring deadline. For instance, if a patient is…… [Read More]

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Female Gender Disparities in Cardiovascular

Words: 2805 Length: 9 Pages Document Type: Essay Paper #: 36678633

Gender variation in clinical decision-making was measured, including (1) the number, types, and certainty levels of diagnoses considered and (2) how diagnoses vary according to patient characteristics, when patients have identical symptoms of CHD (Maserejian et al., 2009).

This was a factorial experiment presenting videotaped CHD symptoms, systematically altering patient gender, age, socioeconomic status (SES) and race, and physician gender and level of experience. The primary end point was physicians' most certain diagnosis. The results: Physicians (n=128) mentioned five diagnoses on average, most commonly heart, gastrointestinal, and mental health conditions. Physicians were significantly less certain of the underlying cause of symptoms among female patients regardless of age, but only among middle-aged women were they significantly less certain of the CHD diagnosis. Among middle-aged women, 31.3% received a mental health condition as the most certain diagnosis, compared with 15.6% of their male counterparts. An interaction effect showed that females with high…… [Read More]

Works Cited

Chou, Anne F., Sarah Hudson Scholle, Carol S. Weisman, Arlene S. Bierman, Rosaly

Correa-de-Araujo, & Lori Mosca (2007). "Gender Disparities in the Quality of Cardiovascular Disease Care in Private Managed Care Plans." In Women's Health

Issues 17: 120 -- 130.

DeVon, H., Ryan, C.J., Ochs, a.L., & Shapiro, M. (2008). "Symptoms Across the Continuum of Acute Coronary Syndromes: Differences Between Women and Men." In Am J. Crit Care 17:14-24.
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Health Maintenance Organization Impact on

Words: 13949 Length: 50 Pages Document Type: Essay Paper #: 80930377

" (AAF, nd)

The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)

One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was…… [Read More]

Principles for Improving Cultural Proficiency and Care to Minority and Medically-Underserved Communities (Position Paper) (2008) AAFP -- American Academy of Family Physicians http://www.aafp.org/online/en/home/policy/policies/p/princcultuproficcare.html

Volpp, Kevin G.M. (2004) The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-Hospital Mortality and Treatment Patterns for Acute Myocardial Infarction" The American Journal of Managed Care. 30 June 2004. Issue 10 Number 7 Part 2. Onlineavaialble at: http://www.ajmc.com/issue/managed-care/2004/2004-07-vol10-n7Pt2/Jul04-1816p505-512

Darby, Roland B. (2008) Managed Care: Sacruificing Your Health Care for Insurance Industry Profits: Questions You must ask before joning an HMO. Online available at: http://www.rolanddarby.com/br_managedhealth.html
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New Technology the Best Cure

Words: 13809 Length: 50 Pages Document Type: Essay Paper #: 56996011

Taken in isolation, some of the new, minimally-invasive procedures are less expensive by far, when analyzed on a procedure-by-procedure basis, than previous significant surgical interventions, as demonstrated below:

Procedure

Cost

Estimated duration of 'cure'

CAG

5-7 years

PCI (percutaneous coronary intervention

3-5 years

ased on the above analysis, it would appear to be clear that a PCI is more cost-effective than CAG procedures. This may not be true when all costs are considered, however. The logic of comparison needs to include additional factors than the 'cure' period and the direct procedural costs.

CAG cost discussion

CAG can vary from a simple mammary artery, single bypass to a 3- to 5-vessel bypass graft operation with the use of saphenous vein grafts from the leg. Many of the single-artery bypass operations have been overtaken by PCI in the past few years, as the need to 'open' single vessels has been taken in…… [Read More]

Bibliography: Note -- these are additional articles which I included, which you may wish to delete.

Chen, J. a. (2008). Treatment of Restenotic Drug-Eluting Stents: Ultrasound Analysis... Recurrent Coronary Stent Thromboses and Myocardial Infarctions. J of Invasive Cardiology, n.p.

Economist. (2007). 2008 World Almanac. London: Economist.

Edwards. (2008). PVT valve. Retrieved February 13, 2008, from Edwards: www.edwards.com

Glassman, a. (2007). Depression and cardiovascular comorbidity. Dialogues Clinical Neuroscience, 9-17.
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Quality Improvement Project Door to Balloon Times for Cardiac Patients

Words: 525 Length: 2 Pages Document Type: Essay Paper #: 6371738

Door Balloon

Door-to-Balloon Time

The quality indicator examined herein is the measurement known as door-to-balloon time, which is a defined element in emergency cardiac care that refers to the time from patient entrance to an emergency department to the time a catheter wire passes the lesion responsible for a myocardial infarction. An increase in door-to-balloon time carries with it an increased risk for tissue damage and thus more permanent complications and detriments to patients' health, and thus certain standards have been set in an effort to promote best practices and measure the efficacy of emergency department treatment of myocardial infarctions. The current recommendation for door-to-balloon time is ninety minutes or less, and this is a number that should be strived for with every patient, not simply as an average for the emergency treatment of myocardial infarctions in a given department as a whole, as again increased time can means significant…… [Read More]

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Demographic Perception Survey of Patients With Atypical

Words: 2504 Length: 9 Pages Document Type: Essay Paper #: 2311782

Demographic Perception Survey of Patients with Atypical CP Who Present to Cardiac Care Doctors and Patient Outcomes

This study intends to examine gender differences in individuals who present to cardiac doctors with chest pain and specifically, atypical chest pain in women. The work of Debra L. Issac (2000) states that over the past ten years "there has been increasing awareness of both the importance of CAD in women and of the significant differences between men and women who have the disease. Potential gender biases, both within the medical community and within the general population of women themselves also have been identified. These gender differences and biases have the potential to influence investigation and management of suspected or confirmed CAD in women, and should be taken into consideration when faced with a woman with potential cardiovascular disease." (p.157)

Issac also states that chest pain in women is "common and often non-ischemic.…… [Read More]

References

Cayley, WE (2005) Diagnosing the Case of Chest Pain. American Family Physician. 15 Nob 2005. Retrieved from:  http://www.aafp.org/afp/2005/1115/p2012.html 

Gotzsche PC, Nielsen M. Screening for breast cancer with mammography. Cochrane Database Syst Rev. (1):CD001877, 2011.

Issac, DL (2000) Women with Ischemic Heart Disease. Presented at the Canadian Cardiovascular Congress, Vancouver, British Columbia, October 2000. Retrieved from:  http://www.stacommunications.com/journals/cme/images/cmepdf/oct01/womencv.pdf 

Khan, JJ, Albarran, JW, Lopez, V, and Chair, SY (2010) Gender Differences on Chest Pain Perception associated with Acute Myocardial infarction in Chinese patients: A Questionnaire Survey. J Clin Nurs. 2010 Oct, 19 (19-20)2720-0. Retrieved from:  http://www.ncbi.nlm.nih.gov/pubmed/20846222
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Nursing Shortage in Canada Causes and Strategies to Solve

Words: 1971 Length: 7 Pages Document Type: Essay Paper #: 45856616

Nursing Staff Levels Affect Patient Mortality

Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.

Litvak, E., Buerhaus, P.I., Davidoff, F., Long, M.C., McManus, M.L. & Berwick, D.M.

Date of publication: June 2005

Examination of the operational issues affecting health care delivery, including patient driven peaks in demand and effects of nursing shortages or inadequate staffing on clinical outcomes for patients.

esearch question and/or hypothesis:

In this study the researchers propose that increases in adverse clinical outcomes occur when hospital nurse staffing is inadequate. Further the researchers suggest that increases in census rates increase the potential for serious stresses for patients and nurses working in the field. Lastly the researchers suggest that if hospitals reduce unnecessary variability of staff levels in a hospital, the hospital can reduce the probability of negative patient outcomes, improve safety for patients and improve the overall quality of care.

Sample…… [Read More]

References:

Aikan, L.H., Clarke, S.P., Sloane, D.M, Sochalski, J. & Silber, J.H. (2002 -- Oct).

"Hospital nurse staffing and patient mortality, nurse burnout and job dissatisfaction." JAMA, 288(16): 1987-93.

Halm, M., Peterson, M., Kandels, M., Sabo, J., Blalock, M., Braden, R., Gryczman, A.,

Krisko-Hagel, K., Larson, D., Lemay, D., Sisler, B., Strom, L., Topham, D. (2005 -- Sept). "Hospital nurse staffing and patient mortality, emotional exhaustion and job dissatisfaction." Clin Nurse Spec, 19(5): 241-5.
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Voluntary Collaborative and Active Involvement of the

Words: 2082 Length: 5 Pages Document Type: Essay Paper #: 43265959

voluntary, collaborative and active involvement of the patient in a course of behaviour that is mutually accepted in order to gain therapeutic result (Michael, H. et al., 2009). According to this definition it can be clearly observed that the patient has a clear choice to follow the goal and that the patient and well as the providers agree to make a medical regimen and treatment goals (Delamater, 2006).

There are two basic factors involved in the medical adherence, these are:

Whether the patients takes the medicine that has been prescribed to him/her.

Whether the patient keeps on taking the prescribed medicine or not.

Therefore, the adherence behaviour is divided into 2 main concepts which are: adherence and persistence. Although the concept of adherence and persistence is similar however, adherence means the intensity with which the drug was taken during the duration of the therapy while, persistence means the overall duration…… [Read More]

Urquhart J. The electronic medication event monitor: lessons for pharmacotherapy. Clin Pharmacokinet. 1997; 32: 345 -- 356.

Vrijens B, Vincze G, Kristanto P, Urquhart J, Burnier M. Adherence to prescribed antihypertensive drug treatments: longitudinal study of electronically compiled dosing histories. BMJ. 2008; 336: 1114 -- 1117.

World Health Organization. 2003. Adherence to Long-Term Therapy: Evidence for Action. Available at:  http://www.who.int/chp/knowledge/publications/adherence_introduction.pdf .
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Healthy Heart vs Coronary Disease

Words: 656 Length: 2 Pages Document Type: Essay Paper #: 61031010

hen an heart needs more oxygen, such in times of exercise, stress or pharmacological stimuli, blood flow is increased to fulfill this demand. However, the physiological narrowing of arteries due to plaque build up found in coronary disease restricts blood flow to the heart, especially in times of when an increase in myocardial oxygen is needed. These restrictions mean a lessened CFR for the individual, which can lead to coronary ischemia, cardiac infarction, and several other dangerous effects. This physiological change in the coronary system, through the build up of plaque, occurs for several reasons. Lack of physical activity and poor nutrition, with the consumption of certain fats and cholesterols, can facilitate plaque build up. High blood pressure, obesity, depression, and anxiety are also contributing factors (Pazoki, Nabiour, Seyednezami, and Imami).

There are different treatment options for coronary artery disease. Two treatment clinical options include lifestyle modification and revascularization. Lifestyle…… [Read More]

Works Cited

Kern, Morton, Amir Lerman, Jan-Willen Bech, Bernard De Bruyne, Eric Eeckhout, William Fearon, Stuart Higano, Michael Lim, and Martjin Meuwissen. "Physiological Assessment of Coronary Artery Disease in the Cardiac Catheterization Laboratory ." American Heart Association Journal 114 (2006): 1321-1341. American Heart Association. Web. 16 Nov. 2010.

Pazoki, Raha, Iraj Nabipour, Nasrin Seyednezami, and Seyed Reza Imami. "Effects of a community-based healthy heart program on increasing healthy women's physical activity: a randomized controlled trial guided by Community-based Participatory Research (CBPR)." BMC Public Health 7 (2007): 216-220. Print.

Rub, M., Cremer, J., Krian, a., Meinertz, T., Werdan, K., & Zerkowski, H. "Different Treatment Options in Chronic Coronary Artery Disease." Deutschs Arzteblatt International 106.15 (10 Apr 2009): 253-261.

Shirato, Susan, and Beth Ann Swan. "Women and Cardiovascular Disease: An Evidentiary Review." MedSurg Nursing 19.5 (2010): 282-306. Print.
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Cardiac Cardiovascular Case Study Hypertension

Words: 530 Length: 2 Pages Document Type: Essay Paper #: 12218809

The "pain" caused to the heart due to tissue damage can be misplaced in the body due to these nerve pathways and connections; heart attacks are often felt in the left arm and elsewhere on that side of the body between the heart and brain.

5)

Diuretics would encourage the elimination of sodium and a lessened fluid retention, easing the pressure in his arteries.

6)

The increased acidity in J.M.'s blood indicates reduced heart functionality and creatine phosphokinase levels are elevated which indicates muscle damage; low-normal lactate dehydrogenase suggest no recent prior infarctions, however, and without further tests this particular measure is not especially edifying.

7)

The drug relaxes blood vessels, allowing easier passage of blood reducing chest pain (which elevates stress and blood pressure) and easing the underlying problem, as well

8)

Aspirin inhibits the collection of platelets at the site of a plaque rupture, preventing a full blockage…… [Read More]

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Healthy High Schools Movement Strategies

Words: 1849 Length: 5 Pages Document Type: Essay Paper #: 83271824

Meat has been considered to be a risk factor for the development of heart conditions due to its large concentration of saturated fats. This study also found there to be a significant relationship between the consumption of meats and the development of heart issues with the risk increasing as the amount of meat consumed increased. These findings did vary across types of meat with red meat being twice as likely to lead to an acute coronary syndrome as white meat.

eferences

Blisson, .M. (2010). Eat smart for a healthy heart. Agricultural esearch, 58(6), 12-14.

Bowden, J. (2010). Cholesterol: The real heart of the matter. Better Nutrition, 72(8), 36.

Eshak, E., Iso, H., Date, C., Kikuchi, S., Watanabe, Y., Wada, Y., Wakai, K., & Tamakoshi, A. (2010). Dietary Fiber Intake Is Associated with educed isk of Mortality from Cardiovascular Disease among Japanese Men and Women. The Journal of Nutrition, 140(8), 1445-1453.…… [Read More]

References

Blisson, R.M. (2010). Eat smart for a healthy heart. Agricultural Research, 58(6), 12-14.

Bowden, J. (2010). Cholesterol: The real heart of the matter. Better Nutrition, 72(8), 36.

Eshak, E., Iso, H., Date, C., Kikuchi, S., Watanabe, Y., Wada, Y., Wakai, K., & Tamakoshi, A. (2010). Dietary Fiber Intake Is Associated with Reduced Risk of Mortality from Cardiovascular Disease among Japanese Men and Women. The Journal of Nutrition, 140(8), 1445-1453.

Jenkins, D.A., Srichaikul, K., Wong, J.M., Kendell, C.W., Bashyam, B., Vidgen, E., Lamarche, B., Roa, A.V., Jones, P.J. Josse, R.G., Jackson, C.C., Ng, V., Leong, T., & Leiter, L.A. (2010). Supplemental barley protein and casein similarily affect serum lipids in hypercholesterolemia women and men. The Journal of Nutrition, 140(9), 1633-1637.
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Aspirin Usage in Patients With

Words: 2946 Length: 9 Pages Document Type: Essay Paper #: 85323499

In these cases, it has been mentioned that only those diabetics can benefit from the use of aspirin that have had a heart attack in the past. Thus, the usage of aspirin can help in prevention of any future heart attacks3 (p. 2365).

Analysis of Chosen studies

Study 1

The first study "Use of aspirin for primary and secondary prevention of cardiovascular disease in diabetic patients in an ambulatory care setting in Spain," has been conducted on diabetic patients. It has mentioned that diabetics are at an increased risk of cardiovascular malfunction as compared to normal population. As the title of the study indicates, the focus is on the diabetics in Spain. They study has focused on the effects of using certain drugs and medications in order to reduce or to prevent the risk of heart attacks in diabetics. The study has mentioned that the usage of salicylic acid for…… [Read More]

References

1. Chan KLF, Jessica YL, Ching MPH, Lawrence CT, Hung MD, Wong VSW, Leung KSV, Kung NN, Hui, AJ, Wu JCY, Leung KW, Lee WYV, Lee K, Lee TY, Lau WY, to FK, Chan HLY, Chung S, and Sung JJY. Clopidogrel vs. Aspirin and Esomeprazole to Prevent Recurrent Ulcer Bleeding. N Engl J. Med. 2005; 352:238-244.

2. Falk E, and Fernandez-Ortiz a. Role of thrombosis in atherosclerosis and its complications. American Journal of Cardiology. 1995: 75: 5B-11B.

3. Smith CS, Allen J, Blair JN, Bonow or, Brass LM, Fonarow, CG, Grundy, MS, Hiratzka L, Jones D, Krumholz, HM, Mosca L, Pasternak CR, Pearson T, Pfeffer MA, and Taubert KA. AHA/ACC Guidelines for Secondary Prevention for Patients With Coronary and Other Atherosclerotic Vascular Disease: 2006 Update, Endorsed by the National Heart, Lung, and Blood Institute. Circulation. 2006; 113: 2363-2372.

4. Keith a. Regulating Information About Aspirin and the Prevention of Heart Attack. The American Economic Review. 1995: 85: 96-99.
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Charcot-Marie Tooth Syndrome Definition and

Words: 2666 Length: 10 Pages Document Type: Essay Paper #: 66269973

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…… [Read More]

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
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Reprogramming the Injured Discusses the Issue of

Words: 850 Length: 3 Pages Document Type: Essay Paper #: 80796819

reprogramming the injured" discusses the issue of regenerating damaged or injured heart tissues. The article seeks to show ways of improving cardiac function. The article cites the original works of L. Qian and K. Song together with their colleagues. The authors of the article state that L. Qian and his colleagues have induced scar-forming (fibroblasts) cells to change into muscle cells in live mice's damaged hearts. Scientists refer to muscle cells as cardiomyocytes. The authors, therefore, conclude that results of the experiment provide an avenue for cardiovascular investigation in translational medicine. The article talks of the discovery of MY0D1, a transcription factor that regulates expression of genes that play significant roles in the development of skeletal muscle. The article states that scientists discovered that they could reprogram somatic cells (non-germline) to pluripotent stem cells. Pluripotent cells are important because they can transform into any cell type. This happens by expressing…… [Read More]

Works cited

Palpant N.J. & Murry C.E. "Regenerative medicine: Reprogramming the injured heart." (2012). Nature; Vol. 485 Issue 7400, p585

Qian, L. & Song, K. "In vivo reprogramming of murine cardiac fibroblasts into induced cardiomyocytes."(2012). Nature; Vol 485 Issue 7400, pg 593-598
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Care in U S Hospitals --

Words: 455 Length: 2 Pages Document Type: Essay Paper #: 73376447



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…… [Read More]

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Perioperative Nurse's Role in Caring for Pregnant Patients With Aortic Dissections

Words: 1915 Length: 6 Pages Document Type: Essay Paper #: 83299405

Aortic dissection is a disease of the wall of the aorta in which the aortic blood bursts into the muscular layer of the great artery, thus forming a blood filled channel along the planes of the muscularis layer. This false lumen can re-rupture back into the true lumen, through a second distal intimal tear, creating a biluminal or double barrelled aorta. Due to weakened walls, there is threat of rupture into the surrounding tissue with fatal consequences. (Boon, , Colledge, Walker, & Hunter, 2010)

The pathophysiology behind the condition is often a spontaneous or iatrogenic tear in the intima. However, in about five to ten percent of patients, these tears are absent. An intimal tear can occur anywhere along the aorta, although a vast majority of tears are found within ten centimeters of the aortic valve. The dissection may extend towards the heart, affecting the coronary arteries, or it may…… [Read More]

REFERENCES:

Duranki. (n.d.). Type an aortic dissection - the silent killer. Retrieved from http://duranki.hubpages.com/hub/Beware-High-Blood-Pressure-It-will-Kill-You -- You-Wont-See-It-Coming

Erbel, R., Alfonso, F., Boileau, C., & Dirsch, O. (2001). Diagnosis and management of aortic dissection*.European Heart Journal, 22(18), 1642-1681. Retrieved from http://www.escardio.org/guidelines-surveys/esc-guidelines/GuidelinesDocuments/guidelines-aortic-dissection-FT.pdf

Multum, C. (2012, Feburary 12). Morphine injection. Retrieved from  http://www.drugs.com/pro/morphine-injection.html 

Nicholas A. Boon, Nicki R. Colledge, Brian R. Walker, John A.A. Hunter.(2010). Davidson's Principles and Practice of Medicine . India, Elsevier.
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Health Studypotential Sources of Biasness

Words: 740 Length: 2 Pages Document Type: Essay Paper #: 38219708

population?

The study in question was a multinational POBE classification trial (i.e., Prospective andomized Open Blinded End-point) that covered multiple private specialist and ambulatory cardiology centers (190, to be precise). It represented a comprehensive report centered on baseline elements of those patients potentially requiring screening. The study population constituted males and females aged below 80 years with confirmed heart attack (myocardial infarction; MI) history, and eligible for statin medication (Pedersen et al., 2005).

What is the study sample?

Sample comprised patients who have suffered one or more heart attacks, and for whom intensive reduction in LDL-C (low-density lipoprotein cholesterol) levels did not appreciably decrease primary outcome of serious coronary incidents, but decreased risks of non-fatal acute myocardial infarction and other combined secondary end points. No difference was found in all-cause or cardiovascular mortality cases. MI patients might gain from intensive LDL-C lowering without a rise in risk of non-cardiovascular mortality,…… [Read More]

References

Pedersen, T. R., Faergeman, O., Kastelein, J. J., Olsson, A. G., Tikkanen, M. J., Holme, I., ... & Incremental Decrease in End Points Through Aggressive Lipid Lowering (IDEAL)

Study Group, N. F. (2005). High-dose atorvastatin vs. usual-dose simvastatin for secondary prevention after myocardial infarction: the IDEAL study: a randomized controlled trial. Jama, 294(19), 2437-2445.

Perk, J. (2007). Cardiovascular prevention and rehabilitation. London: Springer
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Meat Intake and the Development

Words: 908 Length: 3 Pages Document Type: Essay Paper #: 28610363

Then other confounding variables were also introduced and eliminated systematically in order to identify where the true effects occurred. These confounders included body mass index, smoking, physical activity level, educational status, family history of coronary heart disease, hypertension, diabetes, and any medications that participants may have been taking (Kontogianni et al., 2008).

In general the experimental group consumed greater amounts of meat than their control counterparts. The investigators utilized multiple logistic regression analysis to assess the relationship between meat consumption and ACS and found that increasing meat intake by one portion per month increased the likelihood of the development of ACS by 56%. This was particularly evident when the meat consumed was red or processed increasing the risk by more than two fold (Kontogianni et al., 2008). While the consumption of white meat was also correlated to increased incidence of ACS, this risk was only 37% greater. When controlling for…… [Read More]

References

Creswell, J.W. (2009). Research design: Qualitative, quantitative and mixed methods approaches (3rd end). Thousand Oaks, CA: Sage Publications, Inc.

Kontogianni, M.D., Panagiotakos, D.B., Pitsavos, C., Chrysohoou, C., & Stefanadis, C. (2008). Relationship between meat intake and the development of acute coronary syndromes: The CARDIO2000 case-control study. European Journal of Clinical Nutrition, 62(2), 171-178.
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Patient Noncompliance in Patients Advanced

Words: 4937 Length: 15 Pages Document Type: Essay Paper #: 60710636



These studies demonstrate that there are several factors associated with patient noncompliance, regardless of the disease being treated. Medication side effects represent only one of these issues. Nurse practitioners could help to resolve many of these issues by being proactive and asking questions about side effects in patients at risk for becoming noncompliant. They may also be able to predict noncompliance in patients that are prescribed medications with known side effects. By informing the patient of the side effects and giving them practical ways to cope with them, the nurse practitioner can play an active role in helping to eliminate patient noncompliance.

Education was found to play an important role in patient noncompliance. The overall educational level of the patient was found to be important. The nurse practitioner can take positive action by being aware of the patient's overall educational background. Extra care must be taken with those of low…… [Read More]

References

Barber, N., Parsons, J., Clifford, S., Darracott, R., & Horne, R. (2004). Patients' problems with new medication for chronic conditions. Quality and Safety in Healthcare. 13(3): 172-175.

Chatterjee, J. (2006). From compliance to concordance in diabetes. Journal of Medical Ethics. 32(9): 507-510.

Chisholm, M., Lance, C. & Mulloy, L. (2005). Patient factors associated with adherence to immunosuppressant therapy in renal transplant recipients. American Journal of Health- System Pharmacy. 62 (17): 1775-1781.

Eastern, J. "Dismissing Patients Properly." 1 Jun 2006. OB/GYN News. Accessed 11 Sept. 2008. http://findarticles.com/p/articles/mi_m0CYD/is_/ai_n26906768.
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Healthy People Who Self-Select for

Words: 938 Length: 3 Pages Document Type: Essay Paper #: 7523299

As a result, it is not stable to say that the balance of benefits and harms of routine use of supplements of vitamins a, C or E; multivitamins with folic acid; or antioxidant combinations for the prevention of cancer or cardiovascular disease (U.S. Preventive Services ask Force (USPSF).

From other evidence, it does not seem that the experiments of this article were not conducted long enough to prove its thesis because supplements do not help with cancer. If they were trying to prove supplements did not help, their testing would be valid. As it can be seen from other evidence, the objective can be proven false because other research prove tat their thesis cannot be accurate.

he Canadian ask Force on Preventive Health Care (CFPHC) concludes that there is insufficient evidence to recommend for or against the use of routine vitamin E supplementation for the primary prevention of cardiovascular disease…… [Read More]

The Canadian Task Force on Preventive Health Care (CTFPHC) concludes that there is insufficient evidence to recommend for or against the use of routine vitamin E supplementation for the primary prevention of cardiovascular disease (CVD) events in the general population and in male smokers (Grade I recommendation) ("MRC/BHF Heart Protection Study," 2002 [I, good]; de Gaetano, 2001 [I, fair]; Virtamo et al., 1998 [I, fair]) (the role of vitamin E supplements in the prevention of cardiovascular disease and cancer).

The most important outcome of the report will be greater recognition that it is time to concentrate on teaching nutrition, promoting regular physical activity, and strongly encouraging smoking cessation and particularly increasing outreach to women of racial and ethnic minorities. From there, although vitamin E is not a successful primary prevention strategy for women, one should not make the mistake of concluding that it will not turn out to be beneficial for men. There is the importance of recognizing biological differences between the sexes in cardiovascular research by providing valuable sex-specific data on primary prevention (Vitamin E May Not Prevent Heart Disease or Cancer in Healthy Women)

Despite the fact the objective was proven false, the article did make good points about women's health. "A total of 999 cardiovascular events were reported during the trial. For the composite outcome, vitamin E was associated with a nonsignificant 7% reduction in events. Vitamin E also had no significant effect on total rates of MI or stroke when each of these outcomes was examined individually. However, study subjects receiving vitamin E were 24% less likely to die from CVD, a significant difference attributable in large part to a reduction in sudden deaths and other CVD deaths besides MI and stroke.Vitamin E appeared to have a stronger effect in reducing the risk of cardiovascular death as the study progressed from years 6 to 10. Noncompliance did not appear to alter the study's main findings, nor did randomization to receive aspirin or placebo (Vitamin E May Not Prevent Heart Disease or Cancer in Healthy). Even though the article proves that vitamin E does not help to some degree, it can be concluded that further evidence needs to be provided in order to prove further prevention.
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New Suppliers of Health Supplements a Promising

Words: 1932 Length: 7 Pages Document Type: Essay Paper #: 16092922

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…… [Read More]

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.
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Stroke Course Name Course Number & Section

Words: 1472 Length: 4 Pages Document Type: Essay Paper #: 29075788

Stroke



Stroke is identified as one of the leading causes of death and to decrease mortality rate a review of the causes is required. The importance of measuring and reviewing health care quality is no longer questioned. However quantifying quality is a difficult task one that involves a subjective element and judgment. Different methods are employed in measuring quality such as level of care provided, administration accuracy, staff sufficiency, hygiene level and therapies provided. The need to combine the facts and figures with judgments and evaluation is a complex process and needs to be done with utmost care. The quality measures need to be evaluated on a regular basis to ensure their relevance and validity in the given circumstances.

Measures used to monitor and review quality:

As the hospital administration began to realize the link between stroke patients death and the quality of service rendered the need to analyze data…… [Read More]

References:

AHO, (2006). Joint Commission on Accreditation of Healthcare Organizations: 2006 Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Oakbrook Terrace, IL: Joint Commission Resources, 2005

American Heart Association, (1999) Heart and Stroke Statistical Update. Dallas, Tex. Available at: http://www.americanheart.org/statistics/index.html.

Donabedian, A. (1988). The quality of care: how can it be assessed? JAMA.. 1988;260:1743-1748.[Abstract/Free Full Text]

Ryan, T. Antman, E., Brooks N. (1999) update: ACC/AHA guidelines for the management of patients with acute myocardial infarction: executive summary and recommendations: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Management of Acute Myocardial Infarction). Circulation.. 1999;100:1016 -- 1030.
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Senior Fitness

Words: 2521 Length: 10 Pages Document Type: Essay Paper #: 66413783

* 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…… [Read More]

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/

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Exercise and Proper Diet Solutions to Circulatory

Words: 1463 Length: 5 Pages Document Type: Essay Paper #: 89838494

Exercise and Proper Diet:

Solutions to Circulatory System Health and Coronary Heart Disease Management

Coronary heart disease is the nation's single leading cause of death." For American Heart Association's 2003 report on Heart Disease and Stroke Statistics, coronary heart disease will prove to be significant and responsible for almost 1.1 million Americans that have the potential of having "recurrent coronary attack." This figure implies the degree of significance that heart diseases does to the increasing mortality rate and deteriorating health of many Americans. Coronary heart disease is a "chronic illness in which the coronary arteries become narrowed and unable to carry a normal amount of blood" (Microsoft Encarta 2002). Heart diseases occur precisely because there occurs a clogging of the arteries that are vital for the regulation, supply, and flow of oxygen-containing blood in the circulatory system.

Two of the most common and prevalent cases of coronary heart diseases are…… [Read More]

Bibliography

Change Your Life." Heartsavers Web site. 22 May 2003  http://www.heartsavers.co.uk/ .

Coronary Heart Disease." Microsoft Encarta Reference Library 2002. Microsoft Inc. 1998.

Know the Facts, Get the Stats." Journal prepared by the American Heart Association (AHA). December 2002.

Risk Factors and Coronary Heart Disease." American Heart Association Web site. 22 May 2003 http://www.americanheart.org/presenter.jhtml?identifier=4726.
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Design a Trail for New Drug

Words: 2453 Length: 8 Pages Document Type: Essay Paper #: 73844395

dosage levels of Cholestease on Serum Cholesterol levels and the side effects associated with them in human beings.

Cholesterol has been a major media issue in recent years, especially the negative effects on the heart and its role in the development of heart disease. There have been many studies that indicate a connection between serum cholesterol heart disease and depression (1-3). Developing new methods to lower serum cholesterol has become a major industry in recent years. Currently the leaders in the industry are American Pharmaceutical giants, Pfizer, Merck, and Warner-Lambert (1), who have developed medications that lower cholesterol.

The Endicon corporation recognizes the potential market in developing a drug that will significantly lower serum cholesterol without the side effects associated with long-term use of the drugs currently on the market. In addition, we recognize the potential of developing a ritish Product, primarily marketed in Great ritain. Endicon has been conducting…… [Read More]

Bibliography

Clarke, R. et al. (1997) Dietary lipids and blood cholesterol: quantitative meta-analysis of metabolic ward studies. Brit. Med. J 314 p.112-117.

Howell, W. et al. (1997) Plasma lipid and lipoprotein responses to dietary fat and cholesterol: a meta-analysis. Am. J. Clin. Nutr. 65 p.1747-1764.

Hudson, M. (2003) How Cholesterol Affects the Body. BurnBraeFarms.com. (Online at (http://www.burnbraefarms.com/nutrition/cholesterolnews.pdf) Accessed June 4, 2003.

Kronmal, R. et al. (1993)Total Serum Cholesterol Levels and Mortality Risk as a function of Age, A report based on the Framingham Data. Arch. Intern.Med. 153 p. 1065-1073.
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Dka Case Study

Words: 496 Length: 2 Pages Document Type: Essay Paper #: 21917976

drowsy, confused, pale sweaty detect a fruity odour breath. You initiate a MET call a set vital signs a BGL. Questions 1 What complications occurring Tanya? Connect signs symptoms? 2 What pathophysiology complication? 3 What blood glucose reading situation ? 4 What nursing interventions required complication? 100 WODS EACH 1 reference Farrell & Dempsey 2014 Smeltzer Bare textbook medical surgical nursing 3rd edition.

Tonya is suffering from diabetic ketoacidosis. This condition, also known as DKA, generally occurs in patients that have Diabetes Mellitus 1 or 2. The most prevalent precipitating factors include non-compliance with insulin therapy, infection, or a stressful event like a myocardial infarction or undergoing surgery. A key indicator is the fact that, upon assessment, in was noted that Tonya's breath had a fruity odor to it. This is a characteristic trait that can distinguish DKA from other pathophysiologic causes. If untreated, DKA can quickly turn into a…… [Read More]

References:

Farrell, M. (2013). Smeltzer and Bare's textbook of medical-surgical nursing (3rd Australian and New Zealand ed.). Sydney: Lippincott Williams & Wilkins.

Porth, C. (2005). Pathophysiology: concepts of altered health states (7th ed.). Philadelphia: Lippincott Williams & Wilkins.
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How to Evaluate Performance in the Medical World

Words: 4923 Length: 18 Pages Document Type: Essay Paper #: 14023760

Performance Measures for (50,000 call per year) EMS

EMS ORGANIZATIONAL PERFORMANCE MEASUREMENT

That the organization implements additional clinical performance measures, including those to evaluate the quality of the EMS.

That the organization uses survey data to evaluate and analyze customer and employee satisfaction and that a proper feedback and control mechanism is in place to use this data to implement required changes.

This report starts from the premise that Emergency Medical Services will be treated as any other service. As a consequence, this type of service reflects the relationship between the service recipient (in this case the patients) and the service provider (in this case the medium-sized organization being analyzed in this report).

This means that this report will use many of the existing research and business literature and apply business principles such as customer and employee satisfaction in presenting and analyzing a comprehensive set of recommended performance measures for…… [Read More]

Bibliography

1. Balridge National Quality Program (2002). Criteria for performance excellence. Gaithesburg: National Institute for Standards and Technology

2. The Customer Communicator (TCC) (2005). Alexander Communications Group, 28 (1) 2.

3. National Highway Traffic Safety Administration (2009). Emergency Medical Services: Performance Measures, Recommended Attributes and Indicators for System and Service performance.

4. Bruce, J. (2004). Application of EMS Customer Satisfaction Survey Data to Improve Service Delivery at Rialto Fire Department.
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Oral Health

Words: 2715 Length: 8 Pages Document Type: Essay Paper #: 90361025

Oral Health

Seniors have specific oral health needs. Meeting those needs requires an increase in personal hygiene, an improvement in lifestyle habits, and an increase in oral health service use. When these core needs are met, the specific oral health issues that affect seniors can be minimized, leading to improved health outcomes. Increasing personal hygiene requires shifts in attitudes toward oral health care, access to information, and access to affordable oral health care tools that are designed specifically for seniors. Lifestyle habits have a tremendous impact on oral health. Diet, smoking status, and drug and alcohol use are all factors that impact oral health. Accessing oral health services is difficult for many seniors. Some may live in rural areas where accessing oral health is physically difficult. Others may not be covered. In fact, most seniors do not have insurance coverage for oral health care. Not being able to afford oral…… [Read More]

References

"7 Oral Health Concerns Most Common in Seniors," (2014). Retrieved online: http://www.123dentist.com/7-oral-health-concerns-most-common-in-seniors/

Lamster, I.B. (2004). Oral health care services for older adults: A looming crisis. American Journal of Public Health 94(5), 699-702. Retrieved online: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1448319/

"Oral Care," (n.d.). WebMD. Retrieved online: http://www.webmd.com/oral-health/guide/dental-care-seniors

"Toothbrush Adaptations," (2011). U.S. Department of Health and Human Services. Retrieved online: http://www.mass.gov/eohhs/docs/dph/com-health/tooth-brush-adaptations.pdf
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The Diagnosis and Treatment of Arrhythmia

Words: 1461 Length: 5 Pages Document Type: Essay Paper #: 76244417

Arrhythmias cause irregular hearts beats in ways that can be life-threatening but there are a number of different types of arrhythmias that require different interventions. To determine the facts, this paper reviews the relevant literature to provide the etiology and pathogenesis, prevalence, clinical signs and symptoms, diagnostic pathways and optimal therapeutic approaches for paroxysmal atrial tachycardia, ventricular fibrillation and Brady arrhythmias, followed by a summary of the research and important findings concerning these three disease states in the conclusion.

Paroxysmal Atrial Tachycardia

Etiology & Pathogenesis. This type of arrhythmia can occur in individuals who have normal hearts as well as in people who have structurally abnormal hearts including those with congenital heart disease, especially following surgical repair of valvular or congenital heart disease (Budzikowski & ottman 2015).

Common causes of the arrhythmia, risk factors, definition of rhythm via EKG findings. Paroxysmal Atrial Tachycardia (PAT) is caused by irregular firing of…… [Read More]

References

Brady arrhythmias. Boston Medical Center. [cited 2016]. Available: https://www.boston cardiovascular.org/handler.cfm?event=practice, template&cpid=50108.

Budzikowski, AS, Rottman, JN. Atrial Tachycardia. Medscape: News and Perspectives. [cited 2016]. Available: http://emedicine.medscape.com/article/151456-overview.

Burke, MM, Laramie, JA. Primary Care of the Older Adult: A Multidisciplinary Approach. St. Louis, MO: Mosby, 2009.

Gialama, F, Prezerakos, P. The Cost Effectiveness of Implantable Cardioverter Defibrillators: A Systematic Review of Economic Evaluations. Applied Health Economics and Health Policy, February 2104, 12(1), 41-45.
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Care Needs Concerns and Treatment

Words: 4512 Length: 12 Pages Document Type: Essay Paper #: 58816657



Furthermore, one of the pillars of collaborative care that will need to be firmly established is the fostering of clear dialogue and a means for strong communication within the care management planning. For instance, there needs to be a clear decision and communication of all tests ordered and when the test results will be available. One of the most important aspects of this collaborative care will be the nursing interventions which can have significant impact on the patient's health and stabilization (Allen, 2010). In fact, strategic nursing care can even minimize readmission rates of Margaret and other patients with comparable conditions (Chen et al., 2012).

Prioritize the Nursing Care Needs of Margaret

The prioritization of nursing interventions is essential, and the way in which a nurse determines this priority is going to be something unique and distinct. "Trials reviewed demonstrated a beneficial impact of nursing interventions for secondary prevention in…… [Read More]

References

Adler, H.M. (n.d.). Toward a biopsychosocial understanding of the patient -- physician relationship: An emerging dialogue. (2007). J Gen Intern Med,22(2), 280 -- 285.

Afilala, J. (n.d.). Frailty in patients with cardiovascular disease: Why, when, and how to measure. (2011). Curr Cardiovasc Risk Rep, 5(5), 467 -- 472.

Allen, J.K. (2010). Randomized trials of nursing interventions for secondary prevention in patients with coronary artery disease and heart failure: Systematic review.

Journal of Cardiovascular Nursing,25(3), 207-220.
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Depressive Disorder Is it Caused

Words: 1701 Length: 5 Pages Document Type: Essay Paper #: 52021775



orks Cited

Carney, Robert M.; Kenneth E .Freedland. (2009). Treatment-resistant depression and mortality after acute coronary syndrome. The American Journal of Psychiatry, 166(4), 410-7.

Retrieved April 27, 2009, from ProQuest Medical Library database. (Document ID: 1671559601).

Major depressive episode. (2009). DSM IV. Retrieved April 27, 2009 at http://www.mental-health-today.com/dep/dsm.htm

Franklin, Donald. (2003). Major depression. Psychology Info. Retrieved April 27, 2009 at http://www.psychologyinfo.com/depression/major.htm

Khaled, Salma M.; Andrew Bulloch, Derek V. Exner, Scott B. Patten. (2009). Cigarette

smoking, stages of change, and major depression in the Canadian population. Canadian Journal of Psychiatry, 54(3), 204-8. Retrieved April 27, 2009, from ProQuest Medical

Library database. (Document ID: 1673587981).

Levinson, Douglas. (2005). The genetics of depression: a review. Biol Psychiatry.

Retrieved April 27, 2009 at http://depressiongenetics.med.upenn.edu/DLResearch/Levinson_GeneticsDepression.pdf

Marrie, A.; R. Horwitz, G. Cutter, T .Tyry, D. Campagnolo, & T. Vollmer. (2009). The burden of mental comorbidity in multiple sclerosis: frequent, underdiagnosed, and undertreated. Multiple Sclerosis, 15(3), 385-92.…… [Read More]

Works Cited

Carney, Robert M.; Kenneth E .Freedland. (2009). Treatment-resistant depression and mortality after acute coronary syndrome. The American Journal of Psychiatry, 166(4), 410-7.

Retrieved April 27, 2009, from ProQuest Medical Library database. (Document ID: 1671559601).

Major depressive episode. (2009). DSM IV. Retrieved April 27, 2009 at  http://www.mental-health-today.com/dep/dsm.htm 

Franklin, Donald. (2003). Major depression. Psychology Info. Retrieved April 27, 2009 at  http://www.psychologyinfo.com/depression/major.htm
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Health Maintenance Issues Concerns

Words: 1305 Length: 4 Pages Document Type: Essay Paper #: 42746766

Health Maintenance Issues

Mrs. Gray is an 86-year-old woman who has been diagnosed with Type Two Diabetes. She has lived with the disease for three years. Mrs. Gray is single and lives in the area in a naturally occurring retirement community. Mrs. Gray, though 86, appears much younger than her stated age, which can be largely attributed to her active physical nature. Mrs. Gray boasts an exceedingly active social life, meeting her friends for lunch several times a week, and she strives to keep herself in good physical condition by going to the gym an average of four times a week. Mrs. Gray is further involved in the community through significant work in her church and as a member of the Senior Friends Program, which allows volunteers to interact with shut-ins by visiting with them and bringing them dinner once a week. Mrs. Gray's last A1C was 6.1%.

Health Maintenance…… [Read More]

References

Esfahani, A., Josse, A., and Panahi, S. (2008). Nutritional considerations for older adults with type 2 diabetes. Journal of Nutrition for the Elderly, 27.3-4. pp. 363-80. Retrieved from: EBSCOhost Database.

Fravel, M., McDanel, D., and Ross, M. (2011). Special considerations for treatment of type 2 diabetes in the elderly. American Journal of Health-System Pharmacy, 68.6. pp. 500-9. Retrieved from: EBSCOhost Database.

Haffner, S., Lehto, S, and Ronnemaa, T. (2008). Mortality from coronary heart disease in subjects with type w diabetes and in nondiabetic subjects with and without prior myocardial infarction. New England Journal of Medicine, 349:1. pp. 229-234. Retrieved from: EBSCOhost Database.

Halter, J. (2009). Geriatric patients. In: Therapy for Diabetes Millitus and related disorders, 3 ed. Alexandria, VA: American Diabetes Association. pp. 234-240. Retrieved from: EBSCOhost Database.
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Sound Rationale's for Each Component of the

Words: 1435 Length: 5 Pages Document Type: Essay Paper #: 50423193

sound rationale(s) for each component of the primary survey that the egistered Nurse will undertake.

The geriatric male patient was admitted to the Emergency Department under triage supervision. Primary survey assessment (Considine, 2011) determines the patient's immediate physical condition pertinent to life or death. These include the patient's Airway, Breathing, Circulation, Disability, Discomfort. The patient scores a 14/15, which indicates his eyes are open, appears oriented with succinct and clear verbal responses, and displays exacting and swift motor response and coordination.

Patient respiration is accelerated with shallow yet painful breathes. Lung capacity appears to be compromised, unsure of whether the left or the right is specifically effected but perhaps the onset of pneumonia is the thought. Blood pressure is low, rapid and painful breathing coupled with low blood pressure are symptomatic and are important to monitor for further changes.

Pulse of 90 bpm is somewhat rapid and irregular with 90%…… [Read More]

References

Considine D. (2011) Patient assessment Primary and secondary survey. Deakin University-Northern Health Clinical Partnership
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Heart the Basic Work of the Heart

Words: 1089 Length: 3 Pages Document Type: Essay Paper #: 65551499

Heart

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…… [Read More]

Reference

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

Association.

Fishbein, M.C. (2012). Heart Transplant. Retrieved February 27, 2012, from www.medicinenet.com:  http://www.medicinenet.com/heart_transplant/page2.htm 

Heartmart. (2007). Commonly Performed Heart Procedures - Fixing Broken Hearts. Retrieved February 27, 2012, from www.heartmart.com:  http://www.heartmart.com/heart-health/heart-procedures/
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Pancreatitis the Pancreas Is an Important Source

Words: 1866 Length: 7 Pages Document Type: Essay Paper #: 45816680

Pancreatitis

The pancreas is an important source of digestive enzymes and fluids, and plays a critical role in regulating blood sugar levels through the production of insulin and glucagon (NDDIC, 2012). Should the pancreas become inflamed there is the risk that the digestive enzymes will become activated within the pancreas, resulting in self-digestion. This disease is known as pancreatitis and even mild cases require hospitalization. This essay will review what is known about pancreatitis in the United States and the clinical guidelines for diagnosis and treatment.

Pancreatitis Pathophysiology, Epidemiology, and Etiology

The digestive enzymes produced by a healthy pancreas are secreted into the small intestine as zymogens, which are enzymes that have their catalytic domain blocked by a peptide group (Berg, Tymoczko, and Stryer, 2002). The intestinal brush border cells secrete enteropeptidase, which removes the peptide blocking the catalytic domain of trypsin. Trypsin then activates the digestive enzymes secreted by…… [Read More]

References

Amerine, Emmie. (2007). Get optimum outcomes for acute pancreatitis patients. Nurse Practitioner, 32(6), 44-48.

Andris, Abby. (2010). Pancreatitis: Understanding the disease and implications for care. AACN Advanced Critical Care, 21(2), 195-204.

Banks, Peter A. And Freeman, Martin L. (2006). Practice guidelines in acute pancreatitis. American Journal of Gastroenterology, 101, 2379-2400.

Berg, J.M., Tymoczko, J.L., and Stryer, L. (2002). Biochemistry, 5th Edition. New York, NY W.H. Freeman. Retrieved 18 Feb. 2013 from http://www.ncbi.nlm.nih.gov/books / NBK22589/.
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Broken Heart Syndrome Cardiovascular Case Study Broken

Words: 1057 Length: 3 Pages Document Type: Essay Paper #: 39907338

Broken Heart Syndrome

Cardiovascular Case Study

Broken heart syndrome, otherwise called stress or Takotsubo cardiomyopathy (TTC), represents an adverse physiological response to an acute psychological or physical stressor (Derrick, 2009). The death of a loved one or experiencing a physically traumatic event, represent two examples of life stressors that can cause this reversible form of cardiomyopathy. Although effective treatment is available, the seriousness of the condition is such that it explains how a person can literally die of a broken heart.

TTC Demographics

An estimated 1.2 million people suffered from an myocardial infarction (MI) in 2007 and approximately 1% (Derrick, 2009, p. 50) to 2% (Wittstein, 2012, p. 2) of MI events was probably due to TTC. Women are far more susceptible to TTC than men and represent approximately 89% of all cases (Derrick, 2009, p. 50). This gender bias shifts the estimated prevalence of TTC among female MI patients…… [Read More]

References

American Heart Association, American Stroke Association. (2011). Women & cardiovascular disease: Statistical fact sheet 2012 update. Heart.org. Retrieved 4 Feb. 2012 from  http://www.heart.org/idc/groups/heart-public/@wcm/@sop/@smd/documents/downloadable/ucm_319576.pdf 

Derrick, Dawn. (2009). The "broken heart syndrome": Understanding Takotsubo cardiomyopathy. Critical Care Nurse, 29, 49-57.

Fitzgerald, Helen. (2000). Helping a grieving parent: Working through Grief. AmericanHospice.org. Retrieved 4 Feb. 2012 from http://www.americanhospice.org/index.php?option=com_content&task=view&id=84&Itemid=8

Liao, Joshua. (2011). Takotsubo: Octopus trap. Journal of Medical Humanities. Published ahead of print online Aug. 9. Retrieved 4 Feb. 2012 from http://www.springerlink.com/content/ak0776051x43w701/
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Cardiovascular Case Study Management

Words: 3112 Length: 10 Pages Document Type: Essay Paper #: 51501524

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…… [Read More]

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.
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PICOT Analysis on Chronic Heart Failure

Words: 952 Length: 3 Pages Document Type: Essay Paper #: 20575519

PICOT Analysis on Chronic Heart Failure

One may describe heart failure (HF) as a complicated medical condition which may arise due to functional or structural cardiac disorders capable of hindering ventricular capability of ejecting or filling blood. Chronic HF (CHF) represents a serious health issue. Its prevalence in America stands at over 5.8 million, while over 23 million individuals across the globe are affected by this problem. The mortality rate linked to HF is 40% in the initial diagnostic year, which reduces to 10% subsequently. Individuals most impacted by the condition lie in the age group of over 65 years. This age group is associated with rather high healthcare costs and high mortality and morbidity rates. HF patients get admitted to hospitals often and their re-hospitalization rates continually increase. In this paper, peer-reviewed articles will be employed for shedding light on the clinical issue, its diagnosis, patient care and the…… [Read More]