Case of Medical Information and Health History
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages
Case of Medical Information and Health History
Mrs. J. is a case study.
An RN-BSN-prepared nurse must exhibit a better awareness of disease pathophysiology, clinical symptoms, and treatment regimens, as well as how these influence clients throughout their lives.
Examine Mrs. J.’s health history and medical information, which are offered below.
Form a conclusion based on your evaluation based on this information, then complete the Critical Thinking Essay assignment as directed below.
Medical Information and Medical History
Mrs. J. is a 63-year-old married woman who has had hypertension, chronic heart failure, and chronic obstructive pulmonary disease in the past (COPD). Despite the fact that she requires 2L of oxygen/nasal cannula during activity at home, she continues to smoke two packs of cigarettes every day and has done so for 40 years. She developed flu-like symptoms three days ago, including fever, active cough, nausea, and lethargy. She has been unable to execute ADLs for the past three days and has needed assistance walking small distances. For the past three days, she has not taken her antihypertensive or heart failure meds. She was taken to the hospital’s intensive care unit today with acute decompensated heart failure and COPD exacerbation.
Is quite worried and wonders if she is going to die.
She denies any pain, but claims she can’t get enough breath.
Her heart feels like it’s “going away,” she says.
She claims to be fatigued and unable to eat or drink on her own.
Data that is objective
175 cm tall, 95.5 kg heavy.
T 37.6 degrees Celsius, HR 118 and irregular, RR 34, and BP 90/58.
Cardiovascular: Distant S1, S2, S3; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring shows a ventricular rate of 132 and atrial fibrillation.
Pulmonary crackles; reduced breath sounds in the right lower lobe; coughing frothy blood-tinged sputum; SpO2 82 percent
Hepatomegaly 4cm below costal margin. Gastrointestinal: BS present.
Her symptoms are controlled by the following drugs, which are delivered by pharmacological therapy:
intravenous furosemide (Lasix)
Enalapril is a drug that is used to treat high blood pressure (Vasotec)
Metoprolol is a drug that is used to treat high blood pressure (Lopressor)
morphine sulfate IV (Morphine)
Short-acting bronchodilator inhaled (ProAir HFA)
Corticosteroid inhaled (Flovent HFA)
At 2L/NC, oxygen is given.
Essay on Critical Thinking
Evaluate Mrs. J.’s condition critically in 750-1,000 words. Include the following in your list:
Describe the clinical indications that Mrs. J. is experiencing.
Discuss whether Mrs. J.’s nursing interventions at the time of her hospitalizations were appropriate, and explain why each of the medications listed was prescribed.
Describe four cardiovascular problems that can lead to heart failure and what can be done to avoid heart failure in each condition by medical/nursing measures.
Discuss four nursing strategies that can assist prevent issues caused by many drug interactions in older patients, taking into account the fact that most mature adults take at least six prescription medications. Give an explanation for each of the interventions you suggest.
Provide Mrs. J. with a health promotion and restoration teaching plan, including interdisciplinary rehabilitation resources and any necessary changes. Describe how the rehabilitation services and adjustments will help the patients move to self-sufficiency.
Describe an approach for educating Mrs. J. about the drugs she needs to take in order to avoid a repeat hospitalization. Justify your position.
Outline COPD triggers that can lead to more frequent exacerbations and repeat visits. Discuss what smoking cessation options should be offered to Mrs. J. in light of her present and long-term tobacco use.
In order to complete this project, you must mention at least two sources. Sources must have been published within the last 5 years, be related to nursing practice, and be appropriate for the assignment requirements.
Prepare this work in accordance with the APA Style Guide, which may be found in the Student Success Center. It is not necessary to submit an abstract.
A rubric is used in this task. Please study the rubric before beginning the assignment to ensure that you understand the requirements for a successful completion.
This assignment must be completed and submitted to LopesWrite. For more information, see the LopesWrite Technical Support articles.
The deadline is June 27, 2021, at 11:59:59 PM.
120.0 is the maximum number of points that can be earned.
5:00:34 AM, June 18, 2021 E-mail Mountain Daylight Savings Time
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QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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