Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
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Topic 1 DQ 1
Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion.
A Sample Answer For the Assignment: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
Title: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
Heart failure (HF) is a condition in which the cardiac and respiratory systems are interrelated. With HF, the heart fails to adequately distribute blood throughout the pulmonary system and systemic vasculature (Cross et al., 2020). HF is a chronic, progressive condition, and the heart cannot pump blood efficiently to help meet the body’s needs. As the heart tries to keep up with demands, it becomes enlarged and pumps faster. As the heart weakens, the blood tends to back up in the body, and fluid passes into the tissues, which leads to swelling (Gilbert, 2018). It can affect the blood pressure in the lungs, also leading to the build-up of fluid in the air sacs causing shortness of breath and fatigue. To explain, a nurse would educate the patient and family on how the heart and lungs interact—using easy-to-understand terms to explain how the heart pumping action delivers oxygen and nutrient-rich blood throughout the body. The nurse can use a model or handouts illustrating the blood flow between the heart and lungs. They can also use videos or website sources to demonstrate how a weakened heart can cause respiratory symptoms. Assessing patients for their preferred learning styles is necessary to ensure they can learn and understand the information provided.
Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410 References
Cross, T., Kim, C.-H., Johnson, B. D., & Lalande, S. (2020). The interactions between respiratory and cardiovascular systems in systolic heart failure. Journal of Applied Physiology, 128(1), 214–224. https://doi.org/10.1152/japplphysiol.00113.2019
Gilbert, J. (2018, February 23). How heart disease affects the respiratory system. Hometouch. https://myhometouch.com/articles/how-heart-disease-affects-the-respiratory-system
A Sample Answer 2 For the Assignment: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
Title: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
That’s a great question for it makes one reflect on patho-physio and the dynamics of how things happen. As for this situation yes its very possible . To simplify if to a layman, the heart for numerous reasons slows down and cannot support systemic flow that leads the blood backing up to the lungs causing infiltration, in turn prevents O2/CO2 exchange thus causing a respiratory problem.
I like to explain to my patient and families in a way that they can understand. I often draw pictures for them. I would say this:
“CHF, which is also known as congestive heart failure, affects both your heart and lungs. The heart pumps the blood and pushes it out into the organs and this blood carries oxygen. If you have a heart that does not pump out the blood effectively then the organs can not get the needed oxygen it requires to function properly. This includes your lungs, so if you are moving around and doing any activity you can be short of breath because of the lack of oxygen. This also affects the lungs because the blood can back up from the weakened heart muscles into the lungs causing congestion and this can also cause breathing difficulties.”
I feel that if you educate the patient and families in a way they can understand they are more likely to be compliant with suggested treatments. Health literacy is crucial to health prevention measures and educating patients results will be “improved health outcomes and reduced morbidity, and mortality” (Paterick et al., 2017).
Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410 Reference
Paterick, T. E., Patel, N., Tajik, A. J., & Chandrasekaran, K. (2017). Improving health outcomes through patient education and partnerships with patients. Proceedings (Baylor University. Medical Center), 30(1), 112–113. https://doi.org/10.1080/08998280.2017.11929552
A Sample Answer 3 For the Assignment: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
Title: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
A cardiac condition that I see regularly on my unit is atrial fibrillation. Atrial fibrillation (AF) is a cardiac dysfunction characterized by irregular and rapid electrical signals in the atria, causing them to fibrillate or quiver instead of contracting normally. In AF, the upper chambers of the heart (atria) exhibit chaotic, rapid, and irregular contractions that are out of sync with the lower chambers (ventricles). This abnormal heart rhythm can lead to the formation of blood clots. If one of these clots travels to the pulmonary system, it can result in a pulmonary embolism (PE). Similarly, if a clot reaches the neurovascular system, it can cause a cerebrovascular accident, commonly referred to as a stroke or brain attack (Johnson, 2022).
According to Wang et al. (2018, as cited in Sears et al., 2022) “AF is the most common dysrhythmia, affecting 3.5 million people worldwide.” Recent research indicates that there has been a notable increase in the occurrence of AF and its impact on health in the United States since 2001. This increase is particularly prominent among women. AF is responsible for approximately 15% of strokes in the general population and 36% of strokes in individuals aged 80 and older. The potential for severe health consequences like stroke underscores the urgency and cost associated with addressing AF on multiple fronts.
The exact cause of AF can vary, but common factors include increasing age, hypertension, heart diseases/conditions such as coronary artery disease, heart valve problems, congestive heart failure, or a history of heart attacks. Thyroid problems, obesity and other chronic conditions like diabetes, sleep apnea, and chronic kidney disease. Additionally, alcohol and substance abuse can trigger AF. Lastly, family history can be a large contributor for developing AF.
Preventative measures include maintaining a healthy lifestyle through regular exercise and a balanced diet. Limit alcohol consumption, avoid illicit drug use, and avoid/quite smoking.
Monitor blood pressure regularly and work with a healthcare provider to keep it within a healthy range through lifestyle changes or medications, if necessary. Control/manage other underlying chronic conditions. Maintain Medication compliance if prescribed anticoagulant or antiarrhythmic medications, adhere to the recommended dosage and follow-up with a healthcare provider for regular monitoring. Scheduling routine medical check-ups to monitor your heart health and detect any signs of AF or related conditions at an early stage are essential.
Being aware of the signs and symptoms of AF, such as palpitations, shortness of breath, chest pain, dizziness, or fatigue are also imperative to keep in mind. Educate yourself about AF and join support groups or seek counseling to better understand the condition, cope with its challenges, and make informed decisions about your health.
References
Johnson, A. R. (2022). Cardiorespiratory Complexities. BibliU. https://bibliu.com/app/#/view/books/1000000000590/epub/Chapter1.html#page_7
Sears, S. F., Anthony, S., Harrell, R., Tripp, C., Bowman, J., Khan, S., & Naniwadekar, A. (2022). Managing atrial fibrillation: The intersection of Cardiology, health psychology, and the patient experience. Health Psychology, 41(10), 792–802. https://doi.org/10.1037/hea0001135
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A Sample Answer 4 For the Assignment: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
Title: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
Pulmonary hypertension (PH) or pulmonary arterial hypertension (PAH) is another condition related to the heart. Affecting the lungs’ blood vessels, the constriction or wall thickening prevents blood flow and causes pressure build-up (American Heart Association [AHA], 2022). Pre-existing diseases such as congenital heart defects (CHD) can trigger secondary PAH. Atrial or ventricular septal defects cause a left-to-right- shunting of blood, causing too much blood flow through the lungs, increasing stress on the heart, and the high-pressure scars lung blood vessels (AHA, 2022). It is vital to repair congenital heart problems early, if possible, to try to reverse or prevent further damage to the vessels. Educating patients and families on CHD and PAH is vital to ensure they understand its impact on their lives. They must understand the importance of regular follow-ups with providers and taking medications as prescribed. PAH patients should avoid some activities, such as smoking, certain types of exercise, traveling to high-altitude locations, and avoiding estrogen forms of contraception and pregnancy (AHA, 2022). Preventing infections is essential; therefore, patients must be educated on the importance of vaccinations and routine dental exams. Some may need antibiotic therapy before dental procedures to prevent endocarditis. CHD is not preventable, and some patients are diagnosed as adults. Ensuring patients understand the disease and its impact on their lives, including what lifestyle changes they can make to improve their symptoms and prevent complications, is needed. Teaching gives patients the information needed to make the best health and well-being decisions, and additional resources such as websites, support groups, and community resources support continued learning.
Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410 Reference
American Heart Association. (2022). Pulmonary hypertension and chd. www.heart.org. https://www.heart.org/en/health-topics/congenital-heart-defects/the-impact-of-congenital-heart-defects/pulmonary-hypertension
A Sample Answer 5 For the Assignment: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
Title: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
Chronic obstructive pulmonary disease (COPD) and heart failure are different conditions. But both can make you short of breath when you do something physical, like exercise, climbing stairs, or walking for a long distance. Breathing problem happen for different reasons with these conditions. With COPD, it is hard to exhale all of the air in your lungs because of lung damage, often from years of smoking. If you have COPD, you most likely breathe comfortably when you are at rest. But when you are active, your breath starts coming in before air from your last exhale goes out which causes shortness of breath. If you have heart failure, your heart does not pump blood efficiently. As with COPD, if you have heart failure, you can probably breathe easily when at rest. With activity, blood flow must increase, and your heart must pump harder and faster. If your heart cannot keep up, blood “backs up” into your lungs. This fluid congestion causes shortness of breath. Trying to explain to the family in simple terms.
Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410 Reference
Carter, P., Lagan, J.,& Fortune, C., (2019). Association of cardiovascular disease with respiratory disease. J Am Coll Cardiol. doi: 10.1016/j.jacc.2018.11.063.
A Sample Answer 6 For the Assignment: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
Title: Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410
In the hospital where I work, atrial fibrillation is one of the most frequently encountered cardiac arrhythmias that we diagnose and treat. Having atrial fibrillation can put a person at an increased risk of having a stroke, particularly if the condition is not treated or diagnosed in a timely manner. Because of the irregular heart rate, atrial fibrillation can also lead to heart failure. More than 5 million people in the United States are currently living with atrial fibrillation, and it is anticipated that the number of people affected will rise to 12.1 million by the year 2030 (Streur, 2019). According to Streur (2019), the risk of developing atrial fibrillation is increased by a number of comorbid conditions and lifestyle factors. These factors include hypertension, coronary artery disease, heart failure, diabetes mellitus, obesity, hyperlipidemia, sleep apnea, hyperthyroidism, moderate to heavy alcohol consumption, smoking, and excessive exposure to ultraviolet light. There are things in this list that a person can change and things that one cannot change.
“The plan of care prioritizes the management of comorbid conditions in order to shorten the duration of atrial fibrillation and prevent its recurrence. It also emphasizes the control of heart rate in order to minimize symptoms and the prevention of thromboembolism and stroke” (Little, 2022). Age, gender, genetics, and ethnicity are examples of inborn predispositions that cannot be changed. People have the ability to reduce some of the risks by deciding to stop smoking, reduce their weight, and improve their diet. People who make the conscious decision not to change aspects of their lives that they have the ability to change have options, such as medication. To assist in maintaining a healthy heart rate, your doctor may recommend taking a medication known as a beta blocker. In addition, there are medications that can treat diabetes, high cholesterol, and hypertension. Education regarding each of these medications is of the utmost importance, as is the management of the diseases that put patients at risk for atrial fibrillation or for developing this disease.
Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410 References.
Little, K. (2022). Atrial fibrillation: Recognition and management to improve quality of life: Keep patients at the center of decision making. American Nurse Today, 17(4), 10–16.
Streur, M. (2019). Atrial Fibrillation Symptom Perception. The Journal for Nurse Practitioners, 15(1), 60–64.
Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion NRS 410 Grading Rubric
| Performance Category | 100% or highest level of performance
100% 16 points |
Very good or high level of performance
88% 14 points |
Acceptable level of performance
81% 13 points |
Inadequate demonstration of expectations
68% 11 points |
Deficient level of performance
56% 9 points
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Failing level
of performance 55% or less 0 points |
| Total Points Possible= 50 | 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points |
| Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic topics. |
Presentation of information was exceptional and included all of the following elements:
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Presentation of information was good, but was superficial in places and included all of the following elements:
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Presentation of information was minimally demonstrated in all of the following elements:
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| 16 Points | 14 Points | 13 Points | 11 Points | 9 Points | 0 Points | |
| Application of Course Knowledge
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Presentation of information was minimally demonstrated in the all of the following elements:
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| Interactive Dialogue
Initial post should be a minimum of 300 words (references do not count toward word count) The peer and instructor responses must be a minimum of 150 words each (references do not count toward word count) Responses are substantive and relate to the topic. |
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| Grammar, Syntax, APA
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A minimum of one peer and one instructor responses are to be posted within the course no later than Sunday, 11:59 pm MT. |