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NURS 6501 Module 2 Assignment: Case Study Analysis SAMPLE

NURS 6501 Module 2 Assignment: Case Study Analysis SAMPLE

Understanding cardiovascular and respiratory changes is critical for advanced practice registered nurses in establishing an accurate diagnosis and educating patients on how to manage their diseases effectively. These changes have a substantial impact on patients’ health, and it is critical to recognize the symptoms connected with them. The author discusses a case of a 65-year-old post-op patient who complains of shortness of breath, pleuritic chest pain, and palpitations following total knee replacement. When the patient presented to the emergency department, an EKG indicated new-onset atrial fibrillation and a right ventricular strain pattern – T wave inversions in the right precordial leads (V1-4) (II, III, aVF). The essay covers the circulatory and cardiopulmonary pathological processes associated with these symptoms, the impact of racial characteristics on physiological functioning, and how these variables interact to affect the patient.

Cardiovascular and Cardiopulmonary Pathophysiologic Events Correlated With Patient Symptoms

Total knee arthroplasty is most frequently performed on the elderly, who are more susceptible to cardiovascular and pulmonary illnesses (Gao et al., 2020). Atrial fibrillation is a condition in which the heart beats irregularly as a result of disordered electrical signals. Atrial fibrillation that develops suddenly is frequently related with surgical treatments. According to the EKG interpretation, the patient is most likely suffering from a pulmonary embolism, a disorder in which blood clots obstruct one or more arteries. While early detection is critical, the disease’s clinical presentation is variable and broad, making precise diagnosis difficult. Dyspnoea at rest or with exertion, pleuritic chest pain, cough, orthopnoea, and calf or thigh pain or swelling are all symptoms of acute pulmonary embolism. Additionally, reduced breath sounds, an enhanced pulmonic component of the second heart sound, and jugular venous extension are present. Atrial arrhythmias, peripheral low voltages, pseudoinfarction patterns (Q waves) in leads III and aVF, ST-segment alterations, and total right bundle branch block are all associated with the condition (Boey et al., 2015). These symptoms are caused by the interaction of cardiovascular and cardiopulmonary systems. The cardiovascular system initiates the raid firing of impulses in the SA node, resulting in atrial fibrillation due to the rapid focused activity. Assignment for NURS 6501 Module 2: Case Study Analysis SAMPLE

Racial and Ethnic Variables that Impact Physiologic Functioning

According to research, black individuals with atrial fibrillation are at an increased risk of stroke than their white counterparts. A significant explanation for this phenomenon rests on the premise that African Americans are more prone to well-established risk factors for atrial fibrillation, such as hypertension, diabetes, and other chronic illnesses. A study conducted by Stamos & Darbar (2016) showed that these traditional risk factors are responsible for up to 50 percent of the atrial fibrillation burden among African Americans. Another feasible explanation for the atrial fibrillation paradox among black individuals relates to the underlying genetic basis. Research shows that most African Americans have the 1q21, 4q25, and 16q22 chromosomes associated with an increased risk of atrial fibrillation. These genomic loci were associated with African Americans.

NURS 6501 Module 2 Assignment Case Study Analysis SAMPLE

NURS 6501 Module 2 Assignment Case Study Analysis SAMPLE

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How these Processes Interact to Affect the Patient

Atrial fibrillation affects the patient in numerous ways (Streur, 2019). The chaotic rhythm cause blood to pool in the upper chambers of the heart resulting in the formation of clots. Ultimately, the clots obstruct blood flow to the brain resulting in a stroke. The interplay of increased heart rate, dyspnea, and increased breathing rates cause a life-threatening condition to patients.

Conclusion

In summary, new-onset atrial fibrillation is common among patients who have undergone total knee replacement surgeries. If untreated, the condition is life-threatening and can result in a stroke. The interplay of cardiopulmonary and cardiovascular alterations are significant factors behind atrial fibrillation. While the condition has a high prevalence among older populations, black individuals are at a higher risk of adverse outcomes related to atrial fibrillation. This is explained by a higher incidence of risk factors such as hypertension and heart diseases and the presence of triggering genes among this population. NURS 6501 Module 2 Assignment: Case Study Analysis SAMPLE

References

Boey, E., Teo, S., & Poh, K. (2015). Electrocardiographic findings in pulmonary embolism. Singapore Medical Journal, 56(10), 533-537. https://doi.org/10.11622/smedj.2015147

Gao, J., Xing, D., Dong, S., & Lin, J. (2020). The primary total knee arthroplasty: A global analysis. https://doi.org/10.21203/rs.3.rs-22046/v2

Stamos, T. D., & Darbar, D. (2016). The “Double” paradox of atrial fibrillation in Black individuals. JAMA Cardiology, 1(4), 377. https://doi.org/10.1001/jamacardio.2016.1259

Streur, M. (2019). Atrial fibrillation symptom perception. The Journal for Nurse Practitioners, 15(1), 60-64. https://doi.org/10.1016/j.nurpra.2018.08.015

Module 2 Assignment: Case Study Analysis

An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.

Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.

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An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following

  • The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
  • Any racial/ethnic variables that may impact physiological functioning.
  • How these processes interact to affect the patient.
By Day 7 of Week 4

Submit your Case Study Analysis Assignment by Day 7 of Week 4

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “M2Assgn+last name+first initial.(extension)” as the name.
  • Click the Module 2 Assignment Rubric to review the Grading Criteria for the Assignment.
  • Click the Module 2 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “M2Assgn+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:

Module 2 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Module 2 Assignment draft and review the originality report.

Submit Your Assignment by Day 7 of Week 4

To participate in this Assignment:

Module 2 Assignment


What’s Coming Up in Module 3?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In Module 3, you will analyze processes related to gastrointestinal and hepatobiliary disorders through case study analysis. To do this, you will analyze alterations in the relevant systems and the resultant disease processes. You will also consider patient characteristics, including racial and ethnic variables, which may impact physiological functioning and altered physiology.

Week 5 Knowledge Check: Gastrointestinal and Hepatobiliary Disorders

In Week 5 Knowledge Check, you will demonstrate your understanding of the topics covered during Module 3. This Knowledge Check will be composed of a series of questions related to specific scenarios provided. It is highly recommended that you review the Learning Resources in their entirety prior to taking the Knowledge Check since the resources cover the topics addressed. Plan your time accordingly.

Next Module

Module 3

Excellent Good Fair Poor
Develop a 1- to 2-page case study analysis, examing the patient symptoms presented in the case study. Be sure to address the following:

Explain both the cardiovascular and cardiopulmonary pathophysiologic processes of why the patient presents these symptoms.

28 (28%) – 30 (30%)

The response accurately and thoroughly describes the patient symptoms.

The response includes accurate, clear, and detailed reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.

25 (25%) – 27 (27%)

The response describes the patient symptoms.

The response includes accurate reasons, with explanation for both the cardiovascular and cardiopulmonary pathophysiologic processes supported by evidence and/or research, as appropriate, to support the explanation.

23 (23%) – 24 (24%)

The response describes the patient symptoms in a manner that is vague or inaccurate.

The response includes reasons for the cardiovascular and/or cardiopulmonary pathophysiologic processes, with explanations that are vague or based on inappropriate evidence/research.

(0%) – 22 (22%)

The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing.

The response does not include reasons for either the cardiovascular or cardiopulmonary pathophysiologic processes, or the explanations are vague or based on inappropriate or no evidence/research.

Explain how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.
28 (28%) – 30 (30%)
The response includes an accurate, complete, detailed, and specific explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.
25 (25%) – 27 (27%)
The response includes an accurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.
23 (23%) – 24 (24%)
The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.
(0%) – 22 (22%)
The response includes a vague or inaccurate explanation of how the cardiovascular and cardiopulmonary pathophysiologic processes interact to affect the patient.
Explain any racial/ethnic variables that may impact physiological functioning.
23 (23%) – 25 (25%)
The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.
20 (20%) – 22 (22%)
The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning supported by evidence and/or research, as appropriate, to support the explanation.
18 (18%) – 19 (19%)
The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations based on inappropriate evidence/research.
(0%) – 17 (17%)
The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research.
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.
(5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

(4%) – 4 (4%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.

(3%) – 3 (3%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.

Purpose, introduction, and conclusion of the assignment are vague or off topic.

(0%) – 2 (2%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

No purpose statement, introduction, or conclusion were provided.

Written Expression and Formatting – English Writing Standards:
Correct grammar, mechanics, and proper punctuation
(5%) – 5 (5%)
Uses correct grammar, spelling, and punctuation with no errors.
(4%) – 4 (4%)
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
(3%) – 3 (3%)
Contains several (3 or 4) grammar, spelling, and punctuation errors.
(0%) – 2 (2%)
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.
(5%) – 5 (5%)
Uses correct APA format with no errors.
(4%) – 4 (4%)
Contains a few (1 or 2) APA format errors.
(3%) – 3 (3%)
Contains several (3 or 4) APA format errors.
(0%) – 2 (2%)
Contains many (≥ 5) APA format errors.
Total Points: 100
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