At this point in the course, you are becoming fairly proficient at recognizing and using various word parts within medical terms. We have covered many of “the basics” of medical terminology, but as with any new language, you will continue to learn and use new words throughout your careers. You will come across unfamiliar words, phrases, and abbreviations for many years to come. In order to be prepared for this, it is important to identify valid and reliable resources for medical information.

For your initial post, please provide one example of a valid and reliable resource that you would be able to use in your future career. Keep in mind that it’s probably not feasible to carry around a physical book while performing your job. What kind of resources would be available for you in your chosen career? Online, mobile, and other versatile resources might be useful sources to consider. Make sure to cite your reference appropriately (in APA format) and describe why you believe it is a valid and reliable source of information.

Healthcare Coverage Gap

The ACA was meant to provide quality health care coverage for all yet a coverage gap for some populations especially in states that oppose Medicaid expansion. Based on what you have learned so far in this course, create a PowerPoint presentation that addresses the coverage gap problem, who is impacted by the coverage gap, the role the ACA plays in the coverage gap, why the coverage gap should be closed, and solutions/ recommendations for closing the gap. Address the following in your PowerPoint: 

• Select one state opposed to Medicaid expansion and describe why. Then, consider your own state. What are the benefits and drawbacks to Medicaid expansion in your state?
• Define what the coverage gap is (problem/issue)
• Discuss how the coverage gap impact low income healthcare consumers population.
• What role does the ACA have in widening or closing the coverage gap?
• Why is it important to close the gap (implications for positive social change)?
• What are some solutions to closing the coverage gap and how can healthcare equity help close the gap? Include recommendations and/or solutions.

Your PowerPoint presentation should include/address:

• Title Slide (1 slide)
• Objectives Slide (1 slide)
• Medicaid expansion (1-2 slides)
• Coverage gap – define/problem/issue (1-2 slides)
• Coverage gap impact on low income healthcare consumers (2-3 slides)
• Role ACA has in widening or closing the coverage gap (1-2 slides)
• Close the gap (1-2 slides)
• Solutions to closing the coverage gap and how can healthcare equity help close the gap? (2-3 slides)
• Reference slide (1-2 slides).

Assignment Expectations

Length: 9-14 slides (in addition to the title slide and reference slides) 

Structure: Include a title slide and reference slide in APA format.  These do not count towards the minimum slide count for this assignment.  Your presentation must include an objectives slide.  Be sure to fully explain all slides in the Speaker Notes.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment. 

Format: Save your assignment as a Microsoft PowerPoint document (.pptx) or a PDF document (.pdf). 

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

Submission: Submit to the D2L dropbox for grading 

please use California as model state

 

Find a dietary assessment tool that can be used either generally or for a specific alteration in health.

When you have found your assessment tool, answer the following questions:

• What is the purpose of this tool?
• Do you believe that the purpose is fulfilled based on the questions being asked? Why?
• In what ways does the tool account for the individual perceptions and needs of the client?
• Is there a nutritional history included? What does it cover?
• Is the tool easy to use? Why or why not?
• Does the tool provide enough information to determine next steps or interventions? Explain.

The writing assignment should be no more than 2 pages and APA Editorial Format must be used for citations and references used. Attach a copy of the assessment tool.

  

Cardiovascular system

A 70 year old black American female who has the following preexisting conditions;

Hypertension (HTN): longterm

Heart failure (CHF) : 2 months

Coronary artery disease (CAD) : longterm

Myocardial infarction (MI) : five years ago

Ejection (EF) of 55% : 2 months ago

Socioeconomic data:

Widow, Lives alone, independent ADL’s, Nonsmoker, Nondrinker

Pharmacologic data:

Aspirin (acetylsalicylic acid, ASA)

Clopidogrel bisulfate (Plavix)

Lisinopril (Prinivil, Zestril)

Carvedilol (Coreg)

Furosemide (Lasix)

Potassium chloride (KCL)

Client Profile: 

70 year old woman originally from Alabama. She lives alone and is able to manage herself independently. She is active in her community and church. Diagnosed with heart failure 2 months age and is followed up at home with a visiting nurse every other week for to assist is managing her heart failure symptoms. She is being referred to the nurse practitioner for follow up of changes in her symptoms.

Assessment:

At the office the following subjective and objective data was supplied: 

“I noticed my legs were getting a bit bigger and they are achy, too.”

She has gained 10 pounds over the last 5 days.

She gets short of breath when ambulating from one room to the other (approximately 20 feet) and must sit down to catch her breath. 

Her oxygen saturation is 95% on room air. Bibasilar crackles are heard when auscultating her lung sounds. 

She denies any chest, arm, or jaw pain or nausea.

She denies any back pain, stomach pain, confusion, dizziness, or a feeling faint. 

She admits only to feeling a little more tired than usual.

Eats Southern Cooking when at home.

Vital signs :  

T= 97.6 F (36.4C), BP 140/70, P 93, R 22. 

Labs ordered:

complete blood count (CBC), basic metabolic panel (BMP), brain natriuretic peptide (B-type natriuretic peptide assay or BNP), troponin, creatine kinase (CPK), creatine kinase-MB (CKMB), and albumin. The APN also prescribes oral (PO) Furosemide and arranges an outpatient electrocardiogram (ECG, EKG), chest X-ray, and echocardiogram.

Questions

1. Which assessment findings during this visit are consistent with heart failure?

2. Why did the APN ask about back pain, stomach pain, confusion, dizziness or a feeling that she might faint?

3. Explain what the following terms indicate and include the normal values: cardiac output, stroke volume, afterload, preload, ejection fraction and central venous pressure. Is an ejection fraction of 55% significant. Provide rationale.

5. Discuss the body’s compensatory mechanisms during hear failure. Include an explanation of the Frank-Starling law in your discussion.

6. Heart failure can be classified as left or right ventricular failure, systolic versus diastolic, according to the New York Heart Association (NYHA) and using the ACC/AHA (American Heart Association) guidelines. Explain these four classification systems and the signs and symptoms that characterize each. Which Classification fits this patient?

7. Provide a rationale for why each of the following medications have been prescribed: Aspirin, Clopidogrel bisulfate (Plavix), Lisinopril(Prinivil/Zestril) , and Carvedilol (Coreg).

8. What information will each of the following tests provide: CBC, BMP, BNP, Troponin, CPK, CKMB, and albumin, EKG, CXR, and Echocardiogram

Go to the NINR website: https://www.ninr.nih.gov and identify the four current priorities for nursing research under NURSING RESEARCH DEVELOPS KNOWLEDGE TO…. Do you agree with the priorities or would you recommend addition or elimination of some of the priorities? Describe how these research initiatives can be translated into evidence-based practice in your work environment.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. 

Learning Materials

• Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health. ISBN: 978-1-4511-9094-6. Read Chapters 1, 2, and 3.