Response to a discussion post.

3 citations . APA 7TH Edition format

Atrioventricular Node Block

Opioid abuse is a growing and significant public health concern in the United States. Drug overdose deaths accounted for over 47,000 deaths in the United States in 2014. Specifically, opioid abuse is now considered one of the most pressing threats to public health in the United States. Naloxone is an opioid antagonist that can rapidly reverse the respiratory depression associated with opioid toxicity, and in our case study was administered and the patient became responsive, indicating he had overdosed on opioids (Jeffrey et al., 2017).

The patient complained of burning pain to his left hip and forearm because the blood supply to the trochanter, and the forearm was inadequate and became necrotic due to hypoxia. The blood supply became inadequate due to slow conduction between the atria and ventricles of the heart, causing atrioventricular node second-degree block caused by ingested drugs (Rahhal et al., 2017).

The atrioventricular node (AV node) is a bundle of conduction cells regulating atrial electric activity communication with ventricular electrical activity. The Av node block manifested itself in the EKG with prolonged PR interval. Peaked T wave was also demonstrated in the EKG, indicating an early sign of elevated potassium in the serum, which in this case study was out of the normal range. Potassium serum levels were elevated because necrosis caused the cells to become acidic, release enzymes, and break the cells, releasing potassium to the bloodstream (Huether & McCance, 2019).

In this case study, genetic did not play a role in the outcome since anyone can have the same outcome if they abuse drugs.

References

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St.Louis, MO: Mosby/Elsevier.

Jeffery, R. M., Dickinson, L., Ng, N. D., DeGeorge, L. M., & Nable, J. V. (2017). Naloxone administration for suspected opioid overdose: An expanded scope of practice by a basic life support collegiate-based emergency medical services agency. Journal of American College Health, 65(3), 212–216. https://doi-org.ezp.waldenulibrary.org/10.1080/07448481.2016.1277730

Rahhal, A., Aljundi, A., & Arabi, A. (2017). Mobitz Type II atrioventricular block following tramadol and fentanyl in a patient with acute coronary syndrome and systolic heart failure. Heart Views, 18(3), 88. https://doi.org/10.4103/heartviews.heartviews_32_17

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

After watching the YouTube video Missed Opportunities for Interprofessional Practice:

https://www.youtube.com/watch?v=ey557BaRe14

Answer all these questions bellow; 

• Identify one example of a communication skill, strategy, and/or factor used by an individual member of the health care team that contributed to effective communication and collaboration.
• Identify one example of a barrier to effective communication and collaboration. 
• Identify one way in which communication could have been improved during this patient conference.
• Where do you see interprofessional collaboration in your practice or school clinical setting? Give an example.
• Be sure to include in your discussion terms you learned from your readings (i.e., communication style, attributes of effective communication, factors that influence communication, therapeutic communication strategies,  etc.) and provide an in text citation and a reference citation for  your text book.  

Required Readings text book:

Blais, K. & Hayes, J. (2016). Professional nursing practice: Concepts & perspectives (7th ed.). Upper Saddle River, NJ.: Pearson Education Inc. pgs. 245-262, 264-283.

Assessment is as essential to family therapy as it is to individual therapy. Although families often present with one person identified as the “problem,” the assessment process will help you better understand family roles and determine whether the identified problem client is in fact the root of the family’s issues. As you examine the Hernandez Family: Sessions 1-6 videos in this week’s Learning Resources, consider how you might assess and treat the client family.

Learning Objectives

Students will:

• Assess client families presenting for psychotherapy

To prepare:

• Review this week’s Learning Resources and reflect on the insights they provide on family assessment.
• View the Hernandez Family: Sessions 1-6 videos, and consider how you might assess the family in the case study.

Note: For guidance on writing a comprehensive client assessment, refer to pages 137–142 of Wheeler (2014) in this week’s Learning Resources.

The Assignment

Address in a comprehensive client assessment of the Hernandez family the following:

• Demographic information
• Presenting problem
• History or present illness
• Past psychiatric history
• Medical history
• Substance use history
• Developmental history
• Family psychiatric history
• Psychosocial history
• History of abuse and/or trauma
• Review of systems
• Physical assessment
• Mental status exam
• Differential diagnosis
• Case formulation
• Treatment plan

Note: Any item you are unable to address from the video should be marked “needs to be added to” as you would in an actual comprehensive client assessment