Please follow the following instructions Below:

Zero (0) plagiarism

5 References no more than 5 years

Please see attached rubric details 

Follow the APA style/format

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. 

 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:

This week:

   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.

o Be sure you discuss each symptom presented by explaining the patho process in detail at the cell level. McCance is a very helpful resource here. The focus here should be on asthma.

· Any racial/ethnic variables that may impact physiological functioning.

o Childhood asthma has racial/ethical variables that increase the risk for asthma and poor health outcomes. Be sure to cover genetics and epigenetics, including any social determinants of health here. Explain how these are risk factors for asthma and/or poor control of asthma. Some of this may be found in McCance, but you need outside references here.

· How these processes interact to affect the patient.

o Here is where you put it all together and discuss a holistic view of how all of this affects the patient. You should discuss potential complications of poorly control asthma and how it could impact this 11-year-old patient in daily life. Think about any long-term consequences as well. Again outside references apart from McCance will be needed.

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.

  SCENARIO BELOW:

Scenario 3: 11-year-old boy complains of wheezing and difficulty “getting enough air.” Notices it more when he is playing baseball and symptoms improve when exercise activity stops. He says that the symptoms are getting worse and the symptoms are even occurring at rest. Mother says the child is allergic to cat dander and his next-door neighbor in their apartment building recently began sheltering cats for the local humane society. Auscultation demonstrates wheezes on forced expiration throughout all lung fields.

 This assignment will be uploaded automatically to Turnitin upon submission to verify this is your original work and no parts were copied from another student.

Purpose

The purpose of the iCARE Paper assignment is to explore the concept of interprofessional teams and patient outcomes. Nursing supportive actions of compassion, advocacy, resilience, and evidence-based practice will serve as a way to apply care concepts.

Directions

1. Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity (Links to an external site.)
2. View a short tutorial with tips for completing this assignment: iCARE Paper Tutorial (Links to an external site.)
3. Getting Started: Interprofessional teams are part of practice trends we see developing in all aspects of care delivery. Consider you own work environment (or recent clinical setting).
   • For this assignment, consider the concept of interprofessional teamwork and patient outcomes.
   • Look to your current workplace as an example. (If you are not currently employed, look to a past workplace or clinical practice area.)
   • Apply the components of the iCARE concept to interprofessional teams in a short paper. (Body of the paper to be 3 pages, excluding the title page and references page)
   • iCARE components are:
     • C ompassion
     • A dvocacy
     • R esilience
     • E vidence-Based Practice (EBP)
   • How could you contribute to an interprofessional team and patient outcomes through nursing actions of: compassion, advocacy, resilience, and evidence-based practice?
4. Select one scholarly nursing article from CINAHL as a resource for your paper.
   • Additional scholarly sources can be used but are optional.
   • When searching in the CINAHL database, please limit your search word to one component of the paper you wish to emphasize, such as ‘Resilience’.  Searching for the term iCARE will not produce the results you need.
5. Elements of iCARE paper
   • Title page
   • Below are the headings to be used for this assignment.
     • Introduction: (No heading needed here in APA) Explain the type of work setting you are discussing and whether interprofessional teams are currently present. If interprofessional teams are present, indicate a team function that could be improved. If interprofessional teams are NOT present, indicate what type of team you think might be possible in the setting.
     • Describe a nursing action item for each component below that could contribute to: interprofessional team support; how this might impact the culture of your unit or organization; and possible impact on patient outcomes.
       • Compassion
       • Advocacy
       • Resilience
       • Evidence-Based Practice
     • Summary: Include a summary statement of how iCARE components can support interprofessional teams and patient outcomes. Address how you may be able to influence this process of support for interprofessional teams overall in your unit or organization.
     • References: List any references used in APA format.

Templates

The prepared paper template is RECOMMENDED for this assignment.

iCare Assignment Template (Links to an external site.) – APA 7th edition

Only the APA 7th edition is to be used in this assignment.

Best Practices  

• Please use your browser’s File setting to save or print this page.
• The template provided is recommended.
• Spell check for spelling and grammar errors prior to final submission. 
• Use the rubric as a final check prior to submission to ensure all content is clearly addressed. 

Scholarly Sources and Citations 

• Use APA format for citations and references.
• Please paraphrase throughout. One short quote is permitted.

Create four sections labeled with the following headings:

•   quality and safety

•   evidence-based practice

•   applied leadership

•   community and population health

B.  Briefly describe each of the following sections by drawing on your clinical experiences, (e.g., skills lab, simulation, clinical rotations and/or professional practice):

Note: Personal reflections should be included in the portfolio. 

•  quality and safety

•  evidence-based practice

•  applied leadership

•  community and population health

Note: Personal reflections should be included in the portfolio. 

Note: A short paragraph of a few sentences will be sufficient to fill the space for now. You may include experiences from your life that influenced your decision to become a nurse (e.g. What does the  experience mean? Why is the experience important? How will you integrate what you learned from that experience into your practice?).

Case Study
Anna Sanchez, a 21-year-old nursing student, comes to her nurse practitioner in December with a 5-week history of itchy eyes and nasal congestion with watery nasal discharge. She also complains of a “tickling” cough, especially at night, and she has had episodes of repetitive sneezing. She gets frequent “colds” every spring and fall.

Physical Examination

• Vital Signs: Afebrile; respiratory rate, pulse, and blood pressure all normal
• Skin: Flaking erythematous rash on the flexor surfaces of both arms
• Head, Eyes, Ears, Nose, and Throat: Tender over maxillary sinuses; sclera red and slightly swollen with frequent tearing; outer nares with red irritated skin; internal nares with red, boggy, moist mucosa and one medium-sized polyp on each side; pharynx slightly erythematous with clear postnasal drainage (NOTE: Nasal polyps are common in allergic rhinitis. They are edematous protrusions of the mucosa that are infiltrated with neutrophils, eosinophils, and plasma cells.)
• Lungs: Clear to auscultation and percussion
  

Response # 1: Carefully read the initial posts made by the other students in your small group.

• Respond to the initial post of one of your peers in your discussion group. Identify 1 differential diagnosis for the case study presented. Identify the underlying pathophysiology and clinical presentation of the Differential Diagnosis you identified in your response to your peers. Please Note: you may not duplicate a differential diagnosis posted by another peer in the discussion thread.

Peer Initial Post

Initial Post: Answer the following questions about Anna Sanchez and her condition. 

1. What evidence suggests that Anna does not have an acute severe infection? 

Anna’s vital signs are stable. the signs and symptoms of an acute severe infection are:  

• Fever and chills 
• Low temperature 
• Tachycardia 
• Nausea and vomiting 
• Diarrhea 
• Discolored or blotchy skin 
• Weakness and fatigue 

1. If Anna has allergic rhinitis, what type of hypersensitivity reaction is involved? 

There are four (I-IV) types of hypersensitivity, these disorders are abnormal immune reactions that display various symptoms. Type I is immediate and intervened by Ige. The fourth type is a delayed reaction from direct contact. Anna appears to suffer from type I rhinitis which is an immediate hypersensitivity (Sobkowiak,et al.,2020).  

1. A skin test indicates that Anna is allergic to cat dander. Two months ago, Anna’s roommate brought home a cat. Why didn’t Anna’s symptoms start when the cat entered the household, rather than 3 weeks later? 

Allergies are the most common embellished response against an environmental antigen. After the anna’s initial contact with the cat, anna became sensitized and her B lymphocytes created antibodies that started to bind to the outer surface of the mast cells. Contact to the allergen before enough T cells or antibodies are present bring a hypersensitive response (McCance & Huether, 2018).  

1. What class of antibodies bind to the mast cells? 

Ige binds to crystalline fragments (FC) receptors on the surface of mast cells (McCance & Huether, 2018).  

1. What physiological mechanisms caused the redness of Anna’s nasal mucosa? 

Hypersensitivity that is irritated by exposure to a specific antigen.  When the allergen is introduced, it makes the mast cells release in the nose, when that release happens histamine is also released, which starts an inflammatory process (McCance & Huether, 2018).  

1. What mechanisms caused Anna’s clear postnasal drainage? 

Vasodilation and more porous surface due to the inflammatory mediators that were released by the mast cells caused fluid (mucus) build up and pool in the back of the throat and nose that drips down the throat (McCance & Huether, 2018).  

References 

McCance K., L., & Huether, S., E. (2018). Pathophysiology: The biologic basis for disease in adults and children (8th ed.) St Louis, MO: Mosby Inc; ISBN-13: 978-0323583473 

Sobkowiak, P., Langwiński, W., Nowakowska, J., Wojsyk-Banaszak, I., Szczepankiewicz, D., Jenerowicz, D., Wasilewska, E., Bręborowicz, A., & Szczepankiewicz, A. (2020). Neuroinflammatory Gene Expression Pattern Is Similar between Allergic Rhinitis and Atopic Dermatitis but Distinct from Atopic Asthma. BioMed Research International, 1–10. https://doi-org.su.idm.oclc.org/10.1155/2020/7196981 

needs to be at least 500 wMirda with at least 3 scholarly articles within the past 3 years.  

WEEK 6: HEALTH PRIVACY BREACH

Privacy breaches are serious offenses that negatively affect the trust between nurses and patients. To maintain this trust, nurses must maintain the privacy and security of patient information. Read the scenarios below related to the protection of health information.

Scenario 1

 A nurse posted the following comment on her social media page: “Can this shift be any longer? It started out with a waiting room full of nagging people that don’t seem to know what “emergency” means. Then I had to deal with the drama of trying to transfer a 400 lbs. (no joke) intubated COPD patient down the hall to the ICU, those ICU nurses are such divas and I wasn’t in the mood for their whining. Someone help!

• Describe the privacy and security issues related to this social media posting.

Scenario 2

 A nurse educator is preparing a presentation poster for an infectious disease conference. She includes pictures of varying stages of a client’s lesions in the poster.

• Describe the privacy and security issues related to the inclusion of patient information on the poster.

Scenario 3

• Marcus was admitted to the hospital from a long-term care facility. He was diagnosed with dehydration and delirium. He is expected to return to the facility. The charge nurse at the facility calls for an update regarding his status.
• Describe the privacy and security issues related to sharing this information with the long-term care facility.