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2023 COMMENT1 Heart failure is a clinical syndrome caused by structural and functional defects in the myocardium which
by adminNursing 2023 Comment
COMMENT1 Heart failure is a clinical syndrome caused by structural and functional defects in the myocardium which 2023 Assignment
COMMENT1
Heart failure is a clinical syndrome caused by structural and functional defects in the myocardium which results in the impaired ventricular filling and the ejection of blood (Inamdar &Inamdar,2016). Based on the functional status of the heart, heart failure can be classified as heart failure with preserved ejection fraction (HFpEF) and heart failure with reduced ejection fraction (HFrEF).
Based on the cardiac output, HF can also be classified as a high-output failure and low-output failure (Inamdar &Inamdar,2016). High-output failure can be caused by anemia, vascular shunting, hyperthyroidism and vitamin B1 deficiency. Low-output heart failure is characterized by insufficient forward cardiac output and is much more common than the high-output heart failure. Mrs. J has clinical symptoms of biventricular heart failure which is characterized by poor cardiac output-forward failure, and congestion of the blood behind the pumping chamber-backward failure (Copstead-Kirkhorn,& Banasik, 2014).
COMMENT2
The patient is very anxious at this time based on the kind of questions that she is asking, and her oxygen saturation level at 82% is increasing the workload of the heart. Supplemental oxygen therapy should be started to compensate by decreasing the heart’s workload, increase oxygen delivery to the body tissues to prevent serious damage to the brain and other vital organs. Patient need to be reassured that the medical team is making every effort necessary to take care of her symptoms. This first interventions will help reduce her anxiety and get her mind focused on getting better. This should be followed with continuous monitoring of her vital signs, paying close attention to ECG readings, heart rate and rhythm, blood pressure, intake and output, further lab works and results as ordered and following other prescribed therapies as ordered. (Amakali, 2015).
The patient’s smoking issue need to be addressed as well starting from admission. Patient admits to smoking 40 cigarettes a day. She need to know that she may not be allowed to smoke while admitted in the hospital.Tthe doctor may order alternative to smoking such as nicotine patch to provide some support for the patient and start the process of smoking cessation.The dangerous effects of her smoking would need to be explained to her through a comprehensive teaching program prepared while in the hospital and prior to discharge.
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2023 Developing a Philosophy Goals and Objectives As addressed in this week s Learning Resources an
by adminNursing 2023 Developing a Philosophy, Goals, and Objectives Discussion
Developing a Philosophy Goals and Objectives As addressed in this week s Learning Resources an 2023 Assignment
Developing a Philosophy, Goals, and Objectives
As addressed in this week’s Learning Resources, an organization’s philosophy statement derives from its mission and indicates the values and beliefs that steer decision making. An organization’s philosophy statement should be used to develop goals and objectives that lead to assured action.As effective organizations recognize, “setting specific goals in a clear and compelling way—and insisting that people work together to achieve them—is the best way to get results” (Ashkenas, 2012, para. 9).This Discussion builds on the Week 2 Discussion 2, as you create a philosophy statement, goals, and objectives for Mountain View Health Center, the organization featured in the case study introduced last week.You will continue to work within the same small group. Note: You will develop an individual philosophy statement, goals, and objectives independently. Through the collegial exchange that follows, you will offer each other suggestions for refinement.
To prepare:Review information on philosophy statements, goals, and objectives in Chapter 7 of the Marquis and Huston text and in the other Learning Resources.Review the Mountain View Health Center case study presented in this week’s media, and reflect on the mission and vision statements you developed for Discussion 2 in Week 2.Conduct additional research as necessary to strengthen your understanding of the process for creating a philosophy statement and developing goals and objectives and to deepen your thinking about the organization. For instance, you may research organizations with similarities to Mountain View and examine their philosophy statements, goals, and objectives.Draft a philosophy statement for Mountain View Health Center.Craft at least one goal and at least one related objective to operationalize the philosophy.Consider what you have learned about the importance of the philosophy statement and the process of developing one, as well as the significance of and distinctions between goals and objectives.
Post a philosophy statement for Mountain View Health Center, at least one goal, and at least one related objective. Offer insights you have gained about the process of developing a philosophy statement, as well as the significance of and distinctions between organizational goals and objectives.
Read a selection of your colleagues’ responses.
Consider the following:Are the philosophy statements, goals, and objectives clearly written and easy to understand?How well does the philosophy statement align with the mission and vision statements posted in Discussion 2 of Week 2? Does it reflect accepted values of the organization?Are the goals and objectives specific, measureable, attainable, relevant, and time-bound?How well do the philosophy statements, goals, and objectives reflect the stakeholders?
Required Readings
Cara, C. M., Nyberg, J. J., & Brousseau, S. (2011). Fostering the coexistence of caring philosophy and economics in today’s health care system. Nursing Administration Quarterly, 35(1), 6–14.Retrieved from the Walden Library databases. The article addresses caring as a part of mission and philosophy and the benefits of this for nursing satisfaction and performance, patient satisfaction, quality of care, and cost reduction.
Lorenzi, N. M. (2011). AMIA’s realigned strategic plan. Journal of American Medical Informatics Association, 18(2), 203–208.Retrieved from the Walden Library databases. As you read this article, consider the process used to set goals and evaluate the extent to which the identified goals are specific, measureable, attainable, relevant, and time-bound.
Kenny, G. (2012).
From the stakeholder viewpoint: Designing measurable objectives. Journal of Business Strategy, 33(6), 40–46.Retrieved from the Walden Library databases. Measurable objectives are an important part of the strategic planning process, yet many organizations struggle with formulating good objectives. In this article, the author suggests strategies for developing better objectives, which will then facilitate the planning process.
Urbanski, J., Baskel, M., & Martelli, M. (2011). Strategic planning—A plan for excellence for South Haven Health System. Nursing Administration Quarterly, 35(3), 227–234.Retrieved from the Walden Library databases. The article addresses stakeholder involvement as a key component of South Haven Health System’s success in strategic planning and describes how the system develops goals and objectives.
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2023 Discuss strategies for promoting effective teamwork among culturally diverse or multigenerational teams this
by adminNursing 2023 strategies
Discuss strategies for promoting effective teamwork among culturally diverse or multigenerational teams this 2023 Assignment
Discuss strategies for promoting effective teamwork among culturally diverse or multigenerational teams.
this discussion requires one reference from a peer-reviewed NURSING journal less than 5 y/o from database and not from Internet as well as a reference from the course textbook.
BlaisK.K., & Hayes, J. (2016). Professional nursing practice: Concepts and perspectives (7th ed.). Upper Saddle River, NJ: Pearson.
ISBN: 978013380131
Professional, governmental, or educational organizations (.org, .gov, or .edu) may be used as supplemental references.
APA format required.
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2023 Please read the following introduction and complete the following steps for your initial discussion post There are a
by adminNursing 2023 Types of Theory in Nursing
Please read the following introduction and complete the following steps for your initial discussion post There are a 2023 Assignment
Please read the following introduction and complete the following steps for your initial discussion post:
There are a number of methods for classifying theory in nursing. These include classification based on range/scope or abstractness (metatheory, grand, middle-range, and practice) and type or purpose of the theory (descriptive, explanatory, predictive, and prescriptive).
Address the following:
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.
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