You are caring for a 59-year-old African American male who is a non-smoker and a non-drinker. The individual has a healthy weight for his height. On weekends, he coaches a youth baseball team in his community and enjoys eating hot dogs and nachos with the children after games. He has been monitoring his blood pressure at the community center and noted that the highest reading was 168/92 mm Hg. He is pleased with this number, as the results were “lower than previous readings.” However, his healthcare provider is still concerned. She informed him about the dietary choices he was making and reminded him to limit his sodium intake. She also renewed the individual’s prescription for a thiazide diuretic and added an ACE inhibitor to his treatment regime.

Please answer the following prompts in your analysis of the case:

1. Speculate how the individual’s ethnicity contributes to his hypertension. Discuss other determinants of health that contribute to the prevalence of hypertensive disease in this population.
2. Discuss the significance of an elevated systolic pressure, even in the absence of diastolic hypertension, detailing the pathophysiology behind elevation in blood pressure and the ultimate development of hypertension.
3. Identify if this individual is at risk for developing heart failure. If so, what type of heart failure would he be most at risk of developing?
4. Briefly discuss the mechanism of action of the two classes of drugs this individual was prescribed for the management of his hypertension.

For additional details, please refer to the Case study guidelines and rubric.

Prompt: 

For the case study, be sure to: 

• Introduce main elements and concerns and identify the pathology.
   
• Use the associated questions above to guide your paper and explain the pathology in the development of a plan of care.
   
• Explain the role patient-care technologies (i.e., point of care testing, computer provider order entry, bar-coding medication administration, EMR/EHR) in caring for the individual(s). Be thorough!
   
• Apply critical thinking in analyzing and interpreting the data.
   
• Include evidence to support your analysis of the case.
   
• Write clearly and concisely, following standard rules of grammar.
  Guidelines for Submission: Your paper must be submitted as at least a 2-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least two peer-reviewed sources cited in APA format.
   

YOU MUST USE THE CASE STUDY GUIDELINE AND RUBRIC IN ANSWERING THE CASE STUDY QUESTIONS ABOVE.

 Please answer these questions, I need  precise and complete answers:

Nurses have a responsibility to perform discharge teaching each day. Are you performing it to the best of your ability? Please read the attached article and discuss the following points:

1. What are some barriers to discharge teaching? 

2. Explain how you could incorporate AskMe3 when teaching patient with a new diagnosis of a chronic disorder?

3. How could nurses be influential in prevention of hospital readmission?

Discharge Teaching.pdf

Among the Resources in this module is the Rutherford (2008) article Standardized Nursing Language: What Does It Mean for Nursing Practice? In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system.

During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1). 

How would you respond to a comment such as this one?

To Prepare:

· Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) Standardized Nursing Language: What Does It Mean for Nursing Practice?

· Reflect on the role of a nurse leader as a knowledge worker.

· Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

In a 2- to 3-page paper, address the following:

· Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.

· Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.

· Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Library. 

Assignment 1: Applying Current Literature to Clinical Practice

Literature in psychotherapy differs from other areas of clinical practice. Generally, there are no clinical trials in psychotherapy because it is often neither appropriate nor ethical to have controls in psychotherapy research. This sometimes makes it more difficult to translate research findings into practice. In your role, however, you must be able to synthesize current literature and apply it to your own clients. For this Assignment, you begin practicing this skill by examining current literature on psychodynamic therapy and considering how it might translate into your own clinical practice.

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide.

· Select one of the psychodynamic therapy articles from the Learning Resources to evaluate for this Assignment. 

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

· Provide an overview of the article you selected.

o What population is under consideration?

o What was the specific intervention that was used? Is this a new intervention or one that was already used?

o What were the author’s claims?

· Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

· Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

Note: The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.