Week 2 Case Study: Heart

Required Resources

Read/review the following resources for this activity:

• Textbook
• Weekly Concepts
• Minimum of 1 scholarly source

Scenario/Summary

Janet was the tallest person in her family. Her brother used to joke with her and tell her she could play Abraham Lincoln in any play because she was tall and lanky just like good old Abe.

Janet was the star center on her high school basketball team. She had always been tall with big hands and long fingers, perfect for snagging the ball on rebounds. Recently, Janet had begun wearing contact lenses because she was having trouble seeing the hoop clearly. The optometrist had diagnosed her with nearsightedness, something that her parents also experienced.

Recently, while practicing basketball with her high school team, Janet experienced some pain in her chest. She mentioned this to her coach, but since it was the beginning of the season and they had recently started practicing, the coach assumed that she had pulled or overworked a muscle. The coach suggested that she take some Tylenol and apply ice to her chest to relieve the pain.

Five minutes in to their first game of the season, Janet experienced dizziness and motioned for the coach to take her out. As she walked to the bench, she lost consciousness and passed out. The referees couldn’t feel a pulse and started CPR while waiting for the paramedics and ambulance to arrive.

When Janet came to, she was in a hospital bed in CCU of the local hospital. The doctors advised her that she likely had a disease called Marfan’s syndrome. As a result of that disease she had experienced cardiac arrest and that she had a mitral valve prolapse.

Deliverables

Answer the following questions and save your responses in a Microsoft Word document. Provide a scholarly resource to support your answers.

1. What are the four valves found in the heart and where are they located? Give all names for each valve.
2. What is a mitral valve prolapse and what causes this in Marfan’s syndrome specifically?
3. What happens to blood flow (specifically) with a mitral valve prolapse (where would the blood back up to and why)?
4. If a person were to have a prolapse of the tricuspid valve, what specifically would happen to the flow of blood in that case?
5. Do you think Janet will ever play basketball again? Why or why not?

Submit your case study document to Turnitin. For more information on Turnitin view the following link: https://chamberlain.instructure.com/courses/23/pages/turnitin

Required Software

Microsoft Office: Word

Grading

This activity will be graded based on the Case Study grading rubric. You can view the rubric below.

Course Outcomes (CO): 2

Due Date: By 11:59 p.m. MT on Sunday of Week 2

 Assignment: Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page not including the title and reference page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

1. Summary of teaching plan
2. Epidemiological rationale for topic
3. Evaluation of teaching experience
4. Community response to teaching
5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Case Study: Frameworks for Nursing Research

A group of nurses working in a hospital observed that some patients with chronic renal insufficiency were less cooperative due to being anxious and unable to think clearly. They also noted that these patients were less likely to ambulate and actively participate in their care, unless there was a family member present. Through reviewing the literature, the nurses identified a lack of knowledge about the effects of renal insufficiency on ambulation. The nurses collaborated with an educator with a doctoral degree and developed a proposal for a descriptive, longitudinal study of ambulation and family presence of patients with chronic insufficiency. The framework of the study was synthesized from physiological principles and a theory of family presence and presented as a model.

The study was designed to answer the following questions:

a. How do renal insufficiency, ambulation, and family presence change over the course of hospitalization?

· b. What are the relationships among renal insufficiency, ambulation, and family presence?

Question 1

In your own words, describe the physiological theory that supports the relationship between renal insufficiency and ambulation.

Question 2

The second research question elicits information about relationships, what type of statistical analysis will be done if the data meets the assumptions for a parametric test?

PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). AT LEAST 5 REFERENCES, NO MORE THAN 5 YEARS (WITHIN 5YRS, OR LESS THAN 5YRS)

3).  PLEASE SEE THE ATTACHMENT FOR RUBRIC DETAILS.

4). Please review and follow the grading rubric details, and include each component in the assignment as required. Also, follow the APA 7 writing rules and style/Format, Title page, Introduction, Purpose statement, Literature Review, Conclusion, References. 

Thank you very much.   

ASSIGNMENT:

When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.

 For this Assignment, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight. 

To Prepare

• Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.

• Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?

• Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.

• If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be relevant to the child in the health example.
  • Based on the risks you identified, consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
  • Consider how you could encourage parents or caregivers to be proactive toward the child’s health.

The Assignment:

Assignment (3–4 pages, not including title and reference pages):

Assignment Option 2: Child Health Case:

#2 Child Health Case:

Severely underweight 12-year-old Hispanic girl with underweight parents who has been bullied in school just recently

Include the following:

• An explanation of the health issues and risks that are relevant to the child you were assigned.
• Describe additional information you would need in order to further assess his or her weight-related health.
• Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.
• Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.
• Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.