A 50yo African American woman presents to clinic feeling tired for the last 3 months.  She also has trouble breathing when walking 2-3 blocks.  She sleeps on 2 pillows at night to help with her breathing.  PMH:  HTN, arthritis.  Physical exam: edema present in both feet.  Medications:  HCTZ 12.5mg daily, verapamil SA 120 mg daily, ibuprofen 200 mg BID for arthritis in knee.  Vitals:  height 5’2″, 63kg, BP 134/84, HR 78, EF 30% per echocardiogram.  Her labs are normal including a creatinine of 1.1.  She denies chest pain or palpitations.  Her EKG reveals normal sinus rhythm with no evidence of ischemia or recent acute coronary syndrome.

1. How would you classify her heart failure?
2. What changes (modifications, additions, deletions) to her medications do you recommend that will:
   • Improve her symptoms?
   • Impact long term outcomes?
3. What monitoring parameters do you recommend?
4. What non-pharmacologic recommendations do you have?

Post your initial response by Wednesday at midnight. Respond to one student by Sunday at midnight. Both responses should be a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of 2 references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section.

Assignment Content

1. Refer to the BSHA Program and Certificate Options resource in this week’s learning activities to help you with this assignment. If you have little or no previous health care experience, complete Option 1 below. If you have currently work in the health care field or have previous health care experience, complete Option 2.

   Select and complete Option 1 or Option 2 below.

   Option 1: Email to Friend
   Imagine you received this email from one of your friends:
   Hey, I know you’re in a health administration program at University of Phoenix. I was thinking about enrolling in it too, but I’m still unsure if it’s the right fit for me. Can you tell me what you think of the program and how you think it will help your career?

   Write a 350- to 700-word response to your friend in which you do the following:

   • Describe the purpose of the Bachelor of Science in Health Administration (BSHA) program.
   • Describe how you believe this program will help you achieve your goals.
   • Option 2: Personal Reflection
     Write a 350- to 700-word personal reflection in which you do the following:
   • Describe the purpose of the Bachelor of Science in Health Administration (BSHA) program.
   • Describe how you believe this program will help you achieve your goals.
   • Describe how your past or current health care experience helps you get the most out of the Bachelor of Science in Health Administration (BSHA) program.
   • Submit your assignment as a Microsoft Word® document.

     Note: The assignment rubric will only evaluate the shared (common) elements of Options 1 and 2.

 

This week, you will write your evidence-based change project status report, which gives you an opportunity to share your progress. The report should provide evidence of your critical thinking and ability to apply research and project management principles in the clinical setting.


The requirements of this assignment include:

1. Identify obstacles and steps taken to manage and stabilize successful implementation of your change project thus far.
2. Discuss the project implementation to date, the resources used, and continued support needed.
3. Identify expected project outcomes and any timeline adjustments needed.
4. Discuss a summary of the project, the main points, and the findings, the significance of the project to the nursing profession, and any recommendations for future research.

You will submit a written paper using the format of the APA (6th ed.), including cover page, proper headings and references. The report should be at least 4 pages in length, not including the cover page and references.

RUBRIC

 Identifies obstacles and steps taken to manage and stabilize successful implementation of the change project thus far. Identifies what has been implemented to date, lists resources, and identifies expected project outcomes. Provides a summary of project including main points and findings.

 

1. In Spirituality in Nursing, by Dr. O’Brien, read chapters 7 and 8, pages 127 – 178.  These two chapters are entitled: “Spiritual Needs of the Patient with an Acute Illness” &  “Spiritual Needs of the Chronically Ill Person.”

2. Watch the videos in Video Portlet #1 on the importance and power of prayer.

3. In Guide to Culturally Competent Health Care, by Dr. Purnell, read about the spiritual and cultural characteristics of “People of Arab Heritage,” pages 61 – 76, 2nd edition OR pages 101 – 117, 3rd edition.

4. In  Guide to Culturally Competent Health Care, by Dr. Purnell, read about the spiritual and cultural characteristics of “People of Chinese Heritage” pages 88 – 101, 2nd edition OR pages 118 – 132, 3rd edition.

5. Watch the videos in Video Portlet #2 on people with an Arab and Chinese heritage.

6. In Guide to Culturally Competent Health Care, by Dr. Purnell, read about the spiritual and cultural characteristics of “People of Cuban Heritage,” pages 102 – 116, 2nd edition OR pages 133 – 147, 3rd edition.

7. In Guide to Culturally Competent Health Care, by Dr. Purnell read about the spiritual and cultural characteristics of “People of Filipino Heritage” pages 128 – 142, 2nd edition OR pages 159 – 174, 3rd edition.

8. Watch the videos in Video Portlet #3 on people with a Cuban and Filipino Heritage.

9. In Guide to Culturally Competent Health Care, by Dr. Purnell read about the spiritual and cultural characteristics of “People of Haitian Heritage” pages 169 – 185, 2nd edition OR pages 200 – 218, 3rd edition.

10. Watch the video in Video Portlet #4 on people with a Haitian Heritage.
 

 

While you must form your answers to the questions below from our assigned reading material,  it is INSUFFICIENT merely to quote from the text or video.  You must answer the questions in your own words — with supporting phrases from the assigned readings and videos.  Supporting phrases from the assigned reading must be put in quotation marks, with proper notation for the page number of the text on which they are found.  Failure to do this will result in a loss of points.

Thank you!

Question 1:  Regarding our Unit 3 assigned reading, chapter 7 of Spirituality in Nursing:

Name and discuss at least 2 key points that you found to be especially helpful in thinking about the spiritual needs of patients with an acute illness? Do you have any specific examples or questions regarding how what you have learned might be helpful to you, as you think about working with patients who have an acute illness?

Question 2:  Regarding our Unit 3 assigned reading, chapter 8 of Spirituality in Nursing:

Name and discuss at least 2 key points that you found to be especially helpful in thinking about the spiritual needs of patients with an chronic illness? Do you have any specific examples or questions regarding how what you have learned might be helpful to you, as you think about working with patients who have a chronic illness?

Question 3:The Importance and Power of Prayer

After viewing the you tube videos on prayer, name and discuss something you learned from each video, which may help you in understanding your work with patients and their spiritual need for prayer.   Were you left with any questions after viewing these videos on prayer?

Question 4:  Regarding People with an Arab Heritage:

  From our assigned reading in Guide to Culturally Competent Health Care, about persons with an Arab Heritage, coupled with the accompanying video, what key points got raised for you? How might these apply to the healthcare setting? What questions are you left with?  Are there any insights about the spirituality of this group that you felt were missing from the text’s consideration and that you would like to add for our class learning and discussion?

Question 5: Regarding People with a Chinese Heritage:

  From our assigned reading in Guide to Culturally Competent Health Care, about persons with a Chinese Heritage, coupled with the accompanying video, what key points got raised for you? How might these apply to the healthcare setting? What questions are you left with? Are there any insights about the spirituality of this group that you felt were missing from the text’s consideration and that you would like to add for our class learning and discussion?

Question 6: Regarding People with a Cuban Heritage:

  From our assigned reading in Guide to Culturally Competent Health Care, about persons with a Cuban Heritage, coupled with the accompanying video, what insights did you gain that might be helpful to you in a healthcare setting? What questions are you left with?  Are there any insights about the spirituality of this group that you felt were missing from the text’s consideration and that you would like to add for our class learning and discussion?

Question 7: Regarding People with a Filipino Heritage:

  From our assigned reading in Guide to Culturally Competent Health Care, about persons with a Filipino Heritage, coupled with the accompanying video, what insights did you gain that might be helpful to you in a healthcare setting? What questions are you left with?  Are there any insights about the spirituality of this group that you felt were missing from the text’s consideration and that you would like to add for our class learning and discussion?

Question 8: Regarding People with a Haitian Heritage:

  From our assigned reading in Guide to Culturally Competent Health Care, about persons with a Haitian Heritage, coupled with the accompanying video, what key points got raised for you? How might these apply to the healthcare setting?  What questions are you left with? Are there any insights about the spirituality of this group that you felt were missing from the text’s consideration and that you would like to add for our class learning and discussion?

https://youtu.be/krzwmhDMvv8   Video 1: Is there real power in prayer?

https://youtu.be/wFIpi-2rd2Y  Video 2: More great spiritual insight from Fr. Spitzer!

https://youtu.be/3sABZy7OwRI  Video #1 Different perspectives within Islam

https://youtu.be/-gZY4i4Kg3s  Video #2: The Three ways present in Chinese spiritual heritage

https://youtu.be/o6_A9oN7QrI   Video #1 A Look inside the country and culture of Cuba

https://youtu.be/PfuKWDOCle0   Video #2 – A look at some Filipino cultural characteristics

https://youtu.be/cZ9iojDsxkM  Video #1 : Haitian Folk Culture