Study Document
… the taking of the vital signs of the patient which could in this case be inclusive of the patient’s breathing rate, heart rate, blood pressure, etc. Third, yet another key component of physical examination is auscultation. In this case, a physician makes use of a stethoscope to listen … in the lungs, etc. The last procedure in as far as physical examination is concerned is palpation. On this front, a physician applies pressure using his or her fingers with the intention of feeling certain regions of the body and nearby organs. As per the course module, … an organ and changes in its consistency, shape, and tenderness, and can help determine the presence of a foreign mass.”
2. Mr. Smith’s blood pressure was 160/100 mmHg. How does a medical provider take or measure blood pressure? What do the top (numerator) and bottom (denominator) numbers mean in the biological sense?……
References
American Heart Association (2020). Understanding Blood Pressure Readings. Retrieved from https://www.heart.org/en/health-topics/high-blood-pressure/understanding-blood-pressure-reading s
Davis, C.P. (2018). CT Scan vs. MRI Differences between Machines, Costs, Uses. Retrieved from https://www.medicinenet.com/ct_scan_vs_mri/article.htm
Palmer, A. (2005). A Simple Guide to Blood Pressure. Mason, OH: CSF Medical Communications.
Sawyers, T. (2019). CT Scan vs. MRI. Retrieved from https://www.healthline.com/health/ct-scan-vs-mri
Taylor, R. (2002). Family Medicine: Principles and Practice. New York, NY: Springer Science & Business Media.
Study Document
Diagnosis and Plan of Care
The patient’s blood pressure in this case (i.e. 148/92) could be described as elevated. Further, the patient’s blood sugar (at 154 mg/dl) is high. It has also been indicated that the patient in this particular case has a BMI of 37 … 42 inches. In basic terms, a person with a BMI of above 30 is considered obese. According to the National Heart, Lung, and blood Institute (2019), “the higher your BMI, the higher your risk for certain diseases such as heart disease, high blood pressure, type 2 diabetes.” Also, in as far as waist circumference is concerned, the patient’s waist size is 40 in this case. The National … Also, in as far as waist circumference is concerned, the patient’s waist size is 40 in this case. The National Heart, Lung, and blood Institute (2019) points out that men who have a waist size……
References
National Heart, Lung, and Blood Institute (2019). Assessing Your Weight and Health Risk. Retrieved from https://www.nhlbi.nih.gov/health/educational/lose_wt/risk.htm
National Institute of Diabetes and Digestive and Kidney Diseases (2017). Type 2 Diabetes. Retrieved from https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/type-2-diabetes
Nordstrom, A., Hadrevi, J., Olsson, T., Franks, P.W. & Nordstrom, P. (2016). Higher Prevalence of Type 2 Diabetes in Men Than in Women Is Associated With Differences in Visceral Fat Mass. The Journal of Clinical Endocrinology & Metabolism, 101(10), 3740-3746.
Schilling W.H. & Crook M.A. (2014). Cutaneous Stigmata Associated With Insulin Resistance and Increased Cardiovascular Risk. Int J Dermatol, 53, 1062-1069.
Study Document
...Blood pressure How Does the Use of In-home Monitoring for CHF Impact Re-hospitalization Rates?
Impact on In-home Monitoring for CHF on Re-hospitalization Rates
Congestive heart failure (CHF) is one of the major cardiovascular diseases with high global incidence and prevalence in the United States. While numerous advances in evidence-based medical therapy continues to occur, congestive heart failure remains a major problem as it results in significant burden of mortality, morbidity, and costs. The United States has a prevalence of 5.8 million individuals with the condition and more than 960,000 cases annually. It is estimated that approximately one million hospitalizations linked to congestive heart failure occur annually. Most of these hospitalizations arise from worsened congestion among already diagnosed patients. The United States spends approximately $32.7 billion on congestive heart failure annually. Martirosyan et al. (2017) states that readmission rates for this condition remain high as nearly 20% of patients are readmitted within 30……
References
Bashi, N., Karunanithi, M., Fatehi, F., Ding, H. & Walters, D. (2017, January). Remote Monitoring of Patients with Heart Failure: An Overview of Systematic Reviews. Journal of Medical Internet Research, 19(1). DOI: 10.2196/jmir.6571
Conn, N.J., Schwarz, K.Q. & Borkholder, D.A. (2019). In-Home Cardiovascular Monitoring System for Heart Failure: Comparative Study. Journal of Medical Internet Research, 7(1). DOI: 10.2196/12419
Gonzalo, A. (2019, August 22). Nola Pender: Health Promotion Model. Retrieved May 18, 2020, from https://nurseslabs.com/nola-pender-health-promotion-model/
Idris, S., Degheim, G., Ghalayini, W., Larsen, T.R., Nejad, D. & David, S. (2015). Home Telemedicine in Heart Failure: A Pilot Study of Integrated Telemonitoring and Virtual Provider Appointments. Reviews in Cardiovascular Medicine, 16(2), 156-162.
Khodaveisi, M., Omidi, A., Farokhi, S. & Soltanian, A.R. (2017, April). The Effect of Pender’s Health Promotion Model in Improving the Nutritional Behavior of Overweight and Obese Women. International Journal of Community-based Nursing and Midwifery, 5(2), 165-174.
Kohn, M. S., Haggard, J., Kreindler, J., Birkeland, K., Kedan, L., Zimmer, R., & Khandwalla, R. (2017). Implementation of a home monitoring system for heart failure patients: A feasibility study. JMIR Res Protoc, 6(3). DOI: 10.2196/resprot.5744
Martirosyan, M., Caliskan, K., Theuns, D., & Szili-Torok, T. (2017). Remote monitoring of heart failure: Benefits for therapeutic decision making. Expert Review of Cardiovascular Therapy, 15(7), 503-515. DOI: 10.1080/14779072.2017.1348229
Ong et al. (2016, March). Effectiveness of Remote Patient Monitoring After Discharge of Hospitalized Patients with Heart Failure. JAMA Internal Medicine, 176(3), 310-318.
Study Document
… questions linked to familial and personal history, and eating, salt consumption, and smoking habits will be gathered via a short interview. Height, weight, blood pressure, waist circumference, and hip circumference will be accordingly measured in case of control as well as case groups.
Kessler psychological distress scale (K10): ……
References
Cladellas, R., & Castelló, A. (2011). University Professors\\\\\\\\\\\\' Stress and Perceived State of Health in Relation to Teaching Schedules. Electronic Journal of Research in Educational Psychology, 9(23), 217–240.
Eatough, E., Way, J., & Chang, C. (2012). Understanding the link between psychosocial work stressors and work-related musculoskeletal complaints. Appl Egron, 43(3), 554-63. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/21944295
Fernandes, M., & Rocha, M. (2009). Impact of the psychosocial aspects of work on the quality of life of teachers. Brazilian Journal of Psychiatry, 31(1). Retrieved from http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462009000100005
Goetz, K., Berger, S., Gavartina, A., Zaroti, S., & Szecsenyi, J. (2015). How psychosocial factors affect wellbeing of practice assistants at work in general medical care? – a questionnaire survey. BMC Fam Pract, 16, 166. DOI: 10.1186/s12875-015-0366-y
Himmelfarb Health Sciences Library. (2019). Case-control study. Retrieved from https://himmelfarb.gwu.edu/tutorials/studydesign101/casecontrols.cfm
Jardim, J., & Pereira, A. (2016). Perceived impact of lifelong training in teachers. Interacções, 31(42), 22–31.
Karasek, R., Baker, D., Marxer, F., Ahlbom, A., & Theorell, T. (1981). Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. Am J Public Health, 71(7), 694-705.
Kessler, R. C., Andrews, G., Colpe, L. J., Hiripi, E., Mroczek, D. K., Normand, S. L. T., … Zaslavsky, A. M. (2002). Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychological Medicine, 32(6), 959–976. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12214795
Study Document
… clinically significant by the nurse?
Relevant VS data: T: 96.2 F/35.7 C (oral), BP: 86/44 MAP: 58
Clinical significance: Low body temperature and blood pressure are indicators of hypothermia and hypotension, which are vital signs of anorexia nervosa.
What physical assessment data is relevant and must be recognized … since the interval between the R waves is regular.
Clinical significance: Identification of any abnormal components on the EKG.
LAB RESULTS
1. Complete blood Count (CBC)
What lab results are relevant and must be recognized as clinically significant by the nurse?
Relevant lab(s): Hgb (12–16 g/dL).
Clinical … Plan of Care with a PRIORITY Lab
Lab: Potassium Value:1.9
Normal Value: Critical Value: 3.7
Clinical significance: Low level of potassium in the blood could indicate hypokalemia.
Nursing assessments/interventions required: Management of vomiting tendencies, which causes loss of potassium.
Lab: Magnesium Value:1.2
Normal Value: Critical Value: 1.7
… vomiting tendencies, which causes……
Study Document
...Blood pressure How to Rid Oneself of Diabetes through Healthy Dieting
Concrete Experience
I started my health and nutrition program study after I began reading more health literature. I had seen my father’s health erode as a result of poor dieting and lack of exercise. He suffers from diabetes and is convinced it is not related to his lack of dieting or exercise, but the literature I had read convinced me otherwise. Davis (2008) showed that natives in the Marshall Islands developed diabetes when they moved away from their natural, organic diets and began consuming pre-packaged, fast foods. He initiated a program that returned them to a lifestyle of living off the land and sea, which gave them exercise and a healthy, organic diet. Their diabetes disappeared (Davis, 2008). Bray, Nielsen and Popkin (2004) and Malik et al. (2010) also have shown a link between consumption of high-fructose corn syrup, soda pop……
References
Bray, G. A., Nielsen, S. J., & Popkin, B. M. (2004). Consumption of high-fructose corn syrup in beverages may play a role in the epidemic of obesity. The American Journal of Clinical Nutrition, 79(4), 537-543.
Davis, B. (2008). Defeating Diabetes: Lessons from the Marshall Islands. Today’s Dietitian, 10(8), 24.
Heart. (2020). Cholesterol. Retrieved from https://www.heart.org/en/health-topics/cholesterol/hdl-good-ldl-bad-cholesterol-and-triglyceride s
Heart Monounsaturated Fat. (2020). Retrieved from https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/fats/monounsaturated-fat s
Malik, V. S., Popkin, B. M., Bray, G. A., Després, J. P., Willett, W. C., & Hu, F. B. (2010). Sugar sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes Care, https://doi.org/10.2337/dc10-1079
Study Document
… or the overall public. “Be that as it may, in the case of bringing down serum uric Acid (SUA) may lower pulse or blood pressure is an unanswered inquiry.” (Hussar, 2010, p.70). High serum urate focus is a settled causative factor for the improvement of gouty joint inflammation. … urate as a contributing component for the improvement or compounding of vascular, heart, and renal illness. The relationship between serum urate levels and blood pressure (BP) has been depicted for a long time. Proof from creature studies gives solid help to this affiliation. The commitment of serum urate … which typically makes the little vessels of the heart widen, is infused into one of the coronary supply routes and the measure of blood is estimated. Next, the medication acetylcholine, which regularly causes enlargement in the huge corridors, is infused and the measure of blood is again estimated. On the off……
Study Document
… the mother and her fetus. A pregnancy turns to a high-risk if the mother is suffering from existing health conditions, for example, high blood pressure, being HIV-positive, or diabetes. Other factors that promote high-risk pregnancy include obesity and overweight, early or old maternal age, and multiple births (Lowery, … performed remotely through the use of real-time teleultrasound and video technology. Fetal echocardiogram test is common during the second trimester and it shows blood flow, heart rhythm, and structure. The details of the fetal echocardiogram will be available on the app for all the health professionals to ……
References
American College of Obstetricians and Gynecologists. (2015). ACOG Practice Bulletin No. 156: Obesity in pregnancy. Obstetrics and Gynecology, 126(6), e112–126.
Gallardo, A. & Martin, N. (2017, Sept. 5). Another Thing Disappearing From Rural America: Maternal Care. ProPublica. Retrieved from https://www.propublica.org/article/another-thing-disappearing-from-rural-america-maternal-care
Healy, J. (2018, July 17). It’s 4 A.M. The Baby’s Coming. But the Hospital Is 100 Miles Away. The New York Times. Retrieved from https://www.nytimes.com/2018/07/17/us/hospital-closing-missouri-pregnant.html
Hung, P., Henning-Smith, C. E., Casey, M. M., & Kozhimannil, K. B. (2017). Access to obstetric services in rural counties still declining, with 9 percent losing services, 2004–14. Health Affairs, 36(9), 1663-1671.
Lowery, C. (2018). “Chapter 6: High-Risk Obstetrics and Telehealth,” in Rheuban, K.S. & Krupinski, E.A., Understanding Telehealth. McGraw-Hill Education.
National Institutes of Health, (2017). What is a high-risk pregnancy? Retrieved from https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/high-risk
Study Document
… drinker's liver arrives at its saturation point, when it is unable to filter alcohol any longer. The permeation of acetaldehyde into the drinker's blood may lead to grave health issues. According to Elmhurst University, when the human body is unable to safely metabolize alcohol any longer, it ……
Bibliography
Foundation for a Drug-Free World. (2019). What is alcohol? Retrieved from https://www.drugfreeworld.org/drugfacts/alcohol.html
Healthline Media. (2019). The effects of alcohol on your body. Retrieved from https://www.healthline.com/health/alcohol/effects-on-body#1
Rehabs. (2019). Dangers of alcohol in men, women and teenagers. Retrieved from https://luxury.rehabs.com/alcohol-addiction/alcohol/
Study Document
...Blood pressure Positive and Negative Effects of Caffeine on Athletic Performance
Introduction
Caffeine is an alkaloid as well as a natural intoxicant that is prevalent in coffee, tea, as well as cacao. In the contemporary setting, caffeine is the most extensively consumed psychoactive drug across the globe, enabling an individual to continue being attentive and precluding the onset of fatigue. In recent times, caffeine has become the prevalent supplement for numerous athletes. As a result of its positive impacts on exercise performance, a number of athletic organizations such as the National Collegiate Athletic Association have even began to proscribe caffeine in high doses. According to Mishra (2018), the United States Olympic Committee has reported that there are numerous positive impacts of caffeine use for athletes. These comprise of increased endurance during workout performance, team sports, as well as for short duration sports. In contrast, there are parties that believe caffeine has a……
References
Anthony, G. (2019). Positive and negative effects of caffeine on athletes. Align Thoughts. Retrieved from: https://www.alignthoughts.com/positive-and-negative-effects-of-caffeine-on-athletes/
Dunford, M., & Doyle, J. A. (2011). Nutrition for sport and exercise. Cengage Learning.
Evolution Nutrition. (2015). How Caffeine Affects Athletic Performance. Retrieved from: https://www.acefitness.org/education-and-resources/professional/expert-articles/5407/how-caffeine-affects-athletic-performance/
Jenkinson, D. M., & Harbert, A. J. (2008). Supplements and sports. American family physician, 78(9), 1039-1046.
Letter, W. (1995). The New Wellness Encyclopedia. University of California at Berkeley.
Mattioli, A. V., Sisca, G., & Farinetti, A. (2019). Potential negative effects of caffeine in athletes. Progress in Nutrition, 21(1), 241-242.
McDaniel, L. W., McIntire, K., Streitz, C., Jackson, A., & Gaudet, L. (2010). The effects of caffeine on athletic performance. College Teaching Methods & Styles Journal (CTMS), 6(1), 33-38.
Mishra, D. (2018). Caffeine For Athletic Performance: Good Or Avoid? Sideline Sports. Retrieved from: https://www.sidelinesportsdoc.com/caffeine-for-athletic-performance-good-or-avoid/
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