Theory of Transpersonal Caring Plan of Care Learning Team B NUR/513 December 12‚ 2011 Theory of Transpersonal Caring Plan of Care Analysis Current Influences of Research Utilization in Practice According to Squires‚ Estabrooks‚ Gustavsson‚ & Wallin (2011)‚ research utilization is the use of any kind of research in any way. Concern has been expressed as to whether nursing practice is guided on the basis of scientific evidence or research. Research is available‚ but is it used to its
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had complete memory of events prior to the syncope‚ and presented with no chest pain‚ nausea‚ palpitations‚ nor sweating pre and post syncope. The only precipitating factor was excessive cough‚ which had onset 5 weeks ago. Mr. KH has significant cardiac history of 2 Percutaneous Transluminal Coronary Angioplasty in 1991 and 1994‚ and had suffered Myocardial Infarction in 1999‚ after which a stent was placed. The review of systems did not reveal any neurological abnormalities and history of epilepsy
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Case Study #5 Heart & Neck Vessels‚ Lungs & Thorax Mrs. Lee‚ 80 year old Asian American female Admitted to the medical-surgical unit with a chief complaint of “breathing problems”. She speaks broken English & requests that her daughter be allowed to stay with her. She is on nasal cannula oxygen & sitting up in bed. At this time‚ she seems slightly short of breath‚ but is not in acute distress. You note that she is pale & has a petite frame. Her ankles are swollen. Her daughter tells you
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and the compromise of oxygen delivery to tissues‚ leads to further injury to other organ systems. Therapy for acute lung injury is aimed at maintaining gas exchange and supporting oxygen delivery. Fluid therapy should be titrated to maintain a cardiac output that is sufficient to ensure oxygen delivery while preventing fluid overload which can exacerbate the pulmonary edema. Renal dysfunction The primary mechanism leading to the development of ARF appears to be acute tubular necrosis.This may
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there is an increase in venous return. This increased volume of blood has the effect of stretching the cardiac muscle to a greater degree than normal. This stretching has the effect of making the heart contract much more forcibly and thereby pumping out more blood during each contraction‚ so stroke volume is increased during exercise. This effect is known as starling’s law. The average cardiac output is around 5 litres per minute. When this blood is circulated around the body‚ some organs receive more
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better understand aspect of providing holistic nursing care one must have an in-depth understanding of primary body systems and their pathology. This paper will educate the prudent nurses who read it with detailed information about the specific cardiac pathology of atrial fibrillation. Written with a basic understanding of human heart function/structure as a prerequisite‚ this paper will first discuss key terms one must be familiar with before providing researched information explaining the pathophysiology
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patient with a history of cardiac disease at the greatest risk of developing severe cardiac problems? Decrease heart rate Decreased cardiac output Increased plasma volume Increased blood pressure The priority nursing diagnosis for the patient with cardiomyopathy is: Anxiety related to risk of declining health status. Ineffective individual coping related to fear of debilitating illness Fluid volume excess related to altered compensatory mechanisms. Decreased cardiac output related to reduced myocardial
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surgery for a repair of a small bowel perforation. Four days after Mrs. Hayes’s bowel surgery‚ she developed a gastrointestinal fistula. She was again taken to surgery for repair of the fistula. Post-operatively her blood pressure decreased to 80/52 mm Hg and her urine output was 20 mL/hr‚ requiring significant invasive monitoring. Mrs.
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integumentary system‚ to the unseen changes in respiratory system. Age-related changes in the cardiovascular system have affected Mr. Calderone. These age-related changes predisposition an older person to the development of dysrhythmias and other cardiac problems (Upchurch‚ Henry‚ Pine‚ and Rickles‚ 2014‚ pp. 342). Many cardiovascular problems are caused by increased arteriosclerosis (Upchurch‚ 2014‚ pp. 342). Some of these problems include peripheral vascular disease‚ edema‚ and coronary artery
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Introduction: This case study discusses the management of a 68 year old male who presented with chest palpitations secondary to rapid atrial fibrillation. Atrial fibrillation is a common cardiac arrhythmia with serious complications if not treated correctly. This essay will discuss the initial clinical presentation of the patient and examine the management and outcome of the interventions applied. The significance of atrial fibrillation including its pathophysiology and aetiology will also be discussed
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