Cardiac Rehabilitation Programme for Coronary Heart Disease Patients: An Integrative Literature Review

Pathophysiology and Nursing Management
Please use Text books, Library, and Course Material as resources

Text book is at: https://evolve.elsevier.com/Click on this in the middle of the page :
Go to Pageburst on VitalSource library

Textbook

Pathophysiology
• Review fundamental concepts from chapters 13, 15 and 17.
• Read chapters 9, 14, and 18.

Library Access
http://library.gcu.edu/
Course Materials

Lecture notes are provided at the end of this document.

Electronic Resource
1. Anemia
Read “Anemia,” from the MedlinePlus website. Specifically, read about the diagnosis, symptoms, and treatment plans for anemia, anemia B12 deficiency, anemia of chronic disease, and sickle cell anemia.https://www.nlm.nih.gov/medlineplus/anemia.html
2. Congestive Heart Failure

Read “Congestive Heart Failure,” from the American Heart Association website.https://www.heart.org/HEARTORG/Conditions/CongenitalHeartDefects/TheImpactofCongenitalHeartDefects/Congestive-Heart-Failure_UCM_307111_Article.jsp

e-Library Resource

1.Cardiac Rehabilitation Programme for Coronary Heart Disease Patients: An Integrative Literature Review

Read “Cardiac Rehabilitation Programme for Coronary Heart Disease Patients: An Integrative Literature Review,” by Eshah and Bond, from the International Journal of Nursing Practice (2009).https://library.gcu.edu:2048/login?url=https://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=true&db=ccm&AN=2010314684&site=ehost-live&scope=site

2. Emerging Concepts in Cardiovascular Disease Risk Assessment: Where Do Women Fit In?
Read “Emerging Concepts in Cardiovascular Disease Risk Assessment: Where Do Women Fit In?,” by Gleeson and Crabbe, from the Journal of the American Academy of Nurse Practitioners (2009).https://library.gcu.edu:2048/login?url=https://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=true&db=ccm&AN=2010400269&site=ehost-live&scope=site

3. Health Promotion/Risk Reduction and Disease Prevention in Women’s Health
Read “Health Promotion/Risk Reduction and Disease Prevention in Women’s Health,” by Berg and Pace, from the Journal of the American Academy of Nurse Practitioners (2010).https://library.gcu.edu:2048/login?url=https://search.ebscohost.com.library.gcu.edu:2048/login.aspx?direct=true&db=ccm&AN=2010551678&site=ehost-live&scope=site
Case study 1
Due Date: Sep 13, 2015 23:59:59 Max Points: 50
Details:
In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.
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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.NRS410V.R.CaseStudy1_Student_02-11-13.docx
Case Study 1
Case Study 1
Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.

Question
Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.
Case Study 2
Due Date: Sep 13, 2015 23:59:59 Max Points: 50
Details:
In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.
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 grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin.
NRS410V.R.CaseStudy2_Student_02-11-13.docx

Case Study 2

Case Study 2
Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

Question
Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:
• Describe your approach to care.
• Recommend a treatment plan.
• Describe a method for providing both the patient and family with education and explain your rationale.
• Provide a teaching plan (avoid using terminology that the patient and family may not understand).


 

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