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5 pages/β‰ˆ1375 words
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APA
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Health, Medicine, Nursing
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Essay
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English (U.S.)
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Topic:

Mrs. J.’s Health Promotion and Restoration Teaching Plan

Essay Instructions:

Assessment Description
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is "running away."
4. Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.'s situation. Include the following:
1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients' transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.'s current and long-term tobacco use, discuss what options for smoking cessation should be offered.
You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
NOTE: Please take your time to read the instructions/requirement very well before you start the work. Answer to all requirements. APA 7th edition style. This is a pathophysiology course. Good sources within 5 years and citations. NO plagiarism, please. I WANT THE SELECTED WRITER TO WRITE THIS PAPER. IF HE/SHE IS NOT AVAILABLE, PLEASE LET ME KNOW. THANKS

Essay Sample Content Preview:
Mrs. J.’s Health Promotion and Restoration Teaching Plan
Patients with long-term health conditions and multiple medications require holistic care and close monitoring to avert the likelihood of worsening their conditions. As a result, RN-BSN-prepared nurses are adequately trained to implement the appropriate care for these patients in hospital settings. Thus, this paper explores Mrs. J’s clinical manifestation and assesses the appropriateness of the diverse nursing interventions for managing her condition to improve her health outcomes. Mrs. J’s Clinical Manifestations
Mrs. J. presents diverse signs and symptoms that illustrate her comorbid and worsening status. For instance, evidence of her assessment reveals that she has been grappling with shortness of breath and apnea, considering that she requires approximately 2 liters of oxygen. Her case also indicates that the patient has flu-like presentations, including a productive cough, fever, malaise, and nausea. These clinical manifestations illustrate the worsening of her COPD condition due to continued exposure to cigarette smoke. Other symptoms include the general weaknesses that render her incapable of accomplishing her activities of daily living (ADLs). The presence of anxiousness and denial of pain also highlights other signs of her condition. The patient also has palpitations, as represented by the subjective data that she felt her heart was running away during admission. Other critical symptoms include increased heart rhythm, a ventricular rate of 132, frothy and blood-tinged sputum, and reduced lower lobe breath sounds. Stolz et al.’s (2018) highlight these symptoms as common ones in the medical history of a COPD patient. These clinical manifestations illustrate the severe nature of Mrs. J’s health condition during her admission. Nursing Interventions and their Appropriateness
Upon admission, the nurses administered several drugs to the patient to stabilize her and improve her quality of life by alleviating the diverse clinical presentations. These interventions were appropriate because they sought to induce immediate relief of her discomfort and restore her to desirable health status. For instance, since the patient suffered from breathlessness, as demonstrated by her indication that she could not receive enough air, administering inhaled short-acting bronchodilator (ProAir HFA) emerges as the best approach for managing this symptom (Stolz et al., 2018). Inhaled corticosteroid (Flovent HFA) was also appropriate because it serves a similar purpose. Stolz et al. (2018) consider these two bronchodilator drugs as the standard mechanism for managing obstructed airflow in patients. The authors indicate that they induce a direct relaxation effect on smooth muscle cells of the bronchioles, diminishing hyperinflation and improving airflow. Thus, the inhalation intervention is appropriate and preferable due to its immediate results. The nurses’ oxygen delivery at 2 L/ NC was also appropriate because it agrees with recommendations for supplemental oxygen therapy through a facemask or a nasal cannula. According to Raj et al. (2020), patients presenting with Sp02 of less than 90% require this intervention immediately to prevent respiratory distre...
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