{"id":125972,"date":"2022-07-17T00:00:00","date_gmt":"2022-07-17T00:00:00","guid":{"rendered":"https:\/\/nursingstudybay.com\/2022\/07\/17\/a-64-year-old-woman-presents-to-the-primary-care-office-with-shortness-of-breath\/"},"modified":"2022-07-17T00:00:00","modified_gmt":"2022-07-17T00:00:00","slug":"a-64-year-old-woman-presents-to-the-primary-care-office-with-shortness-of-breath","status":"publish","type":"post","link":"https:\/\/www.studyproessays.com\/help\/a-64-year-old-woman-presents-to-the-primary-care-office-with-shortness-of-breath\/","title":{"rendered":"A 64-year-old woman presents to the primary care office with shortness of breath"},"content":{"rendered":"<p>TOPIC:<br \/>\nequirements:<br \/>\nA 64-year-old woman presents to the primary care office with shortness of breath, leg swelling, and fatigue. She has a history of type 2 diabetes and hypertension. She reports that recently she had been able to go for daily walks with her friends, but in the past month, the walks have become more difficult due to shortness of breath and fatigue. She also sometimes awakens in the middle of the night due to shortness of breath and has to prop herself up on three pillows. On physical examination, she is tachycardic (110 beats per minute) and has a blood pressure of 106\/74 mm Hg. Fine crackles are noted on inspiration in bilateral bases. The cardiac exam reveals the presence of a third and fourth heart sound and jugular venous distension. 2+ pitting edema is noted in the knees bilaterally. An ECG shows sinus rhythm at 110 bpm with Q waves in the anterior leads. An echocardiogram shows decreased wall motion of the anterior wall of the heart and an estimated ejection fraction of 25%. She is diagnosed with systolic heart failure, secondary to a silent MI.<br \/>\n1.\tDiscuss the pathophysiological mechanisms that can lead to heart failure.<br \/>\n2.\tDifferentiate between systolic and diastolic heart dysfunction<br \/>\n3.\tDiscuss the causes of the patient\u2019s shortness of breath, awakening in the middle of the night and the need to prop herself up on three pillows. Include pathophysiological mechanisms that causes each of these signs and symptoms.<br \/>\n4.\tInclude two points of patient teaching for this patient from a nursing perspective (nurse patient education)<br \/>\n.<br \/>\n5.\tStudents must post a minimum of three times in each graded discussion (see participation guidelines below).<\/p>\n<p>DISCUSSION CONTENT<br \/>\nCategory \tPoints \t% \tDescription<br \/>\nApplication of Course Knowledge \t30 \t30% \t1.\tPosts make direct reference to concepts discussed in the lesson or drawn from relevant, evidence based outside sources, AND<br \/>\n2.\tPosts are on topic (sample nursing essay examples by the best nursing assignment writing service) and answer all presented questions which demonstrates a solid understanding of the topic (sample nursing essay examples by the best nursing assignment writing service).<br \/>\n3.\tApplies concepts to personal experience in the professional setting and or relevant application to real life, AND<br \/>\n4.\tDecisions are well supported with evidence-based arguments that are in-line with the scenario; AND<br \/>\n5.\tProper rationale and reasoning skills are demonstrated; AND<br \/>\n6.\tInformation is taken from source(s) with appropriate interpretation\/Assessment to develop a comprehensive analysis or synthesis of the topic (sample nursing essay examples by the best nursing assignment writing service)<br \/>\nSupport From Evidence Based Practice \t30 \t30%<br \/>\n1.\tDiscussion post is supported with appropriate, scholarly sources; AND<br \/>\n2.\tSources are published within the last 5 years (unless it is the most current clinical practice guideline (CPG); AND<br \/>\n3.\tReference list is provided and in-text citations match; AND<br \/>\n4.\tProvides relevant evidence of scholarly inquiry clearly stating how the evidence informed or changed professional or academic decisions<\/p>\n","protected":false},"excerpt":{"rendered":"<p>TOPIC: equirements: A 64-year-old woman presents to the primary care office with shortness of breath, leg swelling, and fatigue. She has a history of type\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10099,10681,7636,615,10892,10680,10891],"tags":[10553,10616,10254,10896,10897,10247,10295,10898,10893,10894,10895,10899,10551],"class_list":["post-125972","post","type-post","status-publish","format-standard","hentry","category-buy-essay","category-cheap-dissertation-help-online","category-cheap-essay-writer-usa","category-homework-help-writing-service-usa","category-page-paper","category-university-dissertation-writing-service","category-write-my-assignment-ireland","tag-1-assignment-help-online-service-for-students-in-the-usa","tag-australian-best-tutors","tag-can-someone-write-my-assignment-for-me","tag-case-study-in-nursing-writing-a-nursing-case-study-essay","tag-free-nursing-case-studies","tag-help-me-write-my-dissertation","tag-homework-for-you","tag-nursing-case-study-assignment-examples","tag-nursing-case-study-examples","tag-nursing-case-study-presentation-example","tag-nursing-case-study-questions-and-answers","tag-student-nurse-case-study-assignments","tag-write-my-assignment-help-for-college-students"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/125972","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/comments?post=125972"}],"version-history":[{"count":0,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/posts\/125972\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/media?parent=125972"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/categories?post=125972"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/help\/wp-json\/wp\/v2\/tags?post=125972"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}