Discussion: Peripheral Vascular System Health Assessment
Walden University Discussion: Peripheral Vascular System Health Assessment-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University Discussion: Peripheral Vascular System Health Assessment assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for Discussion: Peripheral Vascular System Health Assessment
Whether one passes or fails an academic assignment such as the Walden University Discussion: Peripheral Vascular System Health Assessment depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for Discussion: Peripheral Vascular System Health Assessment
The introduction for the Walden University Discussion: Peripheral Vascular System Health Assessment is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
How to Write the Body for Discussion: Peripheral Vascular System Health Assessment
After the introduction, move into the main part of the Discussion: Peripheral Vascular System Health Assessment assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for Discussion: Peripheral Vascular System Health Assessment
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for Discussion: Peripheral Vascular System Health Assessment
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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SUBJECTIVE DATA:
Chief Complaint (CC): “Chest pain”
History of Present Illness (HPI): A 58-year-old Caucasian male, identified as P.D., visits the clinic with a primary concern of sporadic and intense chest pain. Within the last month, he reports three different occurrences of this symptomatology, each with a short episode. The patient later recognized that the discomfort he experienced might be due to heartburn. The patient assigns a score of 0 out of 10 to his current state of despair, with a possible maximum score of 5. The patient reports experiencing localized tightness and pain in the central chest region without any radiation to other body areas. The patient claims pain is relieved when immobile or at rest but worsens when they engage in physical activities like raking leaves or climbing stairs. Furthermore, he reported chest discomfort following episodes of overeating.
Location- the center of the chest.
Quality- uncomfortable and tense
Quantity or severity- 5/10 at worst.
Timing, including onset, duration, and frequency- three times every month, for a little period each time.
Setting in which it occurs- when undertaking yard upkeep at home.
Factors that have aggravated or relieved the symptom: Walking up the stairs aggravates his chest discomfort, which is alleviated when he sleeps.
Associated manifestations- Mild leg cramps as a result of moving
Medications: Lipitor once daily at a dosage of 20 milligrams; Lisinopril 20 mg once every day; 1200 mg of Omega-3 Fish Oil orally twice a day. Ibuprofen 200 mg, as needed, every four hours for the pain.
Allergies: He feels sick after taking codeine. Denies sensitivity to particular foods or environments.
Past Medical History (PMH):
- The patient has hyperlipidemia and stage II hypertension.
Past Surgical History (PSH):
- He underwent a colonoscopy at the age of 50.
Sexual/Reproductive History: He has engaged in only one instance of sexual activity during his 27-year marriage.
Personal/Social History: The patient is a licensed professional engineer. He has been married to his wife for 27 years. The patient is a mother with a 19-year-old daughter and a 26-year-old son. He asserts having a family doctor even though he had not had an appointment with them for three months. The client refutes using illicit substances like marijuana, heroin, cocaine, or any combination. The individual consumes up to three beers during the weekends. He has ceased his regular bicycle riding. Upon obtaining approval from the physician, he intends to commence his exercise regimen. The patient engages in recreational fishing activities with his companion and sibling. The patient occasionally consumes fried food but maintains satisfactory health.
Immunization History:
- The Tdap vaccine was administered in October 2015.
- Current on all other immunizations.
- The patient denies to be vaccinated against pneumonia.
Significant Family History:
- Father had obesity hyperlipidemia and died from colon cancer at 71.
- His mother passed away at 62 and had a medical history of hypertension (HTN) and type 2 diabetes.
- His sister is 54 and diagnosed with type 2 diabetes mellitus (DM) and hypertension (HTN).
- His brother died in a car accident at 27 years old.
- The children are in good health.
- He claims not to know the familial background of their grandparents.
Review of Systems:
Constitutional: denies experiencing fatigue and attributes a weight gain of 15-20 pounds to a lack of physical activity over the past few years. He also reports the absence of night sweats, fever, or chills.
HEENT: denies any alterations in visual acuity, throat discomfort, or swallowing difficulties.
Skin: denies having pallor and cyanosis
Respiratory: denies experiencing discomfort during inspiration and dyspnea.
Neurological: denies experiencing symptoms such as faintness, dizziness, numbness, or tingling in their extremities.
Cardiovascular: has ongoing chest pains, is unable to exercise because it makes the discomfort worse, denies palpitations, denies having ever had cyanosis or blood clots, and reports easy bleeding or bruising.
Gastrointestinal: denies suffering nausea, diarrhea, or feeling bloated or constipated.
Musculoskeletal: denies having back, joint, or muscular discomfort. Balance and gait are unaltered.
Psychiatric: denies feeling anxious, sad, or going through emotional upheavals.
OBJECTIVE DATA:
Physical Exam:
Vital signs: The patient had 146/88mmHg blood pressure, 104 beats per minute pulse, 19 breaths per minute respiratory rate, 98% oxygen saturation on room air, 36.27°C body temperature, and 5/10 pain.
General Exam: The adult patient, who is alert and oriented, appears to be experiencing discomfort while lying in a supine position on a hospital bed. The individual displays mild diaphoresis, pallor, and an elevated respiratory rate.
Skin: The skin appears intact, warm, and dry, with slight sweating and paleness. No signs of pus, redness, or hardening are observed.
Respiratory: The patient’s breath sounds in the upper lobes of the lungs and right middle lobe are clear, with unlabored and quiet breathing. Fine crackles/rakes are present at the posterior bases of the lungs.
Neurological: The patient is alert and oriented in time, place, and person (AOX3), demonstrates full range of motion in all extremities, and exhibits compliance with commands.
Cardiovascular: S1 and S2 were auscultated without any audible rubs or murmurs. Brachial, radial, and femoral pulses exhibit no thrills at a 2+ intensity. The popliteal, dorsalis pedis and tibia pulse show no thrill at a 1+ intensity. In all four extremities, capillary refill takes less than three seconds. The jugular venous pressure (JVP) measures at 3cm. The left carotid pulse exhibits a 2+ bruit, while the right carotid pulse demonstrates a 3+ bruit. Lateral displacement of the point of maximal impulse (PMI) and the presence of an S3 is observed in the mitral area. There are no varicosities, induration, localized erythema, or edema in the lower extremities.
Gastrointestinal/ The abdomen appears round and soft without any distension. Bowel sounds are within normal range, with no abnormal sounds such as bruits. There is no enlargement of the liver or spleen (hepatosplenomegaly). The kidneys and spleen cannot be felt upon palpation.
Diagnostic Test/Labs: The EKG showed a normal sinus rhythm with no ST-segment elevation (Joshi & de Lemos, 2021).
ASSESSMENT:
- Coronary Artery Disease (CAD) with stable angina: The patient reported experiencing persistent chest pain that intensified during physical activity and subsided upon resting. He linked the pain to a ” pressure ” sensation on the left shoulder (Severino et al., 2019). The patient had CAD risk factors, including hyperlipidemia, male gender, physical inactivity, family history of heart diseases, hypertension, and a sedentary lifestyle (Maurovich-Horvat et al., 2022).
- Carotid Artery Disease: Coronary artery disease can lead to acute coronary syndrome and persistent ischemic heart disease (Bytyçi et al., 2021). Untreated cases may result in the development of congestive heart failure. When a person presents with chest discomfort, it is crucial to ascertain the location, intensity, and associated symptoms to determine its origin and potential impact on other bodily regions.
- Gastroesophageal reflux disease (GERD): Heartburn is a frequently observed and prevalent symptom of GERD. Heartburn is a condition marked by a burning feeling in the chest that may also be felt in the oral cavity and is brought on by acid reflux into the esophagus (Katzka & Kahrilas, 2020).
- Pericarditis: Pericarditis refers to the inflammatory condition of the pericardium, a delicate sac-like tissue enveloping the heart (Chiabrando et al., 2020). Chest pain is a common symptom of pericarditis. Chest pain arises from the friction between the layers of the inflamed pericardium.
References
Bytyçi, I., Shenouda, R., Wester, P., & Henein, M. Y. (2021). Carotid Atherosclerosis in Predicting Coronary Artery Disease. Arteriosclerosis, Thrombosis, and Vascular Biology, 41(4). https://doi.org/10.1161/atvbaha.120.315747
Chiabrando, J. G., Bonaventura, A., Vecchié, A., Wohlford, G. F., Mauro, A. G., Jordan, J. H., Grizzard, J. D., Montecucco, F., Berrocal, D. H., Brucato, A., Imazio, M., & Abbate, A. (2020). Management of Acute and Recurrent Pericarditis. Journal of the American College of Cardiology, 75(1), 76–92. https://doi.org/10.1016/j.jacc.2019.11.021
Joshi, P. H., & de Lemos, J. A. (2021). Diagnosis and Management of Stable Angina: A Review. JAMA, 325(17), 1765–1778. https://doi.org/10.1001/jama.2021.1527
Katzka, D. A., & Kahrilas, P. J. (2020). Advances in the diagnosis and management of gastroesophageal reflux disease. BMJ, 371. https://doi.org/10.1136/bmj.m3786
Maurovich-Horvat, P., Bosserdt, M., Kofoed, K. F., Rieckmann, N., Benedek, T., Donnelly, P., Rodriguez-Palomares, J., Erglis, A., Štěchovský, C., Šakalyte, G., Čemerlić Adić, N., Gutberlet, M., Dodd, J. D., Diez, I., Davis, G., Zimmermann, E., Kępka, C., Vidakovic, R., Francone, M., & Ilnicka-Suckiel, M. (2022). CT or Invasive Coronary Angiography in Stable Chest Pain. New England Journal of Medicine, 386(17), 1591–1602. https://doi.org/10.1056/nejmoa2200963
Severino, Mather, Pucci, D’Amato, Mariani, Infusino, Birtolo, Maestrini, Mancone, & Fedele. (2019). Advanced Heart Failure and End-Stage Heart Failure: Does a Difference Exist? Diagnostics, 9(4), 170. https://doi.org/10.3390/diagnostics9040170
Question Description
Need help with my Health & Medical question – I’m studying for my class.
By opening this document, you can see the following lab sample. Examine the document. Fill out this form with subjective and objective information. When finished, preview the document, save it, and upload it to this assignment.
You should proofread your paper. However, do not rely solely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part, and your grade will suffer as a result. Papers with a high number of misspelled words and grammatical errors will be penalized. Before submitting your paper, go over it in silence and then aloud, and make any necessary changes. It is often beneficial to have a friend proofread your paper for obvious errors. Uncorrected mistakes are preferable to handwritten corrections.
Use a standard 10 to 12 point typeface (10 to 12 characters per inch). Smaller or compressed type, as well as papers with narrow margins or single spacing, are difficult to read. It is preferable to allow your essay to exceed the recommended number of pages rather than attempting to compress it into fewer pages.
Large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and other such attempts at “padding” to increase the length of a paper are also unacceptable, waste trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced, and have a one-inch margin on all four sides of each page. When submitting hard copies, use white paper and print with dark ink. It will be difficult to follow your argument if it is difficult to read your essay.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be
at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.