NSG 4055 Week 1 discussion
NSG 4055 Week 1 discussion
Week 1 Discussion: Topic 2
Heart failure is a complex syndrome caused by various primary and secondary causes and shared pathways of disease progression. Heart failure in a 12-year-old is commonly attributed to coexistent congenital heart disease, with different risks based on the particular type of malformation. The patient has a trajectory of illness that manifests with an overall gradual decline in function interposed by periods of symptom exacerbation followed by a return nearly to their baseline. Heart failure can result in characteristic signs and symptoms, such as poor growth, respiratory distress, feeding difficulties, exercise intolerance, and fatigue (Proudfoot et al., 2019). Pulse wave velocity and carotid artery stiffness are strong predictors of heart failure in 12-year-old.
Heart failure trajectory in elderly patients is punctuated by multiple exacerbations, and the prognosis is usually difficult to estimate. A 75-year-old with heart failure would experience fatigue and shortness of breath on mild exertion (McClung, 2017). One may also experience feelings of increasing pain, anxiety, and depression. The patient has long-term limitations on function with intermittent exacerbations (McClung, 2017). The exacerbations are managed by rescue treatment and often followed by a return to nearly the prior functional status.
Engaging in physical activity during early childhood has favorable effects on trajectories of cardiovascular fitness, arterial stiffness, and blood pressure over three years. Consequently, the plan of care for a 12-year-old should include involving the patient in moderate exercises to improve cardiovascular fitness (Proudfoot et al., 2019). A 75-year-old is at risk of developing complications from heart failure. The patient would require a comprehensive advance care plan documenting an agreement among the patient, family members, and the care team on what should happen if there are complications (McClung, 2017). The care plan should also include teaching the patient on early detection and management of symptoms and exacerbations.
Week 1 Discussion
Based on the research, which factor social isolation or stigma have the greatest impact on a patient living with chronic illness? Why?
Contrast at least two ways these factors would affect a 12-year-old with the way they would affect a 75-year-old.
Consider a 12-year-old and 75-year-old have one of the following illnesses:
Describe the chronic illness trajectory for the selected illness based on the patient’s age.
How does the chronically ill patient’s illness trajectory influence the plan of care?
There are many factors that affect chronic illness—chronic pain, stigma, social isolation, altered mobility, or fatigue. Utilizing your learning from your readings and the South University Online Library resources,
respond to one the following questions:
Based on the research, which of these factors have the greatest impact on a patient? Why? Contrast at least two ways the factors would affect a twelve-year-old with the way they would affect a seventy-five-year-old.
Consider the twelve-year-old and the seventy-five-year-old have a chronic illness. How does the chronically ill patient’s illness trajectory influence the plan of care?
Review Healthypeople.gov website. Discuss how you feel these goals will impact the health of the nation. Briefly discuss how you could incorporate these goals/objectives into your day-to-day nursing practice.
Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.
Hello Professor and Class,
According to Coast Bend College there seven steps to nursing process research which are,
identify and develop the topic, find background information, use databases to find journal
articles, find internet resources, evaluate what you find, and cite what you find using a standard
format (The Seven Steps of the Research Process, 2021). These seven steps relate to evidence-
based practice because it is backed up by the facts and science in conducting the nursing
research. The evidence-based practice is high quality research that helps healthcare review most
up to date information to better service the patient.
The one clinical problem that I found and wanted to discuss is the client and their family
education about addiction and or recovery. According to National Center for Biotechnology
information, it is very important to research and find out the history of the client and make sure
the client and their family understand the information discussed (Chapter 7. clinical issues, challenges, and strategies in intensive outpatient treatment, 2006). For example, if the client is not educated properly many problems can occur such as over and or undertaking of medication and infections. So, making sure the client is thoroughly educated is very important so that they
do not make the simple mistakes that can be easily avoided through educating them. Having the
appropriate approach with education to clients and their family can have a significant impact in
the betterment of the client and using proven methods help alleviate room for error.
Chapter 7. clinical issues, challenges, and strategies in intensive outpatient treatment. (2006).
National Center for Biotechnology information.
The Roles of Evidence-Based Practice in Nursing. (2 March 2021). University of St. Augustine
for Health Sciences. Retrieved January 20, 2022, from https://www.usa.edu/blog/evidence-
The Seven Steps of the Research Process. (8 December 2021). Coastal Bend College Library &
APA Writing Checklist
Use this document as a checklist for each paper you will write throughout your GCU graduate
program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.
☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.
☐ The title page is present. APA format is applied correctly. There are no errors.
☐ The introduction is present. APA format is applied correctly. There are no errors.
☐ Topic is well defined.
☐ Strong thesis statement is included in the introduction of the paper.
☐ The thesis statement is consistently threaded throughout the paper and included in the conclusion.
☐ Paragraph development: Each paragraph has an introductory statement, two or three sentences as the body of the paragraph, and a transition sentence to facilitate the flow of information. The sections of the main body are organized to reflect the main points of the author. APA format is applied correctly. There are no errors.
☐ All sources are cited. APA style and format are correctly applied and are free from error.
☐ Sources are completely and correctly documented on a References page, as appropriate to assignment and APA style, and format is free of error.
Scholarly Resources: Scholarly resources are written with a focus on a specific subject discipline and usually written by an expert in the same subject field. Scholarly resources are written for an academic audience.
Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.
Peer-Reviewed Journals: Peer-reviewed journals are evaluated prior to publication by experts in the journal’s subject discipline. This process ensures that the articles published within the journal are academically rigorous and meet the required expectations of an article in that subject discipline.
Empirical Journal Article: This type of scholarly resource is a subset of scholarly articles that reports the original finding of an observational or experimental research study. Common aspects found within an empirical article include: literature review, methodology, results, and discussion.
Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.
☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.