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Genetics and Ethnicity If your parents have had an MI, does it mean you will have one? Likely the answer is no; research has shown necessarily doesn’t say you will but have found a link among ethnicity in Europeans, South Asians, Southeast Asians, and Arabs (Joseph et al., 2016). Specifically, there’s no genetic link to an MI but rather coronary artery disease (CAD) which can lead to MI. However modifiable risk factors, such as a healthy lifestyle, prove to be the most significant way to decrease the risk of an MI. Self-Care After a patient experiences an MI, usually, they are set up to attend a Cardiac rehabilitation program. This program helps the patient get back to a healthy lifestyle while incorporating changes to prevent an MI in the future. Advanced practice providers should closely watch patients with hypertension, diabetes, and hyperlipidemia. Research has shown if a patient has two out three diagnoses they are at higher risk for a heart attack (Avoiding, 2005). Encouraging physical activity, a healthy diet, and smoking cessation are critical factors in patient education. Studies suggest educating patients on doing at least thirty minutes of activity a day such as walking, gardening, or housework also to cut out fast food that is high in fat and sugary drinks (Advance et al., 2005). Reference Arcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A. (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins. Avoiding heart attacks and strokes. [electronic resource]: don’t be a victim – protect yourself. (2005). Geneva: World Health Organization, c2005. Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby. Joseph, P. G., Pare, G., Asma, S., Engert, J. C., Yusuf, S., & Anand, S. S. (2016). Clinical Research: Impact of a Genetic Risk Score on Myocardial Infarction Risk Across Different Ethnic Populations. Canadian Journal Of Cardiology, 321440-1446. doi:10.1016/j.cjca.2016.05.014 Nicolai, J., Müller, N., Noest, S., Wilke, S., Schultz, J., Gleißner, C. A., & … Bieber, C. (2018). To change or not to change – That is the question: A qualitative study of lifestyle changes following acute myocardial infarction. Chronic Illness, 14(1), 25-41. doi:10.1177/1742395317694700]]>
HOLISTIC/VARIABLES PAPER Developmental Variable Includes purpose in introduction of patient. Indicates educational level, family dynamics, physical development of patient. 1. Uses relevant references. 2. Uses Erik Erikson’s psychosocial development stage for the patient and discussed the importance to nursing. 3. Discusses the importance of educational level, family and career as it relates to nursing care. 4. Applies theories and concepts. 5. Uses logical reasoning and correct inductive or deductive reasoning. Sociocultural Variable 1. Includes cultural values practiced and the importance to nursing care. 2. Discusses cultural beliefs and traditions passed on through generations and the importance to nursing care. 3. Discusses socialization of the client and its importance to nursing care. 4. Transitions occur between thoughts. Spiritual Variable 1. Discusses spiritual and religious beliefs and its importance to nursing care. 2. Discusses spiritual and religious practices and its importance to nursing care. 3. Discusses barriers to nursing care related to spiritual and/or religious beliefs Psychological Variable 1. Discusses mental well-being and its importance to nursing care. 2. Discusses family history of mental illness and its for the patient and its importance to nursing care. 3. Discusses patient’s mental ability to participate and make healthcare decisions regarding their health and its importance to nursing care. APA, Grammar, Spelling 1. Title page is correct. 2. Page numbering is accurate. 3. Page header is appropriate. 4. Citation of references in text is correct. Direct quotes Paraphrasing 5. Reference list follows APA format. Citations in text are included on reference list Reference list citations are included in text 6. Uses professional vocabulary. 7. Uses correct grammar, spelling, punctuation and capitalization. 8. Maintains economy of expression. ]]>
Discussion: Respiratory Disorders In clinical settings, patients often present with various respiratory symptoms, such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms, such as persistent coughing, can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as to properly assist physicians in the diagnosis and prescription of drug treatments for patients. For this reason, it is necessary for you to have an understanding of the pathophysiology of respiratory disorders and patient factors that impact drug treatment. To prepare:
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