Heart Failure

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Case Study: Heart Failure:

Objective: Identify the type of heart failure based on data presented in the case study. Express your understanding of the pathophysiology and clinical aspects of heart failure. Answer other questions associated with heart failure.
INSTRUCTIONS:
1. Read and review information about the topic. You can use your textbook, ( Porth’s Pathophysiology. Concept of Altered Health States 9th edition. By Sheila Grossman,Carol Mattson Por), other nursing or medical books, scientific articles, or scholarly websites (American Heart Association, Centers for Disease Control and Prevention). All sources used in this assignment must be ‘scholarly sources’. Please remember that WebMD, Wikipedia, and other internet sites are not considered scholarly sources.
2. Carefully, read the case study.
3. Answer the questions that follow the case study. These questions are to be answered in a 3-4-page paper that conforms to APA formatting, including cover page, citations, direct quotes, and reference page.
4. All submitted papers will be analyzed for originality through the Turnitin program. Please refer to the course syllabus for the academic honesty statement which includes plagiarism.
5. Please review and understand the grading rubric for each assignment.
Case Study: Heart Failure:
Carol is a 68-year-old African-American female who went to her doctor’s office because of a “racing heart”. She has been experiencing a worsening of shortness of breath over the last 2 months. Over the last 3 weeks, she noticed swelling of her ankles and feet. Carol states that she feels weak and tired most of the time. She has been awakened in the middle of the night with severe shortness of breath despite sleeping on 3 pillows.
Carol’s past medical history includes: a myocardial infarction several years ago, high cholesterol, gastroesophageal reflux, and osteoarthritis. She has allergies to nuts, shellfish, and strawberries.
Carol has a family history of atherosclerosis, myocardial infarction, and stroke.
Carol has been a 2-pack-per-day cigarette smoker for 30 years. She has been trying to quit smoking since her heart attack. Carol states she occasionally drinks alcohol.
Physical Examination:
Blood pressure: 163/94
Heart rate: 125 beats per minute and regular
Respiratory rate: 28 breaths per minute and labored
Temperature: 98.6 F
Height: 5’8”
Weight: 215 lbs.
Skin: is pale with cool hands and feet.
Positive jugular vein distention
Lungs: bibasilar rales (crackles) on auscultation
Abdomen: hepatomegaly (enlarged liver)
Extremities: bilateral pitting edema of lower extremities
Labs:
B-type Natriuretic Peptide (BNP) – 885 pg/mL (normal=100 pg/mL)
QUESTIONS:
1. Explain the pathophysiology of left-sided heart failure and right-sided heart failure.
2. In a chart, please compare and contrast the signs and symptoms of left-sided and right-sided heart failure.
3. Based on the information given in this case study, what type of heart failure do you
suspect that Carol has developed?
a. Identify specific data from the case study that supports your answer.
b. Explain the pathophysiology for the data you identified in 3a. Be sure to cite your references.
4. What is the probable cause of the heart failure?
5. Identify 4 risk factors that probably contributed to Carol’s past heart attack. Please
indicate if each risk factor is modifiable or not.
a. How does Carol’s blood pressure affect her current health status?
b. Why is Carol tachycardic?
c. Why is Carol tachypneic?
d. Based on her BMI, what can you say about Carol’s weight?
Grading criteria:

Points Content
5 Cover page with project title, student name, institutional affiliation, Running head, and page number
20 Explain the pathophysiology of left and right-sided heart failure
15 Compare signs and symptoms of left and right-sided heart failure
15 Which type of heart failure is Carol experiencing and rational/support decision (Question 3)
20 Identification of specific data to support decision on type of heart failure (Questions 3a,3b)
5 Explain the cause of Carol’s heart failure
5 Identify 4 risk factors Carol has for heart failure
5 Writing and grammar: sentence structure, logical flow, no spelling errors, and grammar usage
10 Paper in APA format including page numbers, proper margins, proper font, citing references in the text, and complete reference list.

Article Critique-Public Health Disparities/Questions

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Article Critique-Public Health Disparities/Questions
Details
Points: 100
Complete the “Article Critique.”
use this article found in The New York Times: https://drc.bmj.com/content/6/1/e000496
APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to Turnitin.
4HLT515.v1ArticleCritique.doc
                                             Article Critique
Directions: For this assignment, you will select and critique one article from a popular media source (e.g., newspaper, magazine, news journal, etc.) that provides information regarding a health disparity within a population group and complete the questions below. Please make sure to use complete sentences when answering each question. Make sure the health disparity is different from your research assignment. In addition, the article must have been published within the last 2 years.
1) Provide the article reference and link. (1point)
2) What health disparity is the article highlighting? (1point)
3) Why is this information newsworthy? How would it benefit the public health community? (3 points)
4) What causes and factors contributed to the health disparity? (2 points)
5) How does the health disparity affect health outcomes? (3 points)
6) Does the article make any recommendations or suggest resources that could benefit the public? If not, what suggestions or recommendations would you suggest? (2 points)
7) Was the article well-written? Justify your rationale? (3 points)
8) Did it include all pertinent information? Justify your rationale? (2 points)
9) Was there information or a perspective that the article should have included? If so, what? What else would you have like to have seen? (3 points)
Score calculation: Total earned  / 20 x 10 =

Evaluation Of The Organization

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Evaluation Of The Organization

For your Final Paper, choose one of the following health care organizations:

  • Hospital Corporation of America (HCA)
  • Tenet Health System
  • Mayo Clinic
  • Henry Ford Health System
  • Centers for Disease Control (CDC)
  • Children’s Miracle Network
  • Deborah Heart and Lung Center
  • Medtronic
  • Veterans Health Administration (VHA)
  • National Institutes of Health (NIH)
  • Planned Parenthood
  • Indian Health Service (IHS)
  • Health Markets

Conduct an evaluation of the organization based on strategic planning analysis, which includes the strengths and/or weaknesses that are internal to the organization and opportunities and/or threats external to the organization.  Your strategic plan analysis must include at least three strengths and three weaknesses that are internal to the organization and at least three opportunities and three threats that are external to the organization. You must utilize at least five valid sources in your analysis. Examples of valid sources include organizational websites, annual reports, personal interviews with organizational leadership, investigative reports, government reports, and conference transcripts.  Your Final Paper must address at least five key areas, concepts, and strategies that are outlined in the course text.  These include:

  • Internal and external assessments
  • Competitive marketing analysis
  • Identification of stakeholders
  • Overview and assessments of services provided
  • Competencies and resource
  • Public entities and regulatory requirements
  • Demographics served
  • Strategic financial planning
  • Financial and operational outcomes
  • Current and future direction of the organization of choice

 Writing the Final Paper
The Final Paper:

  1. Must be 8 to 10 double-spaced pages in length, excluding the title and references pages, and formatted according to APA style as outlined in the Ashford Writing Center.
  2. Must include a title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  3. Must begin with an introductory paragraph that has a succinct thesis statement.
  4. Must address the topic of the paper with critical thought.
  5. Must end with a conclusion that reaffirms your thesis.
  6. Must use at least five scholarly sources, including a minimum of two from the Ashford University Library.
  7. Must document all sources in APA style as outlined in the Ashford Writing Center.
  8. Must include a separate reference page that is formatted according to APA style

Outlining the public health financing process is an intuitive phase

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Instructions

Outlining the public health financing process is an intuitive phase. Many public health officials start drafting the program budget along with the planning phase just to have some idea of the funding needed to support such a venture. Later, financial analysts are consulted to form a detailed plan of action and develop multiple financial options and a cohesive financial planning mechanism.
In this assignment, you will continue working on sections for your final project assignment. You will conduct a budget analysis for this assignment.
Using the readings for the week, the South University Online Library, and the Internet, write a 2–3-page budget analysis. Select 2–3 scholarly references on public health program financial plans to use in support of your response. Make sure to include evidence-based information and scholarly references.
Complete the following:

  • Begin by reviewing the assigned reading materials and the information about implementing and monitoring budgets.
  • Next, review the previous assignments you completed on your selected health issue or health disease topic.
  • Develop a cohesive budget to include types of cost analyses. Your budget analysis should be developed using an Excel spreadsheet. Review the readings for this week for examples.
  • Include the following components in your budget analysis:
    1. Selected Categories
    2. Total Budget
    3. Cumulative Expenses
    4. Dollar Variance
    5. Amount Left to Spend
    6. Percent of Unspent
    7. Percent of Variance
  • Be sure to calculate the total expenditures, revenue total, and final budget total.

In a 1-page summary in Word format, provide an overview of your budget that includes a mini-synopsis of the significant points. Approach your budget analysis as a practical application and assume you are going to submit it to public health officials to solicit funding for your health program. For this assignment, you will have two deliverables—the summary in Word format and the Excel spreadsheet with your analysis.
Since Microsoft Word and Excel are interconnected programs, you may embed your Excel spreadsheet in your Word document. The Microsoft Office Word Help Guide/Assistance can provide further information about how to embed or link documents.
Submission Details:

  • Subm