Explain the pathogenesis causing the clinical manifestations with which Mrs Brown presented.

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Explain the pathogenesis causing the clinical manifestations with which Mrs Brown presented.
Guided Questions (1000 words)
Case study
Mrs Brown, a 78 year-old female, was admitted to the Emergency Department at 6am after waking up with severe breathlessness. Her family informed you that the patient has a history of heart failure that had been diagnosed two years ago. On admission to the Emergency Department the clinical manifestations were:
Severe dyspnoea
Respiratory rate of 24 breaths/minute
SpO2 85%, on room air
BP 170/95mmHg
Pulse rate of 120 beats/minute
Auscultation of lungs identifies bilateral basal crackles
Mrs Brown was connected to an ECG monitor that showed atrial fibrillation. A diagnosis of acute exacerbation of chronic left-sided heart failure was made.
Question 1. (500 words) (Learning outcome 1 and 5)
Explain the pathogenesis causing the clinical manifestations with which Mrs Brown presented.
Question 2. (200 words) (Learning outcomes 2, 4 and 5)
Discuss two high priority nursing strategies to manage Mrs Brown and provide evidence-based rationales for these strategies.
Question 3. (300 words) (Learning outcome 3 and 5)
Two of the drugs that were given to Mrs Brown were IV furosemide and sublingual glyceryl trinitrate.
Discuss the mechanism of action of these two drugs, and relate to the underlying pathogenesis of an acute exacerbation of chronic left-sided heart failure. And,
Describe the nursing implications (monitoring for and responding to adverse effects, and evaluating therapeutic effect) when administering these two drugs to a patient with an acute exacerbation of chronic left-sided heart failure.
Provide a reference list in APA 6th Edition style with a minimum of 6 academic references which
could include journal articles, textbooks, government websites and reports, and creditable organisational websites such as the Heart Foundation (https://www.heartfoundation.org.au/).
Concept Map (500 words)
The concept map must be computer generated.
When researching the topic, use the pathophysiology template that is on the unit vUWS site to
assist you in organising your information. The template will also assist in identifying key concepts
and their relationships.
Concept boxes should have titles with relevant content summarised within the box.
The summarised content may be in point format and size 10 font (Arial or Times New Roman) may
be used on the concept map.
Concept boxes must be linked using lines and linking words/phrases to demonstrate logical
relationships between concepts.
For conciseness, numbers may be used to replace traditional APA referencing within concept
boxes. If you use numbers, you must include a reference list in numerical order, corresponding to
your references immediately after the concept map.
Critical thinking and creativity are essential components of the concept map. The map design
needs to be visually stimulating.

Post an explanation of strategies you would use to minimize or address barriers, including resistance to change, related to your strategic plan.

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Post an explanation of strategies you would use to minimize or address barriers, including resistance to change, related to your strategic plan.
Discussion: Team Building and Addressing Barriers to Planned Change
Planning and implementing change can be quite challenging, especially in a complex health care environment. No matter what kind of change is undertaken, there are likely to be some obstacles. Yet, wise leader-managers, and those with whom they work, recognize that change is necessary and revitalizing; they see that planned change can not only contribute to organizational sustainability but also promote high-quality care and positively impact patient outcomes. These leader-managers harness a larger vision and engage in forethought and analysis to minimize and address barriers to planned change.
Based on what you have learned about the change process and strategic planning, what barriers do you think may arise related to the change you are proposing through your Course Project? How would you cultivate stakeholder involvement and promote team building for your planned change?
As you think about these questions, consider the following statement: “The system will evolve based on changes in the behavior of the people in the system” (Nesse, Kutcher, Wood, & Rummans, 2010, p. 27).
Do you agree? Why or why not? How does this relate to the specifics of your strategic plan?
To prepare:
Review the information presented in the Learning Resources, including Dr. Carol Huston’s comments on addressing barriers to implementing a strategic plan change. Consider insights related to change theory, common barriers to change, and strategies for addressing these barriers that relate to the implementation of your proposed change.
Identify specific barriers you are likely to encounter with your proposed change, including resistance to change. Evaluate strategies that may be used to minimize or address these barriers.
Think about the value of stakeholder involvement in planned change, as well as the specifics of stakeholder participation in your strategic plan to champion the change. Who should be involved in strategic planning and at what point? How could they serve as change champions?
Post an explanation of strategies you would use to minimize or address barriers, including resistance to change, related to your strategic plan. Explain how you would promote stakeholder involvement for your proposed change, and encourage them to become change champions.
Read a selection of your colleagues’ responses.
Respond to at least two of your colleagues on two different days using one or more of the following approaches:
Provide feedback on their strategies for addressing barriers to change.
Suggest additional strategies for addressing barriers or resistance.
Offer additional insights for identifying appropriate stakeholders.
Suggest additional stakeholders or change champions to be involved.
Required Readings
Marquis, B. L., & Huston, C. J. (2015). Leadership roles and management functions in nursing: Theory and application (8th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.
Chapter 8, “Planned Change” (pp. 162–180)
(Note: You may have read this in a previous course.)
Sare, M. V., & Ogilvie, L. (2010). Strategic planning for nurses: Change management in health care. Sudbury, MA: Jones and Bartlett.
Review Chapter 7, “The Three Key Elements of the Strategic Planning Process: A Vision That Guides Nursing’s Future Action”
“The Architect, Change Agent, and Communicator: Three Crucial Roles in Strategic Planning” section (pp. 135–136)
Chapter 9, “Understanding Change Theory: Strategic Planning Change Agents” (pp. 171–194)
Chapter 10, “Communicating the Strategic Plan” (pp. 195–212)
Chapter 11, “Eight Cautionary Tales of Strategic Planning” (pp. 215–226)
Chapter 9 examines change theories and how these theories can be applied in strategic planning. Chapter 10 explores the importance of communication throughout the strategic planning process and how strong communication and reduce barriers to change. Chapter 11 provides examples from the field of strategic planning efforts.
Gerrish, K., McDonnell, A., Nolan, M., Guillaume, L., Kirshbaum, M., & Tod, A. (2011). The role of advanced practice nurses in knowledge brokering as a means of promoting evidence-based practice among clinical nurses. Journal of Advanced Nursing, 67(9), 2004–2014.
Retrieved from the Walden Library databases.
This article describes some of the barriers to change (in this case, implementing evidence-based practices) that nurses encounter and examines knowledge brokering to facilitate change.
McMurray, A., Chaboyer W., Wallis, M., & Fetherston, C. (2010). Implementing bedside handover: Strategies for change management. Journal of Clinical Nursing, 19(17/18), 2580–2589.
Retrieved from the Walden Library databases.
This article examines a change in nursing handover practices to analyze change management with attention to individuals’ attitudes, motivations, and concerns. See Figure 2 for example of unfreezing, moving, and freezing.
Nesse, R. E., Kutcher, G., Wood, D., & Rummans, T. (2010). Framing change for high-value healthcare systems. Journal for Healthcare Quality, 32(1), 23–28.
Retrieved from the Walden Library databases.
The authors address factors that impede change and discuss change management principles, including the value of team investment for facilitating change.
Required Media
Laureate Education (Producer). (2013c). Challenges of implementation [Video file]. Retrieved from https://class.waldenu.edu
Note: The approximate length of this media piece is 3 minutes.
Dr. Carol Huston discusses some of the challenges faced when implementing a strategic plan and strategies for addressing those challenges.

Describe the information and knowledge needs of nurses in all practice domains and settings, electronic health records (EHRs), and patient-care information technology (IT).

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Describe the information and knowledge needs of nurses in all practice domains and settings, electronic health records (EHRs), and patient-care information technology (IT).
6. Describe the information and knowledge needs of nurses in all practice domains and settings, electronic health records (EHRs), and patient-care information technology (IT). (PO 4)
Key Concepts
Explore informatics competencies and health information technology (HIT) that supports patient care and documentation.
Evaluate HIT capability to promote safety.
Develop a view of different types of patient-care technologies.
Examine technology options to support all facets of nursing and patient care.
In this week’s discussion, we will be examining knowledge generated through informatics.
The HealthIT Hot Topic of the Week Assignment, is due at the end of this week. You should contact the Chamberlain writing resources now if you require assistance.
This assignment will be going through Turnitin.
About the HealthIT Hot Topic of the week –
Go to the site: http://www.fiercehealthcare.com/it
Choose one of the topics you are interested in: Analytics, EHR, Mobile, Privacy & Security, Regulatory. Choice one of the articles on that page (or one of the following pages) that may impact your practice. Do not choose a topic from the Healthcare or Payer section. Be sure you use an article from the Fierce Health IT website as the foundation for your paper. Make sure it is an informatics topic. If you are unsure, email me with your topic as well as the article that you plan to use as the starting point of the paper.
In a professionally developed paper, discuss the rationale for choosing the topic, how it will impact practice in a positive or negative manner, citing pros and cons. Include a discussion of how informatics skills and knowledge were used in the process of developing the assignment. In the conclusion, provide recommendations for the future.
Some key points
Be sure to choose a current issue. Discussing the use of EHRs in general is not an appropriate topic. But use of patient portals, or needing EHRs that are more patient centered could be. If in question about your choice of topic, email me. The topic must relate to informatics.
You need to have at least three scholarly resources (refer to the document “What is a Scholarly Source?”) outside of the course resources. Be sure to include the article that you choose as one of your references (and identify it in your paper). FYI – most of the time the article from FierceHealthIT is a newsbrief and therefore not a scholarly article. That means, you will need three additional sources.
The main parts of this paper are:
o Introduction
o Why did you choose this topic – include the FierceHealthcare IT article in the section
o How does it impact your practice in both a positive and negative way, citing pros and cons
o How you used informatic skills and knowledge to complete this paper (word processing, DIKW, etc.). This is NOT how informatic skills apply to this topic.
o Conclusion which includes recommendations for the future and insights you gained in completing this assignment

What spiritual issues surrounding a disaster can arise for individuals, communities, and health care providers?

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What spiritual issues surrounding a disaster can arise for individuals, communities, and health care providers?
THESE ARE DISCUSSION QUESTIONS
1). Watch the “Diary of Medical Mission Trip” videos dealing with the catastrophic earthquake in Haiti in 2010. Reflect on this natural disaster by answering the following questions:
(a). Propose one example of a nursing intervention related to the disaster from each of the following levels: primary prevention, secondary prevention, and tertiary prevention. Provide innovative examples that have not been discussed by a previous student.
(b). Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase
(C).With what people or agencies would you work in facilitating the proposed interventions and why?
Link to the “Diary of Medical Mission Trip” videos:
http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs427v_nrs427v.php
2). What spiritual issues surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?