NURS 6551 Week 9 Discussion
NURS 6551 Week 9 Discussion: Nonadherence to Lifestyle Changes During Pregnancy
NURS 6551 Week 9 Discussion – After identifying potential health risks for pregnant patients, providers often recommend behavior changes in lifestyle choices such as drug use, alcohol consumption, dietary habits, and environmental exposures. Even with provider recommendations and patient education programs, some patients still struggle to adhere to recommended lifestyle changes during pregnancy, posing health risks for both the mother and child. In your role as the provider, you must be able to recognize signs of nonadherence to recommended lifestyle changes because not all patients will be forthcoming with the struggles they may be experiencing. Management plans are only successful if patients’ individual needs are recognized and met, so provider-patient collaboration is essential for mitigating nonadherence issues. For this Discussion, consider implications of nonadherence to recommended lifestyle changes and potential management strategies for pregnant patients.
To prepare FOR NURS 6551 Week 9 Discussion:
Review the “During Pregnancy” article in this week’s Learning Resources.
Think about the health promotion topic that you selected for the Week 8 Discussion (i.e., smoking, drinking, taking drugs, eating habits, and caring for pets).
With the topic you selected in mind, consider early signs and symptoms that might indicate a patient’s nonadherence to recommended lifestyle changes during pregnancy. Think about the impact of nonadherence on the fetus and the patient.Reflect on treatment and management strategies for patients presenting with signs and symptoms of nonadherence to recommended lifestyle changes.
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By Day 3 OF NURS 6551 Week 9 Discussion
Post at least 250 words ( no introduction or conclusion)
an explanation of signs and symptoms that might indicate a pregnant patient’s nonadherence to recommended lifestyle changes related to the topic you selected. ( smoking in pregnancy is the topic we did last week)
Explain the impact of nonadherence to these lifestyle recommendations on the fetus and the patient.
Then, explain treatment and management strategies for patients presenting with signs and symptoms resulting from their nonadherence.
NURS 6551 Week 10 Discussion, Assignment 1
NURS 6551 Week 10 Discussion: Diagnosing and Managing Common Cardiovascular and Neurologic Conditions
Cardiovascular and neurologic conditions are among the leading causes of death and hospitalization of women in the United States (Centers for Disease Control and Prevention, 2008a). As an advanced practice nurse, you must routinely monitor patients at risk of these conditions and recommend the appropriate health screenings and preventive services. When assessing patients for these conditions, it is important to keep in mind that while some female patients might present with typical signs and symptoms, others might present with atypical signs and symptoms that are unique to women. For this Discussion, consider signs and symptoms presented by the women in the following case studies and develop differential diagnoses:
NURS 6551 Week 10 Case Study 1
A 48-year-old overweight African American female is in the clinic for a wellness visit. A routine fasting lipid panel returned with the following results:
Total cholesterol: 305 mmol/L
Low-density lipoprotein (LDL): 180 mg/dl
High-density lipoprotein (HDL): 30 mg/dl
Triglycerides: 165 mg/dl
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NURS 6551 Week 10 Case Study 2
You are seeing a 63-year-old African American female for a two-week history of intermittent chest pain. The pain varies in intensity and resolves with rest. She does not believe it has increased over time. She is a nonsmoker with a history of hypertension treated with Lisinopril 10 mg once daily. She had an exercise stress test one year ago that was within normal limits. Her physical exam findings are as follows: HR–90, BP–150/92, R–22, O2Sat 98% RA; lungs: clear to auscultation bilaterally; cardiovascular: apical pulse of 90 RRR, no rubs, murmurs, or gallops. Chest wall mildly tender to palpation that reproduces her complaint of pain. Extremities include no clubbing, cyanosis, or edema. The remainder of the exam is within normal limits.
NURS 6551 Week 10 Case Study 3
A 32-year-old Asian American female is in the clinic for a history of recurrent headaches for the past year, occurring monthly, lasting up to 12–18 hours. The headaches are sometimes associated with photophobia, nausea, and vomiting. She takes either acetaminophen or ibuprofen for relief that is not always successful. She uses Ortho Tricyclin for birth control. Her physical exam is within normal limits.
To prepare:
Review Chapter 8 of the Tharpe et al. text and the McSweeney et al. article in this week’s Learning Resources.
Review and select one of the three provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.
Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.
Post at least 250 words
1. an explanation of the differential diagnosis for the patient in the case study you selected.
2. Explain which is the most likely diagnosis for the patient and why.
3. Then, based on the appropriate clinical guidelines, explain a treatment and management plan for the patient, including proper dosages for any recommended treatments.
4. Finally, explain strategies for educating patients on the disorder.
NURS 6551 Week 10 Assignment 1: Application – Best Practices
For over 20 years, the Women’s Health Initiative (WHI) study has conducted research trials to examine factors that impact risks and development of conditions that impact women such as heart disease, breast and colorectal cancer, and osteoporotic fractures in postmenopausal women. Health care providers use results from these trials to develop guidelines for delivering care to patients. In your role in clinical settings, you must be familiar with these guidelines, and you must be aware that through clinical practice, guidelines frequently evolve and change. Often, what is considered a best practice today might not be a best practice in the future. For this Assignment, you compare guidelines outlined in the WHI study to current best practices for assessing and managing conditions.
To Prepare:
Review the Women’s Health Initiative article in this week’s Learning Resources. Select one disorder presented in this study. https://www.nhlbi.nih.gov/whi/background.htm
Locate and select a research article that addresses current best practices for assessing and managing the disorder you selected. Be sure that the research article you select is from a reputable source.
Consider the similarities and differences between the best practices presented in the WHI study and the article you selected. Think about the potential impact of differences in best practices on women’s health.
Consider whether the best practices in the article you selected should be used in clinical practice.
To Complete:
Write a 2- to 3-page paper that addresses the following:
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Describe the disorder you selected from the Women’s Health Initiative study.
Explain the current best practices for assessing and managing this disorder as suggested in the research article you selected. (support with current references)
Compare the best practices presented in the WHI study to the current best practices presented in the article.
Explain how the differences in best practices might impact women’s health.
Explain whether you think the current best practices in the article you selected should be used in clinical practice. Support your position with evidence-based research.
Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.
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