Reference no: EM133083008

401210 Health Variations - Western Sydney University

Health Variations - Acute Exacerbations of Chronic Conditions

Learning Outcome 1: Explain the causes, pathogenesis, clinical manifestations and diagnostic procedures related to National Health Priority areas concerning acute exacerbations of chronic conditions arising in the cardiovascular, renal, respiratory and musculoskeletal body systems

Learning Outcome 2: Discuss the implications for nursing practice in relation to caring for people with acute exacerbations of chronic conditions affecting the cardiovascular, renal, respiratory and musculoskeletal body systems

Learning Outcome 3: Describe the nursing role and responsibilities in the use of appropriate pharmacological interventions related to acute exacerbations of chronic conditions arising in the cardiovascular, renal, respiratory and musculoskeletal body systems

Learning Outcome 4: Apply evidence-based rationales for nursing strategies used to problem-solve the needs of the person who has an acute exacerbation of a chronic condition affecting the cardiovascular, renal, respiratory and musculoskeletal body systems

Learning Outcome 5: Apply critical thinking and digital literacy skills to access and evaluate data relevant to provision of effective nursing management of people across the lifespan with an acute exacerbation of a chronic condition

Purpose:

1. Explain in a visual format (concept map) the causes, pathogenesis, clinical manifestations, diagnostic proce- dures, management, course, prognosis, and prevention of systolic heart failure (Learning outcomes 1 and 5).

2. Explain the underlying pathophysiology of the clinical manifestations of an acute exacerbation of chronic systolic
heart failure (Learning outcomes 1 and 5).

3. Discuss nursing strategies and evidence-based rationales to manage a patient with an acute exacerbation of chronic systolic heart failure - acute pulmonary oedema (Learning outcomes 2, 4 and 5).

4. Describe the nursing role and responsibilities in the use of pharmacological interventions related to an acute exacerbation of chronic systolic heart failure (Learning outcomes 3 and 5).

Details
You are to develop a concept map for the topic systolic heart failure and answer three questions related to an acute exacerbation systolic heart failure. References are to include six (6) recent, relevant references including journal articles, textbook material and evidence-based resources.

Concept Map (250 words)

-The concept map must be computer generated. A template will be provided on VUWS under the assessments tab.
-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.
-Most of the information for your concept map will be drawn from the answers to your guided questions.
-Referencing of your concept map is not required.

Guided Questions
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 signs & symptoms 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 systolic heart failure was made.

Question 1. (650 words) (Learning outcome 1 and 5)
Explain the pathogenesis causing the clinical manifestations with which Mrs Brown presented.

Question 2. (400words) (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. (200 words) (Learning outcome 3 and 5)
Two of the drugs that were given to Mrs Brown were IV Furosemide (Lasix) and sublingual Glyceryl Trinitrate (GTN).
a. Discuss the mechanism of action of these two drugs, and relate to the underlying pathogenesis of an acute exacerbation of chronic systolic heart failure.
When answering questions:

-Responses are to use full sentences, paragraphs, correct spelling and grammar. Although this is not an essay. using paragraphs will help strengthen your discussion and add clarity. Try to stick to one central theme in each paragraph.
-The word limit for the guided questions is 1250 words. The word limit allocated for each question is only a
guide and is based on the weighting of the marks for each question. The total for the 3 questions is 1250 words but you can have more or less for each question if required.

Provide a reference list in APA 6th Edition style with a minimum of 6 ACADEMIC references

Attachment:- Chronic Conditions.rar