NR 507 Cardiovascular Cellular and Hematologic Disorders

Discussion Part One

This week’s graded topics relate to the following Course Outcomes (COs).

1 Analyze pathophysiologic mechanisms associated with selected disease states. (PO 1)

2 Differentiate the epidemiology, etiology, developmental considerations, pathogenesis, and clinical and laboratory manifestations of specific disease processes. (PO 1)

3 Examine the way in which homeostatic, adaptive, and compensatory physiological mechanisms can be supported and/or altered through specific therapeutic interventions. (PO 1, 7)

4 Distinguish risk factors associated with selected disease states. (PO 1)

5 Describe outcomes of disruptive or alterations in specific physiologic processes. (PO 1)

6 Distinguish risk factors associated with selected disease states. (PO 1) NR 507 Cardiovascular Cellular and Hematologic Disorders

7 Explore age-specific and developmental alterations in physiologic and disease states

A 17-year-old African American from the inner city complains of severe chest and abdominal pain. Upon examination the attending physician performs and EKG, chest x-ray, and an abdominal and chest clinical examination and finds nothing. Assuming, she is drug seeking he sends her home. NR 507 Cardiovascular Cellular and Hematologic Disorders

She comes back to the ER 4 hours later and now you see the patient. She explains that she was running track this past afternoon at school and that despite being very hot (100 F) she pushed on. Afterwards, she starts feeling extensive pain in her chest and abdomen. She has jaundiced eyes, her blood pressure is 98/50, pulse is 112, T = 99.9 F, R = 28. The pain seems out of proportion to the physical findings.

What is your list of differential diagnoses in this case and explain how each of these fits with the case patient as described above. Be sure to list at least four (4) pertinent differential diagnoses. Indicate which of these you would select as the most likely diagnosis and explain why. NR 507 Cardiovascular Cellular and Hematologic Disorders

Now, as she is in the ER she begins to exhibit stroke like features. ? Does this change your differential? How do you treat this patient now? Are they any preventative actions that could have been taken?

Description

APA , no plagiarism,

Requirements:

Reflect over the past 8 weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #1, MSN Essential I, and Nurse Practitioner Core Competencies # 1 Scientific Foundation Competencies

Program Outcome #1: Provide high quality, safe, patient-centered care grounded in holistic health principles. (holistic health & patient-centered care) NR 507 Cardiovascular Cellular and Hematologic Disorders

MSN Essential I: Background for Practice from Sciences and Humanities:

Recognizes that the master’s prepared nurse integrates scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings.

Nurse Practitioner Core Competencies # 1 Scientific Foundation Competencies

Critically analyzes data and evidence for improving advanced nursing practice.
Integrates knowledge from the humanities and sciences within the context of nursing science.
Translates research and other forms of knowledge to improve practice processes and outcomes.
Develops new practice approaches based on the integration of research, theory, and practice knowledge. NR 507 Cardiovascular Cellular and Hematologic Disorders

DISCUSSION CONTENT
Category	Points	%	Description
Program Outcome Achievement	15	15%	The reflection specifically identifies and addresses the pre-determined program outcome; AND Provides two (2) or more examples of how the student specifically achieved or had exposure to this outcome during this course.
MSN Essential Competency Achievement	15	15%	The reflection specifically identifies and addresses the pre-determined MSN Essential Competency; AND Provides two (2) or more examples of how the student specifically achieved or had exposure to this competency during the course. NR 507 Cardiovascular Cellular and Hematologic Disorders
NP Competency Achievement	15	15%	The reflection specifically identifies and addresses the pre-determined NP core Competency; AND Provides two (2) or more examples of how the student specifically achieved or had exposure to this competency during this course.
	45	90%	Total CONTENT Points= 45 pts
DISCUSSION FORMAT
Category	Points	%	Description
Grammar, Syntax, Spelling, & Punctuation	5	5%	Grammar, spelling, and/or punctuation are accurate, or with zero to one error. Direct quotes in discussions are limited to one short quotation (not to exceed 15 words). The quote adds substantively to the discussion.  NR 507 Cardiovascular Cellular and Hematologic Disorders (*) APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
	5	10%	Total FORMAT Points= 5 pts
			DISCUSSION TOTAL=50 points

Program Outcomes of Chamberlain nursing programs can be found in the Program Descriptions section of your College Catalog. You can access your College Catalog at http://www.chamberlain.edu/catalog

The MSN program outcomes are aligned with the American Association of Colleges of Nursing publication, The Essentials of Master’s Education in Nursing (2011). Upon completion of the MSN degree program, the graduate will be able to:

Provide high quality, safe, patient-centered care grounded in holistic health principles. (Holistic Health & Patient-Centered Care)

Create a caring environment for achieving quality health outcomes. (Care-Focused) NR 507 Cardiovascular Cellular and Hematologic Disorders

Engage in lifelong personal and professional growth through reflective practice and appreciation of cultural diversity. (Cultural Humility)

Integrate professional values through scholarship and service in health care. (Professional Identity)

Advocates for positive health outcomes through compassionate, evidence-based, collaborative advanced nursing practice. (Extraordinary Nursing)

Course Outcomes

Chamberlain College of Nursing courses are built to align course content with specific Course Outcomes (COs). The COs define the learning objectives that the student will be required to comprehend and demonstrate by course completion. The COs that will be covered in detail each week can be found in the Overview page in that particular week. Whenever possible, a reference will be made from a particular assignment or discussion back to the CO that it emphasizes. NR 507 Cardiovascular Cellular and Hematologic Disorders

Upon completion of this course, the student will be able to do the following.

Analyze pathophysiologic mechanisms associated with selected disease states across the lifespan. (PO 1) 1, 8

Examine the way in which homeostatic, adaptive, and compensatory physiological mechanisms can be supported and/or altered through specific therapeutic interventions across the lifespan. (PO 1) 1, 5, 8

Distinguish risk factors associated with selected disease states across the lifespan. (PO 1) 2, 3, 4, 5, 6, 7, 8

Integrate advanced pathophysiological concepts in the diagnosis and treatment of health problems in selected populations. (PO 1) 2, 3, 4, 5, 6, 7

Relate research findings to the management of patients with complex pathophysiologic dysfunction. (PO 1) 2, 3, 5, 6, 7, 8