Summarize Hypertension and Cardiomyopathy in terms of etiology, pathogenesis, clinical picture, diagnosis, and pathophysiologic rationale of treatment.

The 5 General Topics of Disease Summary

1. Etiology & risk factors

2. Pathogenesis: The molecular mechanism of the disease process (How the disease process evolves)

3. Clinical Picture: Signs& Symptoms, Sequelae, and Complications

4. Diagnosis: Labs & tests (as well as screening tests and follow-up tests whenever applicable)

5. Pathophysiologic rationale of treatment

 

Hypertension

Etiology: Causes of secondary hypertension. Risk factors for essential hypertension.

Pathogenesis: Molecular mechanisms involved in the development of essential hypertension

Clinical Picture: Mostly no symptoms. Complications of hypertension and their manifestations.

Diagnosis: of hypertension as well as its complications.

The pathophysiologic rationale of treatment: Lifestyle changes as well as pharmacologic agents.

Cardiomyopathy

Types: Dilated cardiomyopathy. Hypertrophic cardiomyopathy. Restrictive cardiomyopathy.

Pathogenesis: The cellular/molecular mechanisms involved in the development of cardiomyopathy.

Clinical Picture: of general cardiomyopathy and characteristic signs and symptoms of each type.

Diagnosis: Tests used to confirm diagnosis.

The pathophysiologic rationale of treatment:

 

 

 

 

This is the textbook information McCance, K.L., Huether, S. E. (2018) Pathophysiology: The Biological Basis for Disease in Adults and Children. (8th Ed) St. Louis, MO. Elsevier Mosby ISBN-13: 978-0323583473 ISBN-10: 9780323583473

TED Talk: When Child Abuse is Normal, in this video, Luke Fox attempts to address the questions, “What happens when abuse is all that a child knows?” and “What happens when the system meant to protect children fails?” (18:06)

Questions:

• What emotions did you experience when watching this video?
• What element of the “system” failed Luke and his siblings?  Select one and discuss.
• What is one action you would take as a nurse if you encountered Luke and his siblings in a  healthcare setting?

Which of the following is not one of the four main features of the thinking process? A. Noticing and perceiving information cues and integrating new information B. Common distortions in our thinking habits affect how we perceive and judge others. C. Mental frameworks with stored knowledge guide our thinking. O D. Human thinking is inherently rational and logical. O E. Thinking speed and heuristics create decision biases.

_{The school nurse, Nancy Oswald, is meeting with the school assistant superintendent and a nutritionist to address the concern of childhood obesity.} 

 

_{CASE INTRODUCTION—}

_{In this case, students will assume the role of school nurse and facilitate a system-wide change in a school setting that will target childhood nutrition and childhood obesity. Students will consider concepts including body mass index (BMI) standards and statistics, the system as client, policy change, application of the Public Health Interventions Wheel, interprofessional collaboration, and national initiatives that support changes targeting childhood nutrition and childhood obesity.}

 

_{Case Part 1 (text):As part of a district-wide initiative, school nurses and other Circle County School District personnel have decided to target childhood nutrition and childhood obesity during the upcoming academic year. The district recently conducted BMI screenings on students to identify the numbers of underweight, normal weight, overweight, and obese children in the district. The BMI scores for Circle County students are higher than the national averages: Approximately 22% of these students have a BMI greater than or equal to 95%, according to the BMI reference standards of the Centers for Disease Control and Prevention (CDC).}

 

_{Case Part 2 (video):The school nurse, Nancy Oswald, is meeting with the school district assistant superintendent and the school’s nutritionist to address the concern of childhood obesity in the district. Nancy must facilitate collaboration and a shared understanding of their joint goal: promoting healthy habits in children in order to decrease the rate of childhood obesity in Circle County Schools.} 

 

1. _{How do these rates compare with national averages? How do they compare with Healthy People 2020 goals?}

Describe a potential case scenario involving a MSN-prepared nurse in Nursing Informatics. Within the scenario, identify a specific problem which needs to be addressed. Examples might include a new curriculum, change in the EHR, decreasing patient satisfaction rates, safety risks, or another situation which impacts your future MSN role.

Discuss how Kotter’s Change Model would be applied in your recommended change initiative and its intended potential impact.

Identify one specific leadership strategy to facilitate change, and describe how it is congruent with Kotter’s Change Model and may affect your future role.