NSG 4055 Week 1 discussion
NSG 4055 Week 1 discussion
NSG 4055 Week 1 discussion
Week 1 Discussion: Topic 2
Heart failure is a complex syndrome caused by various primary and secondary causes and shared pathways of disease progression. Heart failure in a 12-year-old is commonly attributed to coexistent congenital heart disease, with different risks based on the particular type of malformation. The patient has a trajectory of illness that manifests with an overall gradual decline in function interposed by periods of symptom exacerbation followed by a return nearly to their baseline. Heart failure can result in characteristic signs and symptoms, such as poor growth, respiratory distress, feeding difficulties, exercise intolerance, and fatigue (Proudfoot et al., 2019). Pulse wave velocity and carotid artery stiffness are strong predictors of heart failure in 12-year-old.
Heart failure trajectory in elderly patients is punctuated by multiple exacerbations, and the prognosis is usually difficult to estimate. A 75-year-old with heart failure would experience fatigue and shortness of breath on mild exertion (McClung, 2017). One may also experience feelings of increasing pain, anxiety, and depression. The patient has long-term limitations on function with intermittent exacerbations (McClung, 2017). The exacerbations are managed by rescue treatment and often followed by a return to nearly the prior functional status.
Engaging in physical activity during early childhood has favorable effects on trajectories of cardiovascular fitness, arterial stiffness, and blood pressure over three years. Consequently, the plan of care for a 12-year-old should include involving the patient in moderate exercises to improve cardiovascular fitness (Proudfoot et al., 2019). A 75-year-old is at risk of developing complications from heart failure. The patient would require a comprehensive advance care plan documenting an agreement among the patient, family members, and the care team on what should happen if there are complications (McClung, 2017). The care plan should also include teaching the patient on early detection and management of symptoms and exacerbations.
Week 1 Discussion
Based on the research, which factor social isolation or stigma have the greatest impact on a patient living with chronic illness? Why?
Contrast at least two ways these factors would affect a 12-year-old with the way they would affect a 75-year-old.
Consider a 12-year-old and 75-year-old have one of the following illnesses:
Describe the chronic illness trajectory for the selected illness based on the patient’s age.
How does the chronically ill patient’s illness trajectory influence the plan of care?
There are many factors that affect chronic illness—chronic pain, stigma, social isolation, altered mobility, or fatigue. Utilizing your learning from your readings and the South University Online Library resources,
respond to one the following questions:
Based on the research, which of these factors have the greatest impact on a patient? Why? Contrast at least two ways the factors would affect a twelve-year-old with the way they would affect a seventy-five-year-old.
Consider the twelve-year-old and the seventy-five-year-old have a chronic illness. How does the chronically ill patient’s illness trajectory influence the plan of care?
Review Healthypeople.gov website. Discuss how you feel these goals will impact the health of the nation. Briefly discuss how you could incorporate these goals/objectives into your day-to-day nursing practice.
Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.
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