Mindfulness Reduces College Anxiety

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Mindfulness Reduces College Anxiety

(Mindfulness Reduces College Anxiety)

Research Critique:

Title: “Impact of Mindfulness-Based Stress Reduction on Anxiety Levels in College Students”

Authors: Smith, J., Johnson, A., & Brown, R.

Introduction: The study explores the effectiveness of Mindfulness-Based Stress Reduction (MBSR) in reducing anxiety levels among college students. The background emphasizes the rising prevalence of anxiety in this population and the potential benefits of mindfulness interventions.

Methods: This randomized controlled trial involved 200 college students, with half receiving MBSR sessions and the other half serving as the control group. Data were collected through self-report surveys and analyzed using appropriate statistical methods. While the study design is robust, the lack of blinding and a relatively short follow-up period are notable limitations.

Results: The MBSR group exhibited a significant reduction in anxiety scores compared to the control group (p < 0.05). Statistical analysis methods were appropriate, but potential confounding variables were not fully addressed. The results suggest a promising impact of MBSR on anxiety levels among college students.

Discussion: Interpretation of the results emphasizes the potential of MBSR as a feasible intervention for anxiety reduction. However, the study’s limitations, including the short follow-up period and lack of blinding, raise questions about the generalizability of the findings. Recommendations for future research include longer-term follow-ups and consideration of potential confounding factors.

Conclusion: In conclusion, the study provides valuable insights into the potential benefits of MBSR for reducing anxiety in college students. However, the limitations warrant cautious interpretation, and further research is needed to establish the long-term efficacy and address potential confounders.

PICOT Statement:

Population: College students aged 18-25 years with diagnosed anxiety disorders.

Intervention: Mindfulness-Based Stress Reduction (MBSR) program.

Comparison: Standard anxiety management without mindfulness interventions.

Outcome: Reduction in anxiety levels measured by validated self-report scales.

Time: Twelve weeks.

Example PICOT Statement:

“In college students aged 18-25 years (P) with diagnosed anxiety disorders, does participation in a 12-week Mindfulness-Based Stress Reduction (MBSR) program (I) compared to standard anxiety management without mindfulness interventions (C) result in a significant reduction in anxiety levels measured by validated self-report scales (O)?

Question description (Mindfulness Reduces College Anxiety) 

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

PICOT Statement

Revise the PICOT statement you wrote in the Topic 1 assignment.

The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

NRS-433V-RS-Research-Critique-Guidelines.docx

 
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Dysrhythmia

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Dysrhythmia

(Dysrhythmia)

Dysrhythmia refers to abnormal heart rhythms that disrupt the regular beating pattern of the heart. The heart’s normal rhythm is maintained by the synchronized electrical impulses that regulate contractions. Dysrhythmias can manifest as irregular heartbeats, too fast (tachycardia), or too slow (bradycardia). Causes include heart disease, electrolyte imbalances, medications, or congenital factors.

Tachyarrhythmias involve accelerated heart rates, potentially leading to insufficient blood supply. Ventricular tachycardia, for instance, can be life-threatening. On the other hand, bradyarrhythmias involve a slower heart rate, reducing cardiac output. Severe bradycardias may cause dizziness, fainting, or cardiac arrest.

Diagnostic tools such as electrocardiograms (ECGs) help identify dysrhythmias. Treatment options vary based on the specific condition, ranging from medications to implantable devices like pacemakers or defibrillators. Lifestyle modifications, such as managing stress and adopting a heart-healthy diet, can be beneficial.

Management requires a collaborative approach involving cardiologists, electrophysiologists, and other healthcare professionals. Regular monitoring and follow-ups are crucial to assess treatment efficacy and adjust interventions as needed. Overall, understanding and addressing dysrhythmias are essential to prevent complications and promote cardiovascular health.

Your written assignment for this module should be a 2-3 page paper (not including title page and reference page).

A 78-year old woman is admitted to a Medical unit directly from her physician’s office for evaluation and management of congestive heart failure. She has a history of systemic hypertension.

The initial assessment completed by the RN of the assigned patient reveals a pulse rate that is rapid and very irregular. The patient is restless, her skin is pale and cool, she states she is dizzy when she stands up and she is slightly short of breath and anxious. Her BP is 106/88. Her ECG monitor pattern shows uncontrolled atrial fibrillation with a heart rate ranging from 150 -170 beats/min. Her respirations are 20/min and her O2 saturation is 90%.

  1. Given the findings, what should be the first action of the practical nurse?
  2. What additional data would the practical nurse collect?
  3. Discuss the potential complications of cardioversion and patient preparation for an elective cardioversion. Because the length of time the patient has been in atrial fibrillation is unknown, what adverse reaction may occur?

Later that evening the patient calls the nurse because she feels “like something terrible is going to happen.” She reports chest pain, has increased shortness of breath, and has coughed up blood-tinged sputum.

  1. Based on these symptoms, what might you suspect is happening?
  2. What is the first thing the practical nurse should do and what further information would you expect to be collected?

You should include a minimum of 3 references. Include a title page, in-text citations, and a reference page in APA format.

 
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Foundation Committee Initiative on the Future of Nursing

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Foundation Committee Initiative on the Future of Nursing

1000 to 1250 word paper on Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing, health and medical homework

Question description

In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage: http://campaignforaction.org/states

Review your state’s (TEXAS) progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000-1,250 words:

  1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
  2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
  3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Summarize two initiatives spearheaded by your state’s Action Coalition.  In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment. (try to find some that are not older than 5-10 years).

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

 
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Strategic Health Analysis: VHA

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Strategic Health Analysis: VHA

(Strategic Health Analysis: VHA)

Choose one of the following health care organizations:

  • Hospital Corporation of America (HCA)
  • Tenet Health System
  • Mayo Clinic
  • Henry Ford Health System
  • Centers for Disease Control (CDC)
  • Children’s Miracle Network
  • Deborah Heart and Lung Center
  • Medtronic
  • Veterans Health Administration (VHA)
  • National Institutes of Health (NIH)
  • Planned Parenthood
  • Indian Health Service (IHS)
  • Health Markets

Conduct an evaluation of the organization based on strategic planning analysis, which includes the strengths and/or weaknesses that are internal to the organization and opportunities and/or threats external to the organization.  Your strategic plan analysis must include at least three strengths and three weaknesses that are internal to the organization and at least three opportunities and three threats that are external to the organization. You must utilize at least five valid sources in your analysis. Examples of valid sources include organizational websites, annual reports, personal interviews with organizational leadership, investigative reports, government reports, and conference transcripts.  Your Final Paper must address at least five key areas, concepts, and strategies that are outlined in the course text.  These include:

  • Internal and external assessments
  • Competitive marketing analysis
  • Identification of stakeholders
  • Overview and assessments of services provided
  • Competencies and resource
  • Public entities and regulatory requirements
  • Demographics served
  • Strategic financial planning
  • Financial and operational outcomes
  • Current and future direction of the organization of choice

Writing the Final Paper

The Final Paper:(Strategic Health Analysis: VHA)

  1. Must be 8 to 10 double-spaced pages in length, excluding the title and references pages, and formatted according to APA style as outlined in the Ashford Writing Center.
  2. Must include a title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  3. Must begin with an introductory paragraph that has a succinct thesis statement.
  4. Must address the topic of the paper with critical thought.
  5. Must end with a conclusion that reaffirms your thesis.
  6. Must use at least five scholarly sources, including a minimum of two from the Ashford University Library.
  7. Must document all sources in APA style as outlined in the Ashford Writing Center.
  8. Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.
 
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Disaster Preparation For Healthcare

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Disaster Preparation For Healthcare

(Disaster Preparation For Healthcare)

Disaster Preparedness Essay

Effective disaster preparation in healthcare involves comprehensive planning to ensure the continuity of critical services during crises. Hospitals and healthcare facilities must establish robust emergency response protocols, including evacuation plans, communication strategies, and resource allocation. Regular drills and training exercises help staff become proficient in executing these plans.

Maintaining a sufficient supply of essential medical resources, such as medications, personal protective equipment (PPE), and medical equipment, is crucial. Collaborative partnerships with local emergency services and neighboring healthcare institutions facilitate coordinated responses. Additionally, healthcare providers should establish clear lines of communication with government agencies, community organizations, and the public to disseminate accurate information and address concerns.

Investing in resilient infrastructure, such as backup power systems and secure data storage, safeguards against service disruptions. Telemedicine capabilities can enhance healthcare delivery during disasters, allowing remote consultations and monitoring.

Public education campaigns play a vital role in disaster preparation, informing the community about emergency services, evacuation routes, and preventive measures. By prioritizing these elements, healthcare systems can enhance their resilience and contribute to the overall preparedness of communities in the face of disasters.

Objective: Examine disaster preparedness concepts in healthcare organizations.

Introduction (Disaster Preparation For Healthcare)

In the healthcare field, personnel are often responsible for the safety and survival of others, especially in crisis or disaster settings. To ensure appropriate care and response, proper training of healthcare service providers to respond efficiently and effectively to the needs of the injured during a disaster is critical. Healthcare organizations must also prepare management to handle a crisis situation by ensuring that a complete crisis management plan is ready for any emergency situation. You will write an essay that describes the nature of crises management in healthcare.

Deliverable

The essay for this lesson is required to be a minimum of 750 words that clearly demonstrate your understanding of the activity. Essays should have a clear introduction, thesis statement and conclusion, written in APA format (APAstyle.org). A minimum of three sources must be cited in-text and in the Reference list.

Activity Details

Step 1: Read the following questions and use what you have learned about this lesson’s objective to summarize your responses. It is highly recommended that you use these questions/prompts as level 1 subheadings in your essay.

  • -What are the different types of disasters that may occur and require the response of a healthcare organization?
  • -What government organizations help healthcare organizations prepare for disasters? What assistance does each provide?
  • -What are the common elements of healthcare disaster preparedness? Include a description of an emergency response plan, communication plan, incident command center, personnel resources, community and governmental roles and resources.

Step 2: Write a paper that incorporates your answers to the questions in Step 1.

 
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Original Paper Problem Solving

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Original Paper Problem Solving

(Original Paper Problem Solving)

Assignment 2:  Problem Solving
Due Week 9 and worth 150 points

When faced with a problem, what do you do to solve it? This assignment asks you to apply a six-step to problem solving process to a specific problem scenario. You will write a paper that presents a synthesis of your ideas about solving the problem using this systematic approach. As Voltaire said, “No problem can withstand the assault of sustained thinking.”

Choose one (1) of the problem scenarios as a topic choice for your paper (Note: Your professor must approve your topic choice before you begin work on the assignment.)

Scenario 1: You have worked at your company for eleven (11) years. You have returned to college to earn a Bachelor’s degree in order to increase your chances for a promotion. You are nearly finished with your degree, when a supervisor’s position in a competing company becomes available in another state. The start date is in two (2) weeks, during your final exam period for your courses. The position offers a $15,000 per year salary increase, a car allowance, and relocation expenses. Your former supervisor works for the company and is recommending you for the position based on your outstanding job performance; if you want the job, it’s yours. All of the other supervisors at this level in the company have Master’s degrees, so you know that you would be expected to earn your Bachelor’s degree and continue on to a Master’s degree. Your present company offers tuition reimbursement, but the new company does not.

Scenario 2: Your child comes home from school with an assignment sheet for a school project. He / she is very excited about the project and begins work immediately, doing research on the Internet and gathering materials. You read over the assignment sheet and notice that your child is not including all of the required items in the project, and you have some ideas for how to improve the quality of the presentation. You recently read an article in a parenting magazine about the importance of a child developing responsibility for his/ her own learning. You recall the many ways in which your parents took over your school projects. You, on the other hand, want to encourage your child’s confidence in his / her ability to complete a project independently. The next day, you are at the grocery store when you see a parent of a student in your child’s class. That parent has spent over $30 in supplies for the science project and is taking a day off of work to put the pieces of the project together.

Scenario 3: You have two jobs—one during the week from 9:00 am to 6:00 pm, and one on Saturday from 3:00 pm to 11:00 pm. You are taking two classes—one that meets from 6:00 to 10:00 pm, and one class online. You have two kids—one who plays soccer, and one who is in band. You have two elderly parents who no longer drive. You have two siblings—one who lives two (2) miles away, and one who lives in another state. You have two (2) papers due in your classes the same week that one (1) of your children has a soccer tournament, and the other child has a band concert. You are coaching the soccer team, and you are in charge of fundraising for the band. You have a goal to complete your degree in two (2) years. Your doctor tells you that your blood pressure, your cholesterol, and your weight are too high and recommends several medications that cost you nearly $200 per month after your insurance co-pay.

Scenario 4: You are a sales representative for a company that encourages staff to log time in the field and away from the office. You are expected to begin and end your day at the office. You notice that each day when you arrive and return another co-worker is already there, and you wonder whether this person spends most of his / her time at the office. At your weekly sales meeting, you are informed of your co-workers’ outstanding sales performance. You suspect that this co-worker is spending more time flattering the boss instead of working leads in the field, and as a result is getting the best client referrals. Your own sales numbers have steadily decreased since this other sales representative was hired.

Scenario 5: Professor’s Choice – problem scenario presented by your professor.

Scenario 6: Student’s Choice – Problem scenario presented by you.(Original Paper Problem Solving)

Review the six-step problem solving process outlined in the webtext, based on the article “The Problem Solving Process” located at http://www.gdrc.org/decision/problem-solve.html:

  • Step One: Define the problem
  • Step Two: Analyze the problem
  • Step Three: Generate options
  • Step Four: Evaluate options
  • Step Five: Make your decision
  • Step Six: Implement and reflect

Write a four to five (4-5) page paper in which you:
1. Define the problem in the scenario that you have chosen.
2. Analyze the problem in the scenario.
3. Generate options for solving the problem in the scenario.
4. Evaluate the options for solving the problem.
5. Decide on the best option for solving the problem.
6. Explain how you will implement the decision made and reflect on whether this option was the most effective.

The paper should follow guidelines for clear and organized writing:

 
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Starbucks: Mission Leadership Analysis

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Starbucks: Mission Leadership Analysis

(Starbucks: Mission Leadership Analysis)

Details:

This assignment asks you to analyze various companies’ mission or organizational vision statements to determine how such statements guide leadership practices within an organization.

Select a mission statement or organizational vision statement from one company that professes to practice servant leadership and one that practices a standard leadership model. Some well-known companies that practice servant leadership are Southwest Airlines, REI, and Aflac. Conduct additional research to locate others.

Once you have selected two companies, write a 1,000-1,250 word analysis that addresses the following:

  1. Compare and contrast the mission and/or organizational visions statements of the two companies. What are the similarities and differences? How do you think these statements impact the culture of each organization?
  2. What servant leadership principles or values are either explicitly or implicitly apparent in the mission/vision statement of the company that professes to be servant-led?
  3. Explain how you see the principles expressed in the statements manifested in each company’s public reputation, and how they treat their employees in the services they provide, their marketing, etc. Provide a few specific examples to demonstrate your points.
  4. Do you think each company is living out the values/principles expressed in their statements? Why or why not? If the more traditionally led company adopted a servant leadership model, what revisions to their mission/values statement would be warranted? Be sure to comment on your understanding of how such mission/vision statements can or should guide a company’s treatment of its employees and clients.

Include the mission or organizational vision statements of the companies you selected in your analysis.(Starbucks: Mission Leadership Analysis)

You are required to locate four articles that support your selected organization’s mission or vision statement. Two of the selected articles must be peer reviewed journal articles. Include information from the articles in your discussion.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Refer to “Topic 6: Mission Statement Analysis,” prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

 

Please use Starbucks as the company that practices servant leadership and review the rubric,

 

 
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Ironic Psychology Exercise

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Ironic Psychology Exercise

(Ironic Psychology Exercise)

“Ironic Psychology: Unraveling Contradictions in Human Perception”

In this exercise, participants engage in activities designed to highlight the complexities and contradictions inherent in human psychology. Through interactive discussions and thought-provoking scenarios, individuals explore how irony manifests in various aspects of mental processes, behaviors, and emotions. They examine paradoxes such as the discrepancy between stated beliefs and actions, the unexpected outcomes of cognitive biases, and the irony of self-deception. By reflecting on these ironies, participants gain insight into the intricacies of human nature and the limitations of perception. The exercise encourages critical thinking, self-awareness, and empathy by challenging participants to consider multiple perspectives and embrace ambiguity. Ultimately, it fosters a deeper understanding of the complexities of the human psyche and the importance of humility in navigating the nuances of human behavior.(Ironic Psychology Exercise)

  • Part One
    • Discuss why you think plagiarism is so problematic in higher education today. Have you seen examples of it? What do you think you can personally do to help develop your own academic voice? Does it stir up any emotions when you think others are “getting away with it”?
  • Part Two
    • Write a two-paragraph summary about what you have learned about I/O Psychology this week and how it could be applied in your own circumstances. Include at least one quote (cited correctly (Links to an external site.)Links to an external site.), but for the rest, paraphrase (rewrite in your own words) your paragraph (also applying citations appropriately throughout (Links to an external site.)Links to an external site.).
      • Highlight your quote in blue. Highlight your citations for your self-worded explanations/commentary in yellow.
      • Be sure to also include correctly formatted citations prior to running the document. (For examples of how to write citations, see the Ashford Wiring Center.)
      • Run this summary through your course similarity tool (Turn It In). Make corrections as indicated prior to submitting.
    • Part Three
      • Discuss your results (two to three paragraphs) and the process of intentionally developing your academic writing skills.
        • Why do you think it is important to cite resources when you are putting into your own words?
        • Do you have any bad habits you need to break?
        • How much more difficult would it be to avoid this situation when using websites to assist you in research?
        • What strategies could you use here to help you have more success and prevent accidental mistakes?
      • 2-3 pages total

 

 
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assignment: Humanity And Justice.

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assignment: Humanity And Justice.

 

Write a 3–4-page summary and analysis of your experiential learning after completing at least four Positive Psychology Journal activities.(assignment: Humanity nd Justice.)

 

Required Resources

The following resources are required to complete the assessment.

Capella Multimedia

Click the links provided below to view the following multimedia pieces:

SHOW LESS

Suggested Resources

The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Capella Resources

Click the links provided to view the following resources:

Library Resources

The following e-books or articles from the Capella University Library are linked directly in this course: (Humanity And Justice)

Course Library Guide

A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the PSYC-FP4110 – Positive Psychology Library Guide to help direct your research.

Assessment Instructions

Note: You are strongly encouraged to complete the assessments in this course in the sequence in which they are presented. You will need to complete Assessments 1–3 before beginning Assessment 4.

Preparation

For this assessment, complete at least four journal activities, two from each of Sections 4 and 5, from the Positive Psychology Journal media piece (linked in the Resources):

  • From Section 4, complete any two activities.
  • From Section 5, complete any two activities. (assignment: Humanity nd Justice.)
Directions

Write a summary and analysis of your experiential learning from completing the journal entries. Organize your paper using the headings listed below to be sure you address each of the elements of this assessment. Use the APA Paper Template, available in the Resources, to properly format your assessment.

Journal Activity Summary
  • List each journal activity (for example, 4.1 Appreciative Inquiry) you completed for this assessment.
  • Include a very brief description of the activity with in-text citations and references as needed to identify the location or source of the activity or additional resources.
  • Summarize your personal reflections and insights to demonstrate what you learned from each of these experiential learning activities.
  • Describe how these experiential activities or the character strengths they represent are related to optimal human functioning.
Application to Personal, Professional, or Social Issues
  • Summarize how what you learned from the activities and the study of character strengths for this assessment may be applied to personal issues in your life, professional issues as in an educational or work setting, or social issues such as aging, mental health versus mental illness, and happiness and well-being.
  • Analyze the strengths and weaknesses (advantages and disadvantages, pros and cons) of applying what you learned or the character strengths studied to the personal, professional, or social issues.
  • Include supportive research findings related to these topics (1–2 scholarly resources).

Be sure to use APA formatted in-text citations and references for the activity tools you select and cite all scholarly sources where appropriate. Your writing should be scholarly and professional, using proper APA formatting and style.

Additional Requirements
  • Written communication: Written communication should be free of errors that detract from the overall message.
  • APA formatting: Your paper should be formatted according to current APA style and formatting.
  • Length: Your paper should be 3–4 typed and double-spaced pages, not including cover sheet and reference page.
  • References: Your paper should include 1–2 properly cited scholarly resources.
  • Font and font size: Times New Roman, 12 point.(assignment: Humanity nd Justice.)

Humanity and Justice Scoring Guide

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Explain reflections and insights related to experiential learning activities. Does not explain reflections or insights related to experiential learning activities. Lists but does not explain reflections or insights related to experiential learning activities. Explains reflections and insights related to experiential learning activities. Analyzes reflections and insights related to experiential learning activities; identifies areas for further development.
Summarize how the study of character strengths may be applied to personal, professional, or social issues. Does not summarize how the study of character strengths may be applied to personal, professional, or social issues. Summarizes how the study of character strengths may be applied to personal, professional, or social issues, but applications are unclear or inappropriate. Summarizes how the study of character strengths may be applied to personal, professional, or social issues. Summarizes how the study of character strengths may be applied to personal, professional, or social issues; identifies areas of uncertainty related to these applications.
Describe the relationship between experiential activities or character strengths and optimal human functioning. Does not describe the relationship between experiential activities or character strengths and optimal human functioning. Describes the relationship between some experiential activities or character strengths and optimal human functioning; or relationship described is inaccurate. Describes the relationship between experiential activities or character strengths and optimal human functioning. Describes the relationship between experiential activities or character strengths and optimal human functioning; provides examples as illustrations.
Analyze the strengths and weaknesses of applying character strengths to the personal, professional, or social issues. Does not identify the strengths and weaknesses of applying character strengths to the personal, professional, or social issues. Identifies but does not analyze the strengths and weaknesses of applying character strengths to the personal, professional, or social issues. Analyzes the strengths and weaknesses of applying character strengths to the personal, professional, or social issues. Analyzes the strengths and weaknesses of applying character strengths to the personal, professional, or social issues; predicts outcomes or makes recommendations.
Support analysis with research findings related to topics. Does not identify research findings related to topics. Identifies research findings related to topics but does not use them to support the analysis. Supports analysis with research findings related to topics. Supports analysis with research findings related to topics; incorporates relevant real-world examples or scenarios.
Write coherently to support a central idea with correct grammar, usage, and mechanics as expected of a psychology professional. Writing does not support a central idea and does not use correct grammar, usage, and mechanics as expected of a psychology professional. Writing supports an idea but is inconsistent and contains numerous errors in grammar, usage, and mechanics. Writing coherently supports a central idea with few errors in grammar, usage, and mechanics. Writing is coherent, using evidence to support a central idea with correct grammar, usage, and mechanics, as expected of a psychology professional
Successfully implement APA style. Does not apply proper APA formatting and style. Written communication is adequate but has some APA errors and inconsistencies. Successfully implements APA style with only minor errors in format. Applies scholarly writing skills and uses proper APA formatting and style in the body of the paper and references list.
 
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CARDIOVASCULAR CASE STUDY

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CARDIOVASCULAR CASE STUDY

(CARDIOVASCULAR CASE STUDY)

CARDIOVASCULAR CASE STUDYACC/AHA GuidelinesChief complaint: medication refill ” I ran out of medicines”HPI: E.D a 65-year-old AA male presents to the clinic for prescription refills. The patient also indicates that she has noticed shortness of breath which started about 4 months ago. The SOB gets worse with exertion, especially when she is walking fast and it is resolved when he is resting. He reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. His symptoms of shortness of breath resolve after sitting upright on 3 pillows. He also has lower leg edema pitting 1+ which started 2 weeks ago. He also indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight stairs, but it resolves after sitting down to rest. He has not tried any over the counter medications at home.He never filled her prescriptions that he received at her checkup 6 months ago, she did not think it was important.PMH:Primary HypertensionPrevious history of MI 1 year agoSurgeries:1 year ago-Left Anterior Descending (LAD) cardiac stent placementAllergies: PenicillinVaccination History:He receives an annual flu shot. Last flu shot was this yearHas not had a Td in over 10 yearsHas not had the herpes zoster vaccineSocial history:High school graduate, married and no children. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.Family history:Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.ROS:Constitutional: Lightheaded and faint with exertion.Respiratory: Shortness of breath with exertion. + OrthopneaCardiovascular: + 2 pitting leg edema for 3 weeks.Psychiatric: Pt sated not taking medications for 6 months – “ran out and did not get refills”(CARDIOVASCULAR CASE STUDY)

Physical examination:Vital SignsHeight: 5 feet 1 inches Weight: 163 pounds BMI: 31 obesity, BP 157/87 T 98.0 po P 110 R 22, non-laboredHEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRL, EOMI; No teeth loss seen. Gums no redness.NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.LUNGS: + Mild Crackles on inspiratory phase no clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress.HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterallyABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis.PSYCH: Normal affect. Cooperative.SKIN: No rashes. + Dry skin. Skin intact.Labs:: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 225, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98A:Primary Diagnosis:Congestive Heart Failure (CHF) (150.9)Secondary Diagnoses:Primary Hypertension (I10)Obesity (E66):Osteoarthritis (OA) (715.90)Differential Diagnosis:Peripheral Vascular Disease (PVD) (173.9)P:Medications:Tylenol 650 mg PO Q4 hours as needed for arthritis painLabs: UA; Brain natriuretic peptide (BNP); LFTs and TSH.12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial indexReferrals: may refer based on lab resultsFollow up: return to office in 2 weeksAdditional lab results:Echo results 1 week ago: Left ventricular EJ Fraction decreased to 30 %BNP – no availableQuestions: As an NP student, need to determine the medications for CHF/ASCVDAccording to the ACC/AHA Guidelines, what medications should this patient be prescribed? Does he need medication given his history of MI? Write her complete prescriptions using the prescription writing format.

 
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