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Develop strategies to provide holistic healthcare with clients with disorders of the cardiovascular system, recognizing the patient or designee as a full partner in decision-making..

Advanced Organizer (682)

Paper details:
Workshop One 1.4 Advanced Organizer Dropbox

1.4: Dropbox
Introduction and Alignment
The Advanced Organizers (AOs) serve as a source of current information for not only the student writing the AO but the other students in the class. This helps the student completing the assignment to succinctly summarize complex evaluation and management information. It also helps the rest of the students to gain information and insight into commonly seen primary care conditions.

Upon successful completion of this assignment you will be able to:
1. Discuss management of clients experiencing acute and chronic disease states of the cardiovascular system using evidenced-based standards of practice.
2. Develop strategies to provide holistic healthcare with clients with disorders of the cardiovascular system, recognizing the patient or designee as a full partner in decision-making.
3. Critique use of advanced technical skills in care of the client with cardiovascular disease states required for the advanced practice nurse.
4. Apply evidenced-based health promotion practices for patients with cardiovascular disease states into the care of clients.
5. Design client management plans for clients with cardiovascular disease states that include appropriate community resources.
6. Address ethical-legal issues relevant to client and provider systems related to
cardiovascular disease management
Resources
? Lexicomp Software
? Course required and suggested texts
? Dunphy, L.M.,Winland-Brown, J. E., Porter, B. O., Thomas, D. J. ( 2011). Primary Care: the art and science of nursing, 3rd Edition. FA Davis Company, Philadelphia.
? Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., Blosser, C. G. (2013). Pediatric primary care, 5th edition. Elsevier Sanders, Philadelphia.
? Winland-Brown, J. E. & Dunphy, L. M. (2013). Adult-gerontology and family nurse practitioner certification exam review questions and strategies, 4rth edition. F.A. Davis, Philadelphia.
? Other professional sources as described in the syllabus
? High quality internet sources, such as current clinical guidelines from professional organizations or recommendations from government sources such as CDC or AHRQ. Be sure to use the section of the website for professionals, not the section for consumers
? High quality consumer websites may be used to discuss patient education information resources ONLY, not diagnostic or treatment options
? Other appropriate texts and resources, not to include undergraduate nursing texts
? See the notes on acceptable resources, found in the course introduction.
Background Information
To avoid duplication, it may be useful to know that the AO Topics for this workshop are:
1. Discuss coronary artery disease, including presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc.
2. Discuss 3 congenital heart conditions commonly seen in pediatrics?discuss presentation, exam, diagnosis and potential treatment options, as well as any potential long term consequences later in childhood that a PCP would need to be aware of
3. Discuss superficial thrombophlebitis, including presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc.
4. Discuss endocarditis prophylaxis: for what conditions is it needed, for what procedures, with what agents, dosages, first line, second line etc.
5. Discuss DVT in the adult, including presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc.
6. Discuss evaluation of intermittent chest pain, from a primary care outpatient office perspective, including history, physical exam, differential diagnoses, and diagnostic testing. Assume the pain is not present at the time of the visit.
7. Discuss evaluation of palpitations, including presenting symptoms, differential diagnoses, and diagnostic testing.
8. Discuss evaluation of syncope and near-syncope from a primary care outpatient office perspective, including presenting symptoms, diagnostic criteria, differential diagnoses, prognosis, potential complications, patient education etc.
9. Discuss atrial fibrillation from a primary care perspective, rather than from an emergency management perspective. Include presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc.
10. Discuss sick sinus syndrome (tachy-brady syndrome) and supraventricular tachycardia, including presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc., from a primary care perspective.
11. Discuss evaluation of heart murmurs in primary care in general, including the criteria for a murmur to be considered ?innocent?, and discuss Mitral Valve Prolapse in detail, including presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc.
12. Discuss peripheral arterial disease (PAD), including presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc.
13. Discuss chronic venous insufficiency, including presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc.
14. Discuss metabolic syndrome, including presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc.
15. Discuss congestive heart failure (CHF) treatment guidelines, including presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc.
16. Discuss the types of cardiomyopathy, including screening for them on sports physicals
17. Discuss varicose veins, including presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc.
18. Discuss right sided congestive heart failure, in contrast to left sided failure; epidemiology, differences in the presenting symptoms and signs, diagnosis, treatment, prognosis, and patient education.
Recognize that however many students are in your cohort, normally that is how many of the topics will be covered, in that order. So if you have 17 students in your cohort, topics 1-17 will be discussed; if you only have 14, then only topics 1-14 will be covered.

Instructions
1. Go to Course Home and select Course Forums. Faculty will assign each student a Group: Advance Question set.
2. Go to the Doc Sharing menu tab (top row) to find your assigned Group Room: Student Advanced Organizer Questions. One question will be answered in the corresponding workshop week.
3. Comprehensively answer Question #1 assigned by faculty. Comprehensive means that the reader would know how to treat that condition based on the information in the AO. If the topic is too broad to achieve that objective, then give an overview and focus on one or more smaller portions of the topic in detail. If you have questions about how to focus the AO, email your course faculty and they can make suggestions. If you still cannot include what the reader would need to know to manage that patient, even with narrowing the topic, then explain what else a primary care provider would need to know, referrals they would need to make, additional resources they need to access in order to be prepared to diagnose and manage that condition. The focus of the AO is on practical, clinically relevant information a primary care provider needs to diagnose and manage the condition.
4. The paper should be two to three pages in length, depending on the topic.
5. A minimum of three references must be used, and one of those references must be a research study or EBP guideline. While Epocrates and Lexicomp are good point of care sources, they are not intended as in-depth references, and should not your primary source for this paper. Your pathophysiology text can also be a good adjunct, but should also not be your primary reference. Your textbooks for this course can be your primary source, and should be at least one of your sources.
6. Save a copy for yourself and submit a copy of your paper to your instructor via the 1.4 Advanced Organizer Dropbox by the end of the workshop.
7. Submit a copy of this paper to 1.5 Advanced Organizer Discussion by the end of the workshop.
Assessment Criteria
Assessed Item Points
Question answered comprehensively. 25
Minimum of three references. 5
References and citations in correct APA format. 5
Writing style/punctuation/grammar. 5
Total Points 40

QUESTION TO ANSWER
1. Discuss DVT in the adult, including presenting symptoms, diagnostic criteria, differential diagnoses, treatment modalities, prognosis, potential complications, patient education etc.

Develop strategies to provide holistic healthcare with clients with disorders of the cardiovascular system, recognizing the patient or designee as a full partner in decision-making.

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