Premium Essay

Nr 449

In: Other Topics

Submitted By sgreif803
Words 7727
Pages 31
Research and Theory for Nursing Practice: An International Journal, Vol. 25, No. 1, 2011

A Process of Decision Making by Caregivers of Family Members With Heart Failure
Julie Sanford, DNS, RN
University of South Alabama, Mobile

Judith Townsend-Rocchicciolli, PhD, RN
James Madison University, Virginia

Annie Horigan, MSN, RN
Duke University, North Carolina

Pat Hall, PhD, CRNP
Diagnostic Medical Clinic, Mobile, Alabama

Heart failure (HF) is a major cardiovascular problem and the number of people living with HF continues to climb. Throughout the illness continuum, patients and their family caregivers are involved in decision making. As the illness worsens and patients can no longer make decisions, decision making becomes the responsibility of their caregivers who may have little preparation for the role. The purpose of this grounded theory study was to examine how caregivers of family members with HF make decisions. A nonlinear decision-making process consisting of several actions was identified, which included actualizing; seeking input, information, or support; reflecting; choosing; evaluating; and validating the decision.

Keywords: decision making; heart failure; caregiving; grounded theory eart failure (HF), a complex cardiovascular syndrome, is increasing in incidence throughout the world. In 2003, the World Health Organization (WHO) noted that cardiovascular disease accounted for more than 16.7 million deaths (29.2%) of all deaths worldwide with 7.2 million of these deaths attributed to ischemic heart disease. According to the American Heart Association (AHA), almost

H

© 2011 Springer Publishing Company
DOI: 10.1891/0889-7182.25.1.55

55

56

Sanford et al.

6 million Americans have HF with more than 670,000 new patients who are 45 years of age or older diagnosed each year (AHA, 2009). In 2003, the Study Group on HF Awareness…...

Similar Documents

Premium Essay

Nrs 434

...Adult Health History and Examination  ND  Health Assessment and Screening  NRS 434-V  Health History and Examination  LH  Client/Patient Initials: LH Sex: F Age: 47  Occupation: Registered Nurse  Health History/Review of Systems  Neurological System headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, and difficulty swallowing etc., medication): Neurologically JP is intact. Alert ox3 clear speech with no hesitations, c/o headaches and dizziness occasionally, upon arising in the am. She admits being “little stressed to family situations” and rotating shifts (DAYS/NIGHTS). Suggested to seek EAP (Employee Assistance Program) at work  Head and Neck (pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications: LH has full ROM to neck and head, closes her eyes and able to hold her arms and hands out without swaying. LH takes Motrin 800mg for headaches. Motrin (ibuprofen) is a no steroidal anti-inflammatory drug (NSAID). It works by reducing hormones that cause inflammation and pain in the body. This medicine may also cause serious effects on the stomach or intestines, including bleeding or perforation (forming of a hole). These conditions can be fatal and can occur without warning while you are taking Motrin, especially in older adults. Nursing Drug Handbook (2013)  Eyes (eye pain, blurred vision, history of crossed eyes, redness/swelling in eyes, watering, tearing,......

Words: 3076 - Pages: 13

Premium Essay

Nrs-434v | the Health Assessment of Infants

...Summary of Teaching and Learning Interaction On Accident Prevention/Safety Promotion For the Parent of 6 month old Infant Student Name NRS-434V | The Health Assessment of Infants Instructor Name Date Summary of Teaching /Learning Interaction on Accident Prevention/Safety Promotion For the Parent of 6 month old Infant This educational opportunity focused on environmental pesticide exposure to infants. The young lady that was part of the teaching/learning experience is a 20 year old African-American, single parent that completed high school but no college experience. Her daughter is six months old and considered to be healthy in development. For the remainder of this summary, I will use the letters TB in place of the mother’s name and IB for the daughter’s name. I explained the pesticides could enter IB’s body through her skin, lungs, mouth, and her eyes. (Mott, 1997) At 6 months of age, IB’s skin is her largest organ and her skin surface is twice that of an adult per unit of body weight. TB was very adamant that her daughter was not exposed to pesticides. We reviewed the pamphlet and TB saw that IB could be directly exposed to pesticides brought into her home on clothes or exhaled from an adult’s lungs. As we continued to review the pamphlet, she was surprised to learn that some of the pesticides could come from the food that she ate and could have been passed to her daughter even......

Words: 695 - Pages: 3

Free Essay

Nrs 440v

...Running Head: CASE STUDY # 1 Case Study # 1: Anemia Jyothi Malaickal Grand Canyon University Pathophysiology and Nursing Management of Client’s Health NRS 410V January 24, 2015 Case Study # 1; Anemia Anemia is a one of the most common blood condition that affects over 3 million people in the United Sates of America. Nursing case studies benefits the nursing professional in the process of diagnosis, treatment, planning and nursing interventions of patient that they care. It helps the nurses for critical thinking and also to resolve the health problems of patient’s. In the case study provided Ms. A. presents with symptoms of Iron deficiency anemia. Anemia is a medical condition where quality and quantity of hemoglobin and red blood cells (RBC) are decreased, which in turn decreases the oxygen carrying capacity of the blood to the body parts, tissues and organs. The normal level of hemoglobin in male and female are different. In men hemoglobin level less than 13.5gram/100ml and in women hemoglobin level less than 12.0gram/100ml is considered as anemia. The most common causes for anemia are RBC destruction, bone marrow dysfunction, acute, chronic blood loss, and nutritional deficit (Bryan &et al, 2012). Here the author explains and assesses Ms. A. and......

Words: 991 - Pages: 4

Premium Essay

Heritage Assessment Nrs-429v

...Heritage Assessment Brian Kinder Grand Canyon University NRS-429V Shauna Wise Heritage Assessment Introduction The Heritage Assessment Tool is a questionnaire consisting of more than 20 questions. The purpose of this assessment is to help the nurse learn about health and illness beliefs from individuals from different cultures. A heritage assessment was performed on three different persons from different cultural backgrounds. This paper will outline cultural beliefs regarding health maintenance, protection, and restoration as well as any common traits among the three cultures. Mexican The first Interview was with Claudia my neighbor who is from Acapulco, Mexico. She moved to the California about 15 years ago when she was 26. Health is believed to be a balance between hot and cold, having too much of one can interfere with the bodies balance and cause an illness (Smith, 2003). Simple survival is the main focus of health and many Mexicans believe that the ability to get up in the morning and go about daily life is good health (Lipson & Dibble, 2005). Traditionally neither health promotion nor prevention is valued very highly. Therefore, there is a higher amount of chronic diseases such as, diabetes and hypertension that are undiagnosed and untreated. In regards to health maintenance, there is little, problems are dealt with after they arise and not prevented. We also must take into consideration that perceptions of health can vary upon income and educational level...

Words: 1214 - Pages: 5

Premium Essay

Nrs-430v Discussion Questions

...NRS-430V Discussion Questions 6/24/15: Read Lake and von Baeyer's article, “Tips for Successful Students." Also, review the characteristics of a successful student as explained in the lecture. As you consider these, which is your strongest characteristic? Why? How will this characteristic help you to become a successful student in your program of study? Me: My strongest characteristic related to the article "Tips for Successful Students," (Lake and von Baeyer, 2005), include the fact I am a very responsible individual.  When in the classroom setting I always strived to find a seat in the first couple of rows, because I knew I'd benefit from avoiding anonymity - and this stemmed from being responsible and accountable for my self and my own education.  I feel this will help me remain a successful student while transitioning from my RN to my BSN, RN. Lake and von Baeyer. (2005). Tips for Successful Students. Retrieved June 23, 2015, from http://homepage.usask.ca/~clv022/success.htm 6/26/15: What do you look forward to as you begin this educational experience and your personal search for purpose? What is your greatest fear? How can you overcome it? Write about one specific educational experience from your past in which you addressed a fear and overcame it and how you succeeded in this process. Me: I am looking forward to obtaining my Bachelor’s degree.  I am excited everything has gone smooth up to this point transitioning.  My fear, however, is this won’t be...

Words: 1046 - Pages: 5

Premium Essay

Mgt 449 Complete Class

...MGT 449 COMPLETE CLASS To purchase this visit here: http://www.activitymode.com/product/mgt-449-complete-class/ Contact us at: SUPPORT@ACTIVITYMODE.COM MGT 449 COMPLETE CLASS MGT 449 week 1 Individual Assignment Total Quality Pioneers Paper MGT 448 week 1 DQs MGT 449 week 2 Individual Assignment Effects of Quality Management on Domestic and Global Competition Paper MGT 449 week 2 DQs MGT 449 week 3 Team Assignment Strategic Quality Management and Customer Satisfaction Paper MGT 449 week 3 DQs MGT 449 week 4 Individual Assignment Quality Textiles International Scenario MGT 449 week 4 DQs MGT 449 week 5 Team Assignment Quality Improvement Implementation Paper MGT 449 week 5 DQs Activity mode aims to provide quality study notes and tutorials to the students of MGT 449 COMPLETE CLASS in order to ace their studies. MGT 449 COMPLETE CLASS To purchase this visit here: http://www.activitymode.com/product/mgt-449-complete-class/ Contact us at: SUPPORT@ACTIVITYMODE.COM MGT 449 COMPLETE CLASS MGT 449 week 1 Individual Assignment Total Quality Pioneers Paper MGT 448 week 1 DQs MGT 449 week 2 Individual Assignment Effects of Quality Management on Domestic and Global Competition Paper MGT 449 week 2 DQs MGT 449 week 3 Team Assignment Strategic Quality Management and Customer Satisfaction Paper MGT 449 week 3 DQs MGT 449 week 4 Individual Assignment Quality Textiles International Scenario MGT 449 week 4 DQs MGT 449 week 5 Team......

Words: 545 - Pages: 3

Free Essay

Nr 451 Entire Course Devry

...NR 451 ENTIRE COURSE DEVRY To purchase this visit following link: http://www.activitymode.com/product/nr-451-entire-course-devry/ Contact us at: SUPPORT@ACTIVITYMODE.COM NR 451 ENTIRE COURSE DEVRY NR 451 Milestone 1 PICO Evidence Guidelines NR 451 Milestone1 PICO Evidence Worksheets NR451 Milestone 2 Desig _Proposal Interlicchio NR 451 Power Point Presentation- Capstone 1 NR 451 Power Point Presentation- Capstone 2 NR 451 Week 1 and Week 2 Discussions Latest 2015 NR 451 Week 3 and Week 4 Discussions Latest 2015 NR 451 Week 5 and Week 6 Discussions Latest 2015 NR 451 Week 7 Discussions Latest 2015 Activity mode aims to provide quality study notes and tutorials to the students of NR 451 Entire Course DeVry in order to ace their studies. NR 451 ENTIRE COURSE DEVRY To purchase this visit following link: http://www.activitymode.com/product/nr-451-entire-course-devry/ Contact us at: SUPPORT@ACTIVITYMODE.COM NR 451 ENTIRE COURSE DEVRY NR 451 Milestone 1 PICO Evidence Guidelines NR 451 Milestone1 PICO Evidence Worksheets NR451 Milestone 2 Desig _Proposal Interlicchio NR 451 Power Point Presentation- Capstone 1 NR 451 Power Point Presentation- Capstone 2 NR 451 Week 1 and Week 2 Discussions Latest 2015 NR 451 Week 3 and Week 4 Discussions Latest 2015 NR 451 Week 5 and Week 6 Discussions Latest 2015 NR 451 Week 7 Discussions Latest 2015 Activity mode aims to provide quality study notes and tutorials to the students of NR 451 Entire Course DeVry in......

Words: 763 - Pages: 4

Free Essay

Nrs 427v Benchmark Assignment

...Benchmark Assignment: Epidemiology Chickenpox Class: NRS-427V Concepts in Community and Public Health May 11, 2015 (O500) Name: Gulshan Kaur Date: May 25, 2015 What is epidemiology? Epidemiology is the study of a disease that is in a large population. There are many diseases that exist today and existed in the past that health professionals have interfered with and had these diseases come to a halt. Epidemiology isn't fully about the study of the disease itself, but it mostly comes in relation with the processes of the disease. Also not only is it about processes but it also about the cure and the curing of patients of the disease. People that inherent the epidemiological approach, they study the frequency of occurrence of the disease in the population. The epidemiologist has a belief that studying the interactions of the disease it will be possible to change and manipulate some of the determinants involved and reduce the amount of times the disease occurs in the population. One the diseases that provide epidemiologists the opportunity to study the disease and provide intervention is chicken pox. Also known as varicella, chicken pox is a highly contagious disease caused by the initial infection with varicella zoster virus. The disease leaves patients with a characteristic skin rash that forms small, itchy blisters, which scab over. This disease usually starts at the face and then quickly develops to the chest and back and then spreads to the rest......

Words: 1416 - Pages: 6

Free Essay

Nrs 437v

...Applying Ethical Frameworks in Practice Maria Merritt Grand Canyon University Ethical Decision Making NRS-437V Teresa Ortner May 8, 2016 Applying Ethical Frameworks in Practice Case Scenario: A 6-year-old develops a high fever accompanied by violent vomiting and convulsions while at school. The child is rushed to a nearby hospital. The attending physician makes a diagnosis of meningitis and requests permission to initiate treatment from the parents. The child’s parents are divorced. The mother, who is not the biological parent of the child, has primary custody. She is a Christian Scientist who insists that no medical treatment be offered for religious reasons. The biological father, who resides in another state, is also contacted. He insists that treatment be given and seeks independent consultation from another physician. Introduction Nurses and healthcare workers are faced with ethical dilemmas on a daily basis. In order to determine how to address these dilemmas as they arise a systematic approach should be utilized to achieve a reasonable solution to resolve the issue in question. To make ethical decisions there must be a consideration of the problem and values in conflict, persons involved, the potential consequence of the proposed encounter and the moral reasoning practice chosen to resolve the dilemma. Uustal (1993) offers a systematic approach and nine steps to assist in the decision making process as applied to ethical dilemmas in healthcare. Uustal's......

Words: 1470 - Pages: 6

Premium Essay

Nrs-433v All Weeks Discussions

...NRS-433V All Weeks Discussions To purchase this tutorial visit here: http://mindsblow.us/question_des/NRS-433VAllWeeksDiscussions/2857 contact us at: help@mindblows.us NRS-433V All Weeks Discussions NRS-433V Module 1 DQ 1 Identify two areas of nursing practice, which evidence-based practice has improved patient outcomes. State the study and its impact on patient care. How have these findings changed your nursing practice? Please support your response with a minimum of two supporting peer reviewed articles. NRS-433V Module 1 DQ 2 What similarities and differences can you identify between the nursing process and the research process? NRS-433V Module 2 DQ 1 The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Support your answer with current evidence-based literature. NRS-433V Module 2 DQ 2 Nursing research is used to study a dilemma or a problem in nursing. Examine a problem you have seen in nursing. Why should it be studied? Justify your rationale. NRS-433V Module 3 DQ 1 The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. What are the differences and similarities between two of the three types of studies? NRS-433V Module 3 DQ 2 Qualitative data has been......

Words: 4258 - Pages: 18

Premium Essay

Nrs 429-V Heritage Assessment

...Heritage Assessment Health Tradition and Cultural Comparison Sharon Nodine Grand Canyon University: NRS-429V March 20, 2016 “A growing realization that the United States is not a ‘melting pot’ in which immigrants assimilate into the mainstream culture, but a country of many cultures has led to a growing appreciation of different ethno-cultural groups” (EuroMed Info, n.d.). The Heritage Tool and it’s five competencies is designed to provide a framework for nurses to gain insight of the cultural practices of patients in order to provide culturally competent care that will result in better health outcomes (American Association of Colleges of Nursing, 2008). The Hispanic-American Assessment “Latinos comprise nearly 16 percent of the U.S. population, and this proportion is anticipated to increase to 30 percent by 2050” (Juckett, 2013). He continues to say, barriers to care have resulted in striking disparities in quality of health care for these patients. These barriers include language, lack of insurance, different cultural beliefs, and in some cases, illegal immigration status, mistrust, and illiteracy. The National Standards for Culturally and Linguistically Appropriate Services address these concerns with recommendations for culturally competent care, language services, and organizational support. Latinos have disproportionately higher rates...

Words: 1718 - Pages: 7

Premium Essay

Nursing Rua Nr 302

...Chamberlain College of Nursing NR 302 Health Assessment: Part I REQUIRED UNIFORM ASSIGNMENT GUIDELINES PART 1: THE HEALTH HISTORY PURPOSE Before any nursing plan of care or intervention can be implemented or evaluated, the nurse assesses the individual through the collection of both subjective and objective data. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting subjective assessment data, synthesizing the data, and on identifying health/wellness priorities based on the findings. The purpose of the assignment is two-fold:   To recognize the interrelationships of subjective data (physiological, psychosocial, cultural/spiritual, and developmental) affecting health and wellness To reflect on the interactive process between self and client when conducting a health assessment COURSE OUTCOMES This assignment enables the student to meet the following course outcomes: CO 2. Utilize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment. (PO 4, 8) CO 3. Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning (PO 1) CO 4. Utilize effective communication when performing a health assessment. (PO 3) CO 6. Identify teaching/learning needs......

Words: 1661 - Pages: 7

Premium Essay

Nr 451 Entire Course

...NR 451 ENTIRE COURSE To Purchase this tutorial visit following link http://wiseamerican.us/product/nr-451-entire-course/ Contact us at: SUPPORT@WISEAMERICAN.US NR 451 ENTIRE COURSE NR 451 Milestone 1 PICO Evidence Guidelines NR 451 Milestone1 PICO Evidence Worksheets NR451 Milestone 2 Desig _Proposal Interlicchio NR 451 Power Point Presentation- Capstone 1 NR 451 Power Point Presentation- Capstone 2 NR 451 Week 1 and Week 2 Discussions Latest 2015 NR 451 Week 3 and Week 4 Discussions Latest 2015 NR 451 Week 5 and Week 6 Discussions Latest 2015 NR 451 Week 7 Discussions Latest 2015 NR 451 ENTIRE COURSE NR 451 Milestone 1 PICO Evidence Guidelines NR 451 Milestone1 PICO Evidence Worksheets NR451 Milestone 2 Desig _Proposal Interlicchio NR 451 Power Point Presentation- Capstone 1 NR 451 Power Point Presentation- Capstone 2 NR 451 Week 1 and Week 2 Discussions Latest 2015 NR 451 Week 3 and Week 4 Discussions Latest 2015 NR 451 Week 5 and Week 6 Discussions Latest 2015 NR 451 Week 7 Discussions Latest 2015 NR 451 ENTIRE COURSE NR 451 Milestone 1 PICO Evidence Guidelines NR 451 Milestone1 PICO Evidence Worksheets NR451 Milestone 2 Desig _Proposal Interlicchio NR 451 Power Point Presentation- Capstone 1 NR 451 Power Point Presentation- Capstone 2 NR 451 Week 1 and Week 2 Discussions Latest 2015 NR 451 Week 3 and Week 4 Discussions Latest 2015 NR 451 Week 5 and Week 6 Discussions Latest 2015 NR 451 Week 7 Discussions Latest 2015 NR 451 ENTIRE......

Words: 469 - Pages: 2

Premium Essay

Dbm 449 Laboratory Procedures Ilab 6 Answers

...DBM 449 Laboratory Procedures iLab 6 Answers Follow Below Link to Download Tutorial https://homeworklance.com/downloads/dbm-449-laboratory-procedures-ilab-6-answers/ For More Information Visit Our Website ( https://homeworklance.com/ ) Email us At: Support@homeworklance.com or lancehomework@gmail.com I. OBJECTIVES 1. Understand and become familiar with the SQL Analytical Extensions. 2. Learn to create, use, and maintain materialized views, and their functional equivalents. 3. Effectively apply Advanced Aggregate SQL Operations, such as GROUP BY ROLLUP to solve business intelligence questions and analytical processing problems. II. PARTS LIST 1. EDUPE-VT Omnymbus Virtual Machine Environment (https://devry.edupe.net:9090/) and/or: 2. MySQL (dev.mysql.com/downloads) III. PROCEDURE Scenario and Summary For the lab this week, we are going to look at how the ROLLUP and CUBE extensions available in SQL can be used to create query result sets that have more than one dimension to them. Both of these extensions are used in conjunction with the GROUP BY clause and allow for a much broader look at the data. To record your work for this lab use the lab report found at the end of this document. As in your previous labs, you will need to copy/paste your SQL statements and results into this document. Upon completion and prior to the due date, submit this document to the appropriate Dropbox. iLAB STEPS STEP 1: Setting Up For......

Words: 3288 - Pages: 14

Premium Essay

Mgt/449

... | | |MGT/449 Version 8 | | |Quality Management and Productivity | Copyright © 2010, 2009, 2005, 2004, 2003 by University of Phoenix. All rights reserved. Copyright © 2009, 2006 by University of Phoenix. All rights reserved. The Mission of University of Phoenix is to provide access to higher education opportunities that enable students to develop the knowledge and skills necessary to achieve their professional goals, improve the productivity of their organizations, and provide leadership and service to their communities. Please print a copy of this syllabus for handy reference. Whenever there is a question about what assignments are due, please remember this Course Design Guide is considered the ruling document. Technical Support: Technical Support is available 24 hours a day, 365 days a year. Call 1-877-832-4867, or use the e-mail support form. Answers to the most common issues are found in the Knowledge Base by clicking Help, found at the top of every student Web site. Copyright © 2010, 2009, 2008, 2007 by University of Phoenix. All rights reserved. GENERAL COURSE INFORMATION COURSE NUMBER: MGT/449 COURSE TITLE: Quality Management and Productivity COURSE START DATE: 3/21/2012 COURSE END......

Words: 2076 - Pages: 9