Nursing Research Methods Cardiac Case Study

Nursing Research Methods Cardiac Case Study

Table of Contents

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Instructions

Nursing Research Methods Cardiac Case Study

Instructions: Please create a case study based on the template attached and as good as the paper attached for the following patient. Please, please reword and use plenty of in text citations. Thank you.

 

A 53-year-old African American man is in for follow up of his elevated blood pressure. He was seen last week in your office for a Department of Transportation commercial driver’s examination where his blood pressure was 176/92. Subjective questioning is negative. BP today is 174/94.

His physical exam is remarkable for a loud S2, sustained PMI at 5icslmcl, an S4 gallop is present. The remainder of his physical exam is unremarkable.

Family history is remarkable for high blood pressure.

Self describes his lifestyle as pretty sedentary due to driving long hours every day. Diet is often fast food with many cups of coffee.

EKG – NSR with LVH by voltage

CBC – normal

CBP – normal except for glucose 154 (fasting). Fingerstick last week was 152

A1C – 7.8

1.List 5 subjective questions it would be very important to know about this patient.

2.Explain the significance of the loud S2 finding.

3.What does the finding of his PMI indicate?

4.Explain the significance of the PMI in the normal location.

5.Explain the significance of the S4 finding.

6.Explain the finding of LVH given his current circumstances.

7.What additional diagnostics or testing (if any) you would like to order?

8.What are the top two diagnoses you are going to address at this time?

9.What is your pharmacologic plan for this man? Why did you choose the agent you did? Be sure to state your rationale and references.

10.Identify 5 lifestyle modifications to improve his health that he could implement in his current situation.

RUBRIC
Excellent Quality 95-100%	Introduction 45-41 points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.		Literature Support 91-84  points The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.			Methodology 58-53 points Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score 50-85%	40-38 points More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.		83-76  points Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.			52-49  points Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality 0-45%	37-1 points The background and/or significance are missing. No search history information is provided.		75-1 points Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.			48-1 points There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
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