NR 601 Week-1 Chapter-40: Evaluation of Chronic Dyspnea

NR 601 Week-1 Chapter-40: Evaluation of Chronic Dyspnea

NR 601 Week-1 Chapter-40: Evaluation of Chronic Dyspnea

Dyspnea:  Subjective sensation of difficult or uncomfortable breathing
Causes of Dyspnea:
Shortness of breath experienced when ventilator demand exceeds actual or perceived capacity of altered chest wall mechanics
Things that increase work of breathing:
Acute Dyspnea:
Evaluation of chronically dyspneic patient:
Congestive Heart Failure:
Airway Obstruction
Diffuse Interstitial Lung Disease
Kyphoscoliosis
Pulmonary Hypertension
Anxiety
Deconditioning
Differential Diagnosis of Chronic Dyspnea
Work Up of Chronic Dyspnea
Physical Examination
Laboratory Studies
Symptomatic Management and Patient Education
Indications for Referral and Admission

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Course Schedule

Week, COs, and Topics Readings Assignments
Week 1
CO 10

Theories and Concepts Critical to the Maturing Family

Kane, R., Ouslander, J., Abrass, I., & Resnick, B. (2013). Essentials of clinical geriatrics (7th ed.). China: McGraw Hill.

• Chapter 1: Clinical Implications of the Aging Process

Touhy, T. & Jett, K. (2012). Ebersole and Hess’ toward healthy aging: Human needs and nursing response (8th ed.). St. Louis, MO: Elsevier.

• Chapter 1 Gerontological Nursing and an Aging Society
• Chapter 3: Theories of Aging

Ferrara, L. R. (2010). Integrating evidence-based practice with educational theory in clinical practice for nurse practitioners: Bridging the theory practice gap. Research & Theory for Nursing Practice, 24(4), 213–216. doi:http://dx.doi.org/10.1891/1541-6577.24.4.213

Ruel, J., & Motyka, C. (2009, July). Advanced practice nursing: A principle-based concept analysis. Journal of the American Academy of Nurse Practitioners, 21(7), 384–392. doi:http://dx.doi.org/10.1111/j.1745-7599.2009.00415.x

Clinical Encounter Log in eLogs

Learning Agreement in eLogs

Case Study Discussions

Week 2
COs 3, 5, and 9

Health Promotion, Health Protection, Disease Prevention, and Treatment of Selected Diagnoses Commonly Affecting the Adult in Primary Care

Kane, R., Ouslander, J., Abrass, I., & Resnick, B. (2013). Essentials of clinical geriatrics (7th ed.). China: McGraw Hill.

• Chapter 11: Cardiovascular Disorders

Reuben, D. B., Herr, K. A., Pacala, J. T., Pollock, B. G., Potter, J. F., & Semla, P. T. (2014). Geriatrics at your fingertips (16th ed.). New York, NY: The American Geriatrics Society

• Chapter 6- Cardiovascular Disease
• Chapter 11- Endocrine Disorder
• Chapter 14- Gastrointestinal Disorder
• Chapter 16- Hematologic Disorders

Seller, R. H. & Symons, A. (2012). Differential diagnosis of common complaints (6th ed.). Philadelphia, PA: Elsevier Saunders.

• Chapter 6: Chest Pain
• Chapter 11: Dizziness/Lightheadedness and Vertigo
• Chapter 17: Headache
• Chapter 27: Palpations

Touhy, T. & Jett, K. (2012). Ebersole and Hess’ toward healthy aging: Human needs and nursing response (8th ed.). St. Louis, MO: Elsevier.

• Chapter 2: Health and Wellness
• Chapter 4: Physiological Changes
• Chapter 5: Culture, Gender, and Aging
• Chapter 6: Communicating with Older Adults

Schäfer, I., Hansen, H., Schön, G.; Höfels, S., Altiner, A., Dahlhaus, A. & Wiese, B. (2012). The influence of age, gender, and socio-economic status on multimorbidity patterns in primary care. First results from the multi-care cohort study. BMC Health Services Research, 12, 89.

Zhiwei, W., Lijuan, Z., Zhi, G., Lei, L., Jun, J., Jianian, Z.,… Yingyan, Y. (2012). The impact of influenza vaccinations on the adverse effects and hospitalization rate in the elderly: A national-based study in an Asian country. Plos ONE, 7(11), 1–9.

Clinical Encounter Log in eLogs

Case Study Discussions