NR507 Discussions Latest 2021 March (Full)

NR507 Advanced Pathophysiology

Week 1 Discussion

Share with the class the name of your disease process assigned to you by your faculty this week. Tell us if this is a disease that you have encountered in caring for patients in your own nursing practice. Feel free to share a practice exemplar.  If this is a completely new disease that you will learn about, tell us if it relates to your nursing practice in terms of the populations for which you care.

NR507 Advanced Pathophysiology

Week 2 Discussion

As you are completing Part I of your disease process presentation, tell us about the etiology and risk factors of your assigned disease and what you feel is the role of the family nurse practitioner in preventing the occurrence of this disease.

NR507 Advanced Pathophysiology

Week 3 Discussion

Purpose

The purpose of this discussion is to apply pathophysiological concepts to an individual presenting with cardiovascular dysfunction (heart failure). Related concepts will also be applied that includes potential alterations in fluid and electrolytes and acid/base balance.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Explore age-specific and developmental alterations in the cardiovascular system. (CO 3, 1)

Relate pathophysiological alterations in cardiovascular processes to the development, diagnosis and treatment of heart failure. (CO 4, 2)

Examine current evidence to support the management of patients who present with alterations in the cardiovascular system. (CO 5, 3)

Requirements:

A 64-year-old woman presents to the primary care office with shortness of breath, leg swelling, and fatigue. She has a history of type 2 diabetes and hypertension. She reports that recently she had been able to go for daily walks with her friends, but in the past month, the walks have become more difficult due to shortness of breath and fatigue. She also sometimes awakens in the middle of the night due to shortness of breath and has to prop herself up on three pillows. On physical examination, she is tachycardic (110 beats per minute) and has a blood pressure of 106/74 mm Hg. Fine crackles are noted on inspiration in bilateral bases. The cardiac exam reveals the presence of a third and fourth heart sound and jugular venous distension. 2+ pitting edema is noted in the knees bilaterally. An ECG shows sinus rhythm at 110 bpm with Q waves in the anterior leads. An echocardiogram shows decreased wall motion of the anterior wall of the heart and an estimated ejection fraction of 25%. She is diagnosed with systolic heart failure, secondary to a silent MI.

Discuss the pathophysiological mechanisms that can lead to heart failure.

Differentiate between systolic and diastolic heart dysfunction

Discuss the causes of the patient’s shortness of breath, awakening in the middle of the night and the need to prop herself up on three pillows. Include pathophysiological mechanisms that causes each of these signs and symptoms.

Include two points of teaching for this patient

Support your response with at least one current evidence based resource.

Students must post a minimum of three times in each graded discussion (see participation guidelines below).

NR507 Advanced Pathophysiology

Week 4 Discussion

This week, we are covering Alterations in Renal and Urinary Function. As you reflect on the concepts of fluid and electrolytes and acid/base balance covered in the last two weeks, tell us one alteration that could occur in fluid and electrolyte and acid/base balance due to a renal or urinary disorder.

NR507 Advanced Pathophysiology

Week 5 Discussion

Describe the presentation you would expect to see in a three-month-old baby boy with pyloric stenosis. 

What is the etiology of pyloric stenosis?

How does the pathophysiological process of pyloric stenosis lead to the signs and symptoms?

What teaching would the FNP provide to the parents who are managing this infant at home?

NR507 Advanced Pathophysiology

Week 6 Discussion

Purpose

The purpose of this discussion is to apply pathophysiological concepts to a child presenting with dermatological dysfunction (urticaria). Related concepts will also be applied that includes alterations in immunity/inflammation, fluid and electrolytes, acid/base balance and pulmonary function.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Explore age-specific and developmental alterations in the dermatological system. (CO 3, 1)

Relate pathophysiological alterations in dermatological processes to the development, diagnosis and treatment of common skin disorders. (CO 4, 2)

Examine current evidence to support the management of patients who present with alterations in the dermatologic system. (CO 5, 3)

Requirements:

A 12-year-old boy is brought to the office for evaluation of hives. He has no significant past medical history and no history of allergies. He has just joined the middle school soccer team and noticed that he gets hives about 10 minutes into practice. The hives are itchy and consist of irregular blotches on his legs and trunk, about 10–20 cm in size, and they persist for about 30 minutes. He does not experience swelling of the lips or oropharynx and denies any wheezing or shortness of breath. His physical examination is normal without skin lesions or oral swelling at that moment, and his lungs are clear. After evaluation, he is diagnosed with urticaria.

Discuss the likely cause of the patient’s urticaria.

Describe the cellular mechanism of urticaria and how it leads to the signs and symptoms experienced by the patient.

Describe the relationship between the patient’s symptoms and the concept of inflammation.

What pharmacological and non-pharmacologic?treatment options are available??

Discuss the complications of urticaria.

What teaching would be appropriate to provide the parent and child about urticaria?

Support your response with at least one current evidence based resource

NR507 Advanced Pathophysiology

Week 7 Discussion

Recorded Disease Process Presentation Peer Review

Purpose

The purpose of this assignment is for learners to:

Develop professional presentation/communication skills.

Demonstrate an advancing understanding of pathophysiological processes of body systems that result in the diagnosis and treatment of patients who present with these disorders in these systems.

Demonstrate the ability to analyze the literature to obtain the most current, evidence-based resources on the assigned disease process

Demonstrate and practice professional communication and leadership, while advancing the education of peers.

Requirements

Description of the Assignment

Students are to review at least one peer Disease Process Presentation using the guidelines below. The peer review is due by Thursday, 11:59 p.m. MT.Week 7

Criteria for Content

When reviewing a peer’s presentation, choose two of the criteria below and create questions, comments and feedback that center’s on the peer’s content provided under the chosen criteria. In your posting, clearly identify the two criteria chosen for the review. Suggested ways to review a peer’s presentation is to expound on the content provided under a given criterion by providing additional information or other points that could have also been included; ask pertinent questions that allows the peer to clarify and further expound on the criteria; if you disagree with a point made by a peer, explain why and provide further information supported by evidence to defend your position.

Introduce the disease with a brief definition and description.

Discuss the risk factors and the connection to the etiology of the initial injury to the cell/tissue/organ.

Discuss health care provider implications for prevention of the disease.

Show the progression from the initial injury to the defect in the tissue, organ and system functioning.

Link changes in the tissue, organ, and system functioning to the initial presenting signs and symptoms seen in primary care of the disease.

Provide a brief description of how the disease is diagnosed.

Provide a brief description of the pharmacological and non-pharmacological interventions used to treat and manage the disease.

Summarizes the disease on final slide with concluding remarks; includes implication for nurse practitioner practice.

Utilizes at least two current (within 5 years), peer-review scholarly sources to support presentation content.

Reference slide and in-text citations depict references correctly cited according to APA.

 Students are to review at least one peer's recorded the presentation and respond to it by Thursday, 11:59 p.m. MT using the Disease Process Peer Review Guidelines.

Presenters are also required to monitor comments and questions from peers and faculty about their presentations and respond appropriately. Make sure to respond to all faculty questions. All responses are due by Sunday 11:59 p.m. MT.

NR507 Advanced Pathophysiology

Week 8 Discussion

Reflection

Purpose

The purpose of this discussion is to reflect over the past 8 weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #1, MSN Essential I, and Nurse Practitioner Core Competencies # 1 Scientific Foundation Competencies

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Provide evidence of meeting the achievement of course outcomes (CO 1, 2, 3, 4, 5)

Provide evidence of meeting MSN program outcome 1 (CO 1, 2, 3, 4, 5) 

Provide evidence of meeting Nurse Practitioner Core Competency 1 (CO 1, 2, 3, 4, 5)

Requirements:

Reflect over the past 8 weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #1, MSN Essential I, and Nurse Practitioner Core Competencies # 1 Scientific Foundation Competencies

 Program Outcome #1:?Provide high quality, safe, patient-centered care grounded in holistic health principles. (holistic health & patient-centered care)

MSN Essential I:?Background for Practice from Sciences and Humanities:

Recognizes that the master's prepared nurse integrates scientific findings from nursing, biopsychosocial fields, genetics, public health, quality improvement, and organizational sciences for the continual improvement of nursing care across diverse settings.

Nurse Practitioner Core Competencies # 1 Scientific Foundation Competencies

Critically analyzes data and evidence for improving advanced nursing practice.

Integrates knowledge from the humanities and sciences within the context of nursing science.

Translates research and other forms of knowledge to improve practice processes and outcomes.

Develops new practice approaches based on the integration of research, theory, and practice knowledge.