Advanced practice nurses often treat patients with vein and artery disorders such as chronic venous insufficiency

Advanced practice nurses often treat patients with vein and artery disorders such as chronic venous insufficiency

(CVI) and deep venous thrombosis (DVT). While the symptoms of both disorders are noticeable, these symptoms are sometimes mistaken for signs of other conditions, making the disorders difficult to diagnose. Nurses must examine all symptoms and rule out other potential disorders before diagnosing and prescribing treatment for patients. In this Assignment, you explore the epidemiology, pathophysiology, and clinical presentation of CVI and DVT.

To Prepare

  • Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text. Identify the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Consider the similarities and differences between these disorders.
  • Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of CVI and DVT. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
  • Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic venous insufficiency and one for venous thrombosis. Consider the epidemiology and clinical presentation of both chronic venous insufficiency and deep venous thrombosis.

To Complete

Write a 2- to 3-page paper that addresses the following:

 
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As the nurse administrator, discuss your vision for the organizational structure for SLMC.

As the nurse administrator, discuss your vision for the organizational structure for SLMC.

Chamberlain College of NursingNR531 Nursing Leadership in Healthcare OrganizaTonsNR531 Case Study Background InformationSt. Louis Medical Center (SLMC)St. Louis Medical Center (SLMC)has proudly served Summerville, Ironridge and thesurrounding communities of Chamberlain County, South Carolina, for over 50 years.Theorganization has remained a key componentinmaintaining the health of the communityatlarge.SLMChas over 500 physicians,approximately 450 nurses,and is one of thelargestemployers of the Chamberlain County area. SLMC takes prideinits ability toremain a leader in the healthcare industry statewide. Thehospitalhas a continuouscommitment to delivering the highest quality care by addressing crucial issues, such aspatient safety,technology,and expanding servicestomeet community needs.SLMC hasplaced special emphasis on optimizing the quality oflifeof all those served by expandingbeyond the traditional focus on medical needs to the needs of the whole person.SLMChasseen a sharpincrease inthe number of hospital admissions of elderlypatients withheartfailure and cardiovascular disease. Specifically,in thelast3 years, SLMChas had a10%increase each year in the number of heart failurehospitaladmissions, ofwhich, most werereadmissionsinthesame year.Even though thereisan increasing trendin the number of patients 65 years and older withheartfailure on anational level,Summerville,in particular, has had to treat explosivenumbersof this vulnerable population.Market AnalysisSummerville, SC HistorySummerville is a city in South Carolina in the United States. It is bounded by Ironridge, SC, onthe West, the Atlantic Ocean on the South and East, and Chamberlain 2 Island on the North.According to city records, the city has a total land area of 2.99 square miles. The citygovernment consists of a Mayor, three township supervisors, and a solicitor. Summerville has itsown police department.By 1790, Summerville had become a thriving village with business houses dispersed among thehuts and log cabins. In 1817, a stage coach stop was added to this growing town. HarveySummer, a successful logger, purchased a large parcel of ground and began to sell off lots. Thisbrought more people to the town that was subsequently named after him. Summerville added asteel mill, and Mr. Summer’s logging company was relocated there. By 1940, Mr. Summer’sdescendants opened an auction house after closing the logging company. This was a hugeDM 8/22/2013
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Chamberlain College of NursingNR531 Nursing Leadership in Healthcare OrganizaTonscommercial attraction for the area and Summerville continued to grow. Other businesses movedto Summerville. This commercial core was the beginning of the Summerville we know today.Summerville has been thriving in this challenging economic time and has increased itspopulation by 10% since 2010. This is an upscale community with modern, well-maintainedhomes. The SLMC is located within the Summerville city limits. There is also a city hall with aWIC office, movie theatre, shopping center, restaurants, grocery store, and several homes thatline the Summerville streets. This is a suburban area with modern looking buildings and cleanstreets. There is a taxi service as well as a bus that transports people around Summerville andinto Ironridge.Summerville, SCStatisticsPopulationin August, 2013:16,599SC: 4,625,364 (2010, 24th largest state)Females: 8,598 (51.8%)SC Females: 51.3%Males: 8,001 (48.2%)SC Males: 48.7%White: 60%SC White: 66.2% (2008, ranked 26th)Black: 23%SC Black: 27.9% (2008, ranked 14th)Hispanic: 9.5%SC Hispanic: 5.1% (2008, ranked 30th)Asian: 7.5%AgeMedian age: 64.3 yearsSC median age: 37.9 yearsUnder 18: 18.7%Under 18: 23.7% (2009)Between 18–64: 62.8%Between 18–64: 62.6% (2009)65 and older: 18.5%65 and older: 13.7% (2009)EducationResidents 25–64 years old with high school diploma: 88.6%SC residents 25–64 years old with high school diploma: 86.4% (2008)Residents 25 years and older with associate degree or higher: 34.5%Associate degrees: 10.3%Baccalaureate degrees: 18.7%Master’s degrees: 4%Post Master’s: 1.5%SC Residents 25 years and older with associate degree or higher: 30.7%Income per capita: $74,900 SC income per capita: $33,884 (2010—ranked 45th in U.S.)Median household income: $68,594SC median household income: $42,580DM 8/22/2013
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