NUR 427 -
Health and Chronic
Disease Management

Examples of targeted research papers for NUR 427. Review these examples in their entirety and get better grades today. Learn about requirements for each paper here.

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Bloom's Taxonomy Example 1 - (NUR 427) Benjamin Samuel Bloom was one of the greatest minds to influence education. "Bloom’s most recognized and highly regarded initial work spurned from his collaboration with his mentor and fellow examiner Ralph W. Tyler and came to be known as Bloom’s Taxonomy" (Forehand, 2010).

Bloom's Taxonomy Example 2 - (NUR 427) Patient education is a key component for the management of many acute and chronic conditions. Presentation to the emergency room for non-urgent care may be some patient’s only point of contact with the healthcare system due to poor access to primary care related to lack of insurance, knowledge deficits and cultural beliefs. (Partridge, 1997).

Bloom's Taxonomy Example 3 - In nursing critical thinking is a crucial skill to have, for clinical decision-making and to provide quality nursing care. As baby-boomers aging population are increasing, so is the demand for more nurses. The nursing’s shortage may lead to higher nurse-patient ratio, and in patients with higher acuity level the need for nurses to think critically is essential to ensure safe quality patient care.

Case Study Example 1 - (NUR 427) The case study approach is an effective tool for nurses to use critical thinking skills to shape an individual based care plan and reaffirm educational goals for patients. A successful case study addresses the signs and symptoms of a disease process, its effects on the body, challenges in managing care, and useful tools for measuring educational goals.

Case Study Example 2 - (NUR 427) Patient information: A 21 year old Jewish-American presents to the emergency department with severe diarrhea and complaints of abdominal pain, decreased appetite for over two weeks and weight loss of 10lbs. The young Jewish man has no other medical problems and denies any family history other than an older brother that was diagnosed with Crohn’s when he has 20 years old.

Case Study Example 3 - John 35 years old male, married for 5 years. He lives with his wife, in a suburban area in New York. He is a Civil Engineering with a master degree and his wife is an Architect. They have no children at this time, but they been trying. He is very active, stated he goes to the gym three times per week and eat healthy.

Case Study Example 4 - (NUR 427) Diabetes is a growing epidemic in adolescents, especially in their second decade of life when their production or resistance to insulin is at its highest. Obesity and lack of exercise are believed to be the biggest causes of diabetes, but children with a family history of diabetes have a greater risk of developing it (Rosenbloom, Silverstein, Amemiya, Zetler, Lingensmith, 2009).

Disease Process Table Example 1 - (NUR 427) Condition: Addison’s disease- an endocrine disorder with not enough hormones made in the adrenal cortex.

Disease Process Table Example 2 - For the purpose of this assignment three disease processes will be discussed from the table of thirteen diseases processes given. The definitions, signs and symptoms, conventional and complementary/alternative therapy and community resource will be discussed. The disease processes selected for discussion are Cerebrovascular accident, Parkinson’s disease and sleep apnea disorder.

Disease Process Table Example 3 - Parkinson’s Disease - Signs and Symptoms: Resting tremor, rigidity, bradykinesia, difficulty swallowing, postural instability

Disease Process Table Example 4 - Condition and Definition - Parkinson ’s disease: Parkinson's disease is a progressive disorder of the nervous system that affects movement.(Mayo Clinic, 2010).

Patient Education Plan Example 1 - (NUR 427) Richard Land is a 69-year-old home economics teacher who has two adult children. His father had urinary problems before he died over thirty years ago. Mr. Land has come to the emergency department reporting severe lower abdominal pain and inability to urinate for the past 20 hours.

Patient Education Plan Example 2 - Hypertension is a term used to describe a state of high blood pressure (“Hypertension”, 05.10.2011). Blood pressure is the measure of blood your heart pumps and its resistance against your arteries (“High Blood Pressure”, 03.22.2011). Blood pressure is given in two numbers: 120/80. The top number, 120, is the systolic blood pressure.

Patient Education Plan Example 3 - This is a 65 year-old female who has a weight of 77.1 kg. She presented to the emergency room with increased lower abdominal pains (cramps), diarrhea for past five days, and decrease nutrition consumption because of pain. She states she has lost some weight over the past week but does not know how much.

Patient Education Plan Example 4 - Tiffany is a 28 year old Chinese-American female. She works as an attorney at one of the top corporate law firms in the city. She just got married two years ago. She has been sad lately because she has gained weight and her skin is breaking out with acne. She attributes the weight gain to being a newlywed and the acne to the stress at work.

Patient Education Plan Example 5 - Patient is a 45 year old male that presented to the family physician office to follow up on his recent diagnosis of high blood pressure that was noticed during his annual physical examination at the company he is working for. He has a high pressure position at his job and he is expected to meet certain sale quota each month and admitted to feel stressed sometimes.

Educational Brochure for NUR 427 - The Inside Story on Asthma - What is Asthma? Asthma is a chronic disease that makes it hard to breathe. Air is carried into the lungs by airways. Asthma makes the airways swell and close up, which makes it feel like air cannot get into the lungs; therefore making it hard to breathe.

Health and Chronic Disease Presentation - A big concern for specific socio cultural needs is education on how to get tested. There is concern that the general public is afraid of being stigmatized as having AIDS if tested. The need for education on why and how to get tested for HIV is predominate across the races. The need for education is the number one specific socio cultural need. Secrecy is the key to successful HIV/AIDS testing (PubMed, 2010).

New Papers Added...

Bloom's Taxonomy and Nursing Education
NUR 427 Health and Chronic Disease Management

Bloom’s Taxonomy model has three domains. These are cognitive, affective, and psychomotor. Nurses use these three domains when they are teaching patients. It takes knowledge, attitude, and skills for patients to learn something new that they will need to know to take care of themselves effectively. Nurses use Blooms educational information to develop teaching plans that work.

Bloom’s revised cognitive domain (Krathwohl, 2002) is about the knowledge gaining portion of a student or patient’s efforts. In the first two steps a patient is gaining knowledge about her new diagnosis and the nurse needs to get the patient the information so she can start to remember this new knowledge and develop a genuine comprehension of the information. The next step would be for the patient to apply this knowledge to her own situation. Analyzing this information takes a patient to the next level so she can question and test her new knowledge. Moving up to the next level the patient evaluates the information or... [continues]


Patient Education Plan for Uterine Fibroids
NUR 427

Uterine fibroids are muscular tumors that grow in the wall of the uterus (womb). Another medical term for uterine fibroids is "leiomyoma" (leye-oh-meye-OH-muh) or just "myoma". Fibroids are almost always benign or non cancerous. Fibroids can grow as a single tumor, or there can be many of them in the uterus. They can be as small as an apple seed or as big as a grapefruit. In unusual cases they can become very large. The factors that increase a woman’s chances of developing fibroids are: age, fibroids are most common in women in their 40s and 50s, family history, women with a family history of fibroids are more likely to have them, ethnic background, African American women are more likely to develop fibroids than other ethnic groups, obesity plays a role in the development of fibroids, for heavy women the risk of having fibroids is two to three time great than average and eating habits also affect the development of uterine fibroids, eating red meat and ham is linked to fibroids (U.S. Department of Health and Human Services, 2008).

Three out of four women will have uterine fibroids. Most women with uterine fibroids are unaware of having them, because they have no... [continues]


Patient Educational Plan
Nur 427

Introduction

Prolonged and chronic ethanol (ETOH) use has devastating effects on the gastrointestinal (GI) tract. ETOH is easily absorbed from the intestine and diffuses quickly throughout the body. The bulk of the ETOH is metabolized in the liver. ETOH abuse produces functional and structural changes in the GI tract, such as in the stomach, small intestine, liver, and pancreas (Geokas, Lieber, French, & Halsted 1981). The National Institute on Alcohol Abuse and Alcoholism website (2005) sites statistics indicating 28,175 deaths in 2005 were a direct result of liver cirrhosis. The website goes on to state, “In 1997, liver cirrhosis was the 10th leading cause of death and accounted for approximately 25,000 U.S. deaths, more than half of which were from alcohol-related cirrhosis” (National Institute on Alcohol Abuse and Alcoholism, 2001). Individuals struggling with chronic ETOH abuse have specific educational needs.

Patient Description

Ms. A is a 29 year old who grew up in a comfortable mid-western town. Both of her parents and younger brother are still living. Her younger brother is in college. Ms. A had been relatively healthy with no prior medical history until she began to drink heavily with her current boyfriend of several years. She was hospitalized in 2008 because of a GI bleed. Lab studies revealed... [continues]


Celiac Disease: An Educational Plan
NUR 427

Celiac Disease is one of the most common diseases in the world but a vast majority of the people effected by the disease go undiagnosed. The disease presents in many different ways and although there are some symptoms that are exclusive to only this disease, most of them are associated with many different diseases, adding to the under diagnosing of the disease. This paper takes a look at the disease and at one patient recently diagnosed with Celiac Disease and educational needs and plan of action specific to her situation.

An Introduction to Celiac Disease

According to the Celiac Disease Foundation (2010), “Celiac Disease is a life-long inherited autoimmune condition affecting children and adults”. When people with the disease eat gluten ( a protein found in wheat, rye, and barley), an autoimmune response is triggered in the small intestine that prevents some nutrients from being properly absorbed. This malabsorption can lead to vitamin deficiencies that if left untreated could cause damage to... [continues]


Educational Plan
NUR 427-Health and Chronic Disease Management

Mayling Chan is a 29-year old female of Asian descent and has been married for three years. She works in the health care field as a Register Nurse, whereas her husband Bob works in merchandising at a major grocery store. Mayling and Bob have been trying to conceive for a year and to no avail. Until one day Mayling missed her period and started developing symptoms of nausea with vomiting, and tenderness in her breast. A home pregnancy test revealed that Mayling is pregnant. They were so excited and made an appointment with her gynecologist within the next eight weeks.
Mayling had no known medical history until about three days ago (one day before her initial visit), she complained of headache, swelling to her ankles, and dull abdominal pain with profuse vaginal bleeding. Bob rushed Mayling to the emergency department, where preliminary tests proved... [continues]


Diabetes: A Manageable Disease
NUR 427

Diabetes is a chronic disease marked by high levels of glucose in the human blood. To understand diabetes, the normal process of digestion of food and how it is used, must be understood. Insulin is a hormone produced by the pancreas to control blood glucose. Diabetes can be caused by too little insulin, resistance to insulin, or both (Alemzadeh). Two main things happen when food is digested: glucose enters the bloodstream. Glucose is a source of fuel for the body, and the pancreas makes insulin. The role of insulin is to move glucose from the bloodstream into muscle, fat, and liver cells, where it can be used as fuel.

People with diabetes have chronic levels of high blood glucose. This is because the pancreas does not make enough insulin, the muscle, fat, and liver cells do not respond to insulin normally, or both (American Diabetes Association).

There are three major types of diabetes. The first is diabetes Type 1 or insulin dependent diabetes. This disorder is believed to be an autoimmune disease caused by the body attacking pancreatic and... [continues]


Patient Education Plan on Pancreatitis
NUR 427

Pancreatitis Case Study

Pancreatitis is a painful inflammatory condition in which the pancreatic enzymes are prematurely activated resulting in auto-digestion of the pancreas (American Pancreatic Association, 2010). The most common cause of pancreatitis are biliary tract disease and alcoholism, but can result from such things as abnormal organ structure, blunt trauma, penetrating peptic ulcers, and drugs such as sulfonamides and glucocorticoids (American Gastroenterological Association, 2010). Pancreatitis may be acute or chronic, with symptoms mild or severe. In severe cases, hemorrhage, infection, pseudo cyst, and permanent tissue damage may occur. The signs and symptoms vary in people including: fever, extreme abdominal pain, nausea, vomiting, weight loss, diarrhea, and oily stools. The focus of this case study is to discuss Mrs. L who recently was diagnosed with... [continues]


Diabetes Case Study
NUR 427

Diabetes mellitus (DM) is a chronic disease that affects millions of people across the nation. According to LeMone and Burke (2008), “Approximately 1.3 million new cases of DM are diagnosed each year in the United States” (pg 563). The Centers for Disease Control and Prevention estimate that 23.6 million people in the United States have DM. Collectively 17.9 million people were diagnosed and 5.7 million people were undiagnosed with DM in the year 2007. Of all the documented cases 90-95 percent have type II DM and the remaining 5-10 percent have type I DM (Centers for Disease Control and Prevention, 2008). In the United States DM is the sixth most leading cause of death by a disease. Deaths are commonly caused by the cardiovascular effects associated with DM that result in coronary artery disease, atherosclerosis, and stroke. People diagnosed with DM are two to four times more likely to have heart disease or have a stroke than people who are not diabetic. DM is the leading cause of end-stage renal disease in... [continues]


Blooms Research and Response
NUR 427

Benjamin Bloom, along with some educators from the University of Chicago, developed Bloom’s Taxonomy of Educational Objectives in 1956. Bloom’s Taxonomy, also known as the Revised Bloom’s Taxonomy after it was undated by Anderson and Krathwohl in 2001, consists of a hierarchy within three different domains of learning: cognitive, affective, and psychomotor (Anderson, Bloom, & Krathwohl, 2001). For higher levels of learning to be achieved within the hierarchy, lower levels must be achieved first. Bloom’s taxonomy was created to classify learning objectives for teachers and students (Bloom, 1956). This education process has been used in nursing education to create learning tools and for testing data collection. The taxonomy itself is easy to understand and makes logical progression from simple learning to... [continues]


Disease Process Table
NUR 427

Condition and Definition | Signs and Symptoms | Diagnostic Tests | Treatment Plan

Parkinson’s Disease | Four Main Motor Symptoms of PD: * Tremor of the hands, arms, legs, jaw and face * Rigidity or stiffness of the limbs and trunk * bradykinesia or slowness of movement * Postural instability or impaired balance and coordination | * Medications for Motor Symptoms: dopaminergic. These medications generally help reduce muscle rigidity, improve speed and coordination of movement and lessen tremor. * Surgical Treatment Options- Surgical treatment is reserved for PD patients who have exhausted medical treatment of PD tremor or who suffer profound motor fluctuations (wearing off and dyskinesias). * Deep Brain Stimulation * Thalamotomy * Pallidotomy * Subthalamotomy * Complementary Treatment, which can support... [continues]


A Patient Educational Plan
Gastrointestinal Disease: Colorectal Cancer
NUR 427

Patient Description:

Mr. Milton Carl Washington (M.C.W.) is a 55 year old Black male, with no known allergies, who has a past medical history of gastroesophageal reflux disease (GERD). He noticed a change in his body and is complaining of decreased appetite, fatigue, and an unexplained 10 pound weight loss over the past two months. Mr. M.C.W. is presently complaining of sharp, abdominal pain which has been progressively worsening over the past month. He described his pain as sharp and most times the pain presents itself with a burning sensation and remained unchanged. Mr. M.C.W. describes his pain at 7 which is the worst pain on a pain assessment scale of 0-10. Moreover, the patient associates his pain with GERD; however he continues to have heartburn from his GERD and contributes his pain to his lack of appetite and the food he sometimes eat. Mr. M.C.W. denies any abdominal trauma or injury however, describes his pain as worse on lying down that wakes him up at night (CDC, n.d.). Mr. M.C.W. has noticed a changed in is bowel movements and complained of constipation and pencil like stool. He informed this is new and he noticed his stool has a... [continues]


Annotated Bibliography
Health and Chronic Disease NUR 427

American Diabetes Association (2012). Diabetes Basics. Retrieved January 30, 2012 from http://www.diabetes.org/diabetes-basics/?loc=GlobalNavDB.

The American Diabetes Association was founded in 1940 by 28 physicians. The mission from the organization would be to prevent and cure diabetes, and also to enhance the lives of people impacted by diabetes. To satisfy this mission, the American Diabetes Association funds research, puts out scientific findings, and offers information along with other services to... [continues]


Diabetes Case Study
Health and Chronic Disease Management
NUR 427

Mr. D. is a 45-year-old male who is a busy CEO for a major technology company, recently divorced from his wife, and he lives alone. Mr. D. has noticed some weight loss, increased thirst, and frequent urination. He is presenting with typical signs of diabetes, which, according to the American Diabetes Association (1995-2009), affects 23.5 million Americans in this age group. An overview of diabetes, symptoms, effects on the body, and psycho-social challenges like Mr. D. is facing will be discussed.
According to the American Diabetes Association (1995-2009), "Since 2007, out of 23.6 million children and adults in the United States, 7.8% of the population have diabetes. 1.6 million new cases of diabetes are diagnosed in people aged 20 years and older. Diabetes was the seventh leading cause of death in 2006” (diabetes statistics). Type 1 diabetes is usually diagnosed in children and young adults, and has been called juvenile diabetes. Type 2 diabetes, also known as non insulin dependent diabetes mellitus (NIDDM), is the most common form of... [continues]


A Diabetic and Bloom's Taxonomy
NUR 427

Bloom’s Taxonomy of Education is an in-depth study of how people learn and how educators can better teach. Bloom’s taxonomy is a type of classification system, which breaks down the different ways people learn. Benjamin Bloom and a group of educators developed this tool in 1956. Bloom’s taxonomy is used across many disciplines, not just nursing. Bloom’s taxonomy is broken down into three aspects: Cognitive domain, affective domain, and psychomotor domain. This paper will explore how it can be used to... [continues]


Blooms Taxonomy

NUR 427

Chronic illness has become more and more prevalent since people are living longer due to better healthcare and management systems. Better equipment and medications are just two examples of how they are prolonging people’s lives. As defined in Larsen (p.5) “Chronic illness is all impairments from normal that have one or more characteristics: and permanent, leave residual disability, are permanent , leave residual disability, are caused by non-reversible pathological altercation requiring special training of the patient for rehabilitation and may be expected to require longs periods of supervision, observation or care.” As in Larsen (2009) Taking care of chronically ill patients can be challenging and requires the... [continues]


NUR 427


Diabetes Case Study

Diabetes is one of today’s most common diseases and is almost at epidemic levels. A chronic disease of the pancreas, diabetes limits natural insulin output affecting sugar and carbohydrate metabolism (Neighbors, Tannhill-Jones 2010). Our case study patient, Mr. D, is a 45- year-old male and busy CEO for a major technology company. His symptoms include weight loss, excessive thirst, and frequent urination. Nurses will come up with an effective approach to help the patient understand the seriousness of his disease and challenges he may face in learning how to care for his disease.

Incidence of Diabetes in the United States

According to Campbell and Martin (2009) “Diabetes is quickly growing in incidence and by the year 2030, nearly 400 million people worldwide will be trying to find a way to normalize their blood glucose levels” (p. S248). Diabetes has doubled in the past 20 years and experts believe it will double again by 2025. Three people are diagnosed with diabetes every minute and one of every three children born will develop diabetes in his or her life. Nine diabetes patients die of heart complications or cerebral vascular accidents every 20 minutes. Obesity prevalence in diabetes has tripled in the last two and a half decades (Campbell & Martin, 2009). The rise in diabetes cases can be largely traced to... [continues]


Personal Impact: A Patient Living with COPD
NUR 427

Chronic Obstructive Pulmonary Disease, is a Chronic and progressive illness that affects a person’s ability to breath. The affects to breathing occur due to obstructive airways caused by production of mucous from continuous inflammation and by constrictive airways caused by the narrowing of the bronchial tubes from spasms, scar tissue, reactive airways, infections of the lung, and the continuous response to irritating substances within the environment. Pollution, smoking, and other irritating substances cause the negative and damaging cascade of events that follow. The disease affects a large majority of people. It is the 5th leading cause of mortality currently. The World Health Organization predicts that COPD will rise to the 3rd leading cause of death by 2030 (WHO, 2007, p. 27). In the BMC Public Health Journal, they estimate that this disease affects 210 million people now. The following discusses the Impact the disease has on a person on a social, financial, and personal level. The information obtained by use of... [continues]


Bloom’s Taxonomy of Education
Health & Chronic Disease Management
NUR 427

Benjamin Bloom, an American educational psychologist was a very curious man. Bloom was interested in the learning process of students in particular. He was fascinated how student’s minds worked, he wanted to construct a model of education that could improve and give light to progressive learning advanced concepts. Unfortunately, Bloom did not have the resources and needing other minds to assist him. According to Eisner (2000) during a Convention for American Educational Psychologist in the late 1940s, early 1950 Bloom worked with cognitive psychologists. The intention of the group was to develop a classification of thinking that encouraged the learning process. This classification model would be later known as Bloom’s Taxonomy of Education.

Domains of Bloom’s Taxonomy

Like Maslow’s hierarchy of needs, Bloom’s Taxonomy followed a chronological order of critical steps. Bloom’s classification of education addressed six categories of critical thinking. The categories included knowledge, comprehension, analysis, synthesis, and... [continues]


Patient Education Plan: Crohn’s Disease
NUR 427 Health and Chronic Disease Management

Patient Case History

The patient is a 24-year-old, Caucasian, female who was recently diagnosed with Crohn’s Disease. She is single and currently lives alone in Philadelphia, Pennsylvania. The patient admits to eating a poor/unbalanced diet; she cites her busy schedule as the main factor contributing to her poor nutrition. She is not a smoker.

Her father’s sister also has Crohn’s Disease but no one else in the immediate family, at least no one that she knows of, has the disease. She was diagnosed after coming to the emergency room with blood in her stool; she has also experienced bouts of diarrhea off and on for the past several weeks. She takes Advil for headaches daily and complains of constant fatigue, which she attributes to stress.

Stress can be attributed to her lifestyle; she is a college graduate who is currently enrolled in a Masters program working toward her MBA. She also works as a teller at a local bank. The field is extremely competitive and between the demand of her job and her schoolwork she has limited time left for a social life. She goes on occasional dates and goes out with girlfriends fewer than... [continues]


Personal Impact Paper: Neurofibromatosis
NUR 427

Neurofibromatosis is a genetic disorder of the nervous system and mainly effects how nerve cells form and grow (Wikipedia). According to The Us National Library of Medicine, there are three types of this disease: the most common being Type 1 (NF1) or Von Recklinghausen Disease in which I had a personal experience with.

Recently I had the opportunity to take care of a 31 year old female who was admitted with a spontaneous pneumothorax. She had presented to the ER with severe shortness of breath and chest palpatations. Upon further workup they revealed she had complete collapse of her right lung and a chest tube was immediately inserted. I took care of her one day and felt so sorry for her. I noticed all of these “wart like large bumps” all over her back, head and scattered on her... [continues]


Patient Education Plan
NUR 427

Patient Description:

26 year old female recently diagnosed with Endometriosis after an exploratory laproscopic surgery, presenting symptoms were painful menstrual cramps and painful sexual intercourse. She is a non smoker and social drinker. Her maternal grandmother has a history of endometriosis as well. She is a college graduate who majored in business administration management. She verbalizes that she takes in information best with reading, in which she does much in her spare time. She is anxious with her new diagnosis and does not know much about the disease itself.

Endometriosis

Endometriosis is when tissue from the inner lining of the uterus (endometrium) grows inside a woman’s body, outside of the uterus and organs surrounding the uterus such as the ovaries, fallopian tubes, rectum and bladder (Slowik, 2011). These endometrial cells are also sensitive to ovarian hormones causing swelling and thickening, since these cells are unable to separate themselves and shed from the... [continues]


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