BRIEFLY DESCRIBE THE UPDATED CLASSIFICATIONS FOR AF AND OUTLINE THE MAIN OBJECTIVES IN THE MANAGEMENT OF PATIENTS IN AF; 2. DESCRIBE CARDIAC REMODELLING AND DISCUSS THIS WITH RELATION TO KEVIN’S AF AND HOW THIS COULD IMPACT ON HIS RISK FOR CARDIAC FAILURE

BRIEFLY DESCRIBE THE UPDATED CLASSIFICATIONS FOR AF AND OUTLINE THE MAIN OBJECTIVES IN THE MANAGEMENT OF PATIENTS IN AF; 2. DESCRIBE CARDIAC REMODELLING AND DISCUSS THIS WITH RELATION TO KEVIN’S AF AND HOW THIS COULD IMPACT ON HIS RISK FOR CARDIAC FAILURE

NURBN2012: NURSING PRACTICE 3 – PATHOPHYSIOLOGY AND PHARMACOLOGY APPLIED TO NURSING. Assessment Task 2 – Essay based on a Case Scenario Due date: Monday 10th April 1200 hrs The following video depicts Kevin at his most recent outpatient appointment. https://www.youtube.com/watch?v=cd89r54VzFA&feature=youtu.be Kevin who lives alone on his farm, was newly diagnosed with Atrial Fibrillation (AF) when he presented to hospital following a transient ischaemic attack (TIA). He has been discharged from hospital and is now being managed medically. Kevin needs education and support with understanding his new diagnosis and how it impacts upon his everyday lifestyle. He also needs assistance with managing his medications and modifying his everyday activities to decrease risk of morbidity associated with his illness. For this assessment task, you are required to write a 1500-word essay which addresses the main issues associated with providing nursing care for Kevin and assisting him to manage both the physical and psychological impacts of his new diagnosis. You will need to explore the pathophysiology, pharmacology and nursing management of the case and demonstrate your understanding in the answers you provide to the following questions. Your answers should be informed by your reading of current research and literature. Pathophysiology 1. Briefly describe the updated classifications for AF and outline the main objectives in the management of patients in AF; 2. Describe cardiac remodelling and discuss this with relation to Kevin’s AF and how this could impact on his risk for cardiac failure; 3. Describe why Kevin is at risk of thromboembolism, and where is thrombus most likely to manifest; 4. What is the pathophysiology associated with haemorrhagic and ischemic CVA and discuss the precipitating factors for each? Briefly discuss the risk of CVA in patients who have already experienced a TIA. Pharmacology 1. Identify the first line medications for rate control and rhythm management in AF, and describe the pharmacological actions of same; 2. Identify the first line medications for thromboembolic prophylaxis in AF, and describe how these medications act upon the coagulation cascade; 3. Compare the side-effects and lifestyle impact of taking vitamin K antagonists to that of the novel oral anticoagulants. Psychosocial issues 1. What measures would you take to ensure that Kevin remains compliant with medication and follow-up care? 2. How would you ensure that Kevin can recognise the signs of CVA? 3. Describe the nursing measures that you would take to educate Kevin about lifestyle modifications that he needs to make to decrease his risk of mortality and morbidity associated with his new diagnosis; 4. How will you assess Kevin’s understanding of the information that you have provided to him? Directions This assessment is to be presented in an essay format, which includes an introduction and conclusion. Do not rewrite the case study in your introduction. Please respond to the questions in a logical format. Dot points are not acceptable. It is acceptable to use headings at the start of new topics if this makes it easier for your essay organisation. However, avoid creating a question and answer document. It is important to produce academic writing that flows. https://www.temple.edu/writingctr/support-forwriters/documents/AchievingFlowinAcademicWriting.pdf Please use APA level headings throughout. Do not write in the first person.

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