John is a 56-year-old male who was initially diagnosed six months
John is a 56-year-old male who was initially diagnosed six months ago with Heart Failure. He was treated via a three-day stay in the hospital and sent home with a drug regime and since then has been seen in the ER two times and now re-hospitalized with shortness of breath, pedal edema, and weight gain. He does not understand why the medications are not working.?Research 3Order DescriptionRead the assigned case study and formulate searchable, clinical questions in the PICO(T) format. There are several potential questions that could be asked. Identify ifthe focus of your question is assessment, etiology, treatment, or prognosis. Remember to integrate references.Here is an example of a PICOT.P: male patients who are breadwinners for their families, newly diagnosed with heart failureI: participation in a twice monthly family support group that addresses fears and concernsC: individual family counseling related to fears and concerns twice per monthO: decreased concerns about man’s ability to provide for his familyT: first three months following diagnosisPreferred Reference OR any other:Houser, J. (2015). Nursing research: Reading, using, and creating evidence (3rd ed.). Sudbury, MA: Jones & Bartlett.Chapter 2: The Research Process and Ways of Knowing, pp. 2943CHAMBERLAIN COLLEGE OF NURSING NR 439: WEEK 2 CASE STUDY FOR TDNR439 Week 2 Case Study 2/12/13 jm 1Week 2 Case Study for Threaded DiscussionJohn is a 56-year-old male who was initially diagnosed six months ago with Heart Failure. He was treated via a three-day stay in the hospital and sent home with a drugregime and since then has been seen in the ER two times and now re-hospitalized with shortness of breath, pedal edema, and weight gain. He does not understand why themedications are not working. He cannot miss anymore days at work or he will lose his job and medical insurance for him and his family. His wife is a stay at home momfor their three boys.John is a construction worker and does take his medications as directed but continues to eat what he wants.He states he cannot exercise because he works six days a week and is just too tired when he gets home. He is always tired, up all night going to the bathroom, and isextremely worried about his health issues and the future. His wife Kathy is also very worried because she is a stay at home mom and has not worked since the birth oftheir first child who is 16 years old.During this hospital stay, another cardiac catheterization reveals that the ejection fraction of his heart is only 40. The doctor has told him he needs to change hislifestyle, continue with his meds, and monitor his vital signs at home.John’s wife, Kathy, is 40 years old and finds herself overwhelmed with the diagnosis and is worried that she may have to go back to work if John is not able tocontinue working. She wants to know what she can do to help John. She will do anything but she is not sure what will help John. The nurse came in and handed her abunch of papers about diet and exercise and said a home health nurse would set him up for home monitoring. He will need to stay at home for monitoring and cardiacrehabilitation for six weeks.Formulate searchable, clinical questions in the PICO(T) format using the material is this case study.There are several potential questions that could be asked, but you only need to identify two. Determine if the focus of each question is assessment, etiology,treatment, or prognosis.A C Asia Case RC Research Centre THE UNIVERSITY oF none KONG Peon Kam Kai Series BENJAMIN YEN We ltmre 2V: billion Hang Kong dollars worth ofspare port’s on ourshelves. Mmuging these: ware part3 qflecth’eli’ is inst??rumet??nal in ensuring the efi’iciem operations
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