What is a heart murmur? What are some common reasons that heart murmurs occur?

Heart Murmur is an abnormal heart sound during heartbeat cycle. Pregnancy and abnormalities of heart valves are common reasons.
Doctors listen to heart sounds by stethoscope. Normally heart sounds like “lub-dup”. So there are two sounds : first heart sound (S1) and the second heart sound (S2). Sometimes a water flow like (whooshing or swishing) sound accompanies the “lub-dup”. This is called heart murmur. Check out this collection from the University of Washington to hear what the heart sounds like.
Heart murmurs are produced by turbulent blood flow across an abnormal heart valve, septal defect of heart or outflow obstruction from heart; or they may be produced by increased volume or velocity of blood flow through a normal heart valve.
Here is a diagram of heart valves :
Murmurs are produced both in normal and abnormal heart. Heart of pregnant woman and athletes may produce murmurs. These are the examples of “Innocent murmurs”.
Other causes of heart murmur are : Valvular heart diseases (mitral stenosis and regurgitation, tricuspid stenosis and regurgitation, aortic stenosis and regurgitation, pulmonary stenosis and regurgitation), Patent ductus arteriosus, ventricular septal defect etc.
Following is a diagram showing murmurs and their causes. Here we can see the red waves of sound in between heart sounds (S1 &S2), these are murmurs.

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Portofolio part 1 N – Nursing Essay Tutors

 
The Professional Portfolio
A professional portfolio is the evidence of your skills, achievements, and professional experience. Your résumé /CV. Portfolios come in two varieties: a Growth and Development portfolio is your main portfolio. It holds all evidence of your education and achievements and is for your eyes only, and a Best Work portfolio or Profile is a collection of materials you select from your Growth and Development portfolio for review by others for a specific purpose, such as a promotion or an award.
How do I use my portfolio?
 You’ll use your professional portfolio to plan your continuing education and professional development. You can also use your portfolio to market yourself. When applying for a career-ladder promotion, a new position, or admission to an education program, review your portfolio and select the appropriate materials for submission. You can do the same when you think you deserve an award or other recognition.
Several professional associations are either using portfolios for certification or developing a plan to do so. Also, several states have considered or are considering requiring a professional portfolio for re-licensure. So you may be using your portfolio to select evidence for these purposes, as well.
For the purpose of this course the following are the tags required for your professional portfolio:
Part 1 Professional letter examples. It is your cover letter, the one you send as an invitation to consider you as a candidate for work position, or research grant recipients as two examples of its use.
https://www.indeed.com/career-advice/cover-letter-samples/nurse-practitioner
http://www.coverletter.us/nurse-practitioner-cover-letter/

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Week 7 DQ 1 – Response to fellow classmate – Tammy Rochester

How we think can play a role in the genesis and outcome of a given illness. Fossarelli (2002) While working with elderly patients on hospice, I noticed some of the patients improved and were discharged from hospice services. These particular patients had a positive outlook on their illnesses. They were spiritually inclined and remain active. There were others that felt as if they had no hope and were less active and lived only days to weeks after admittance to hospice care. Integration of mind, body, and spirit into a unitary whole for some can create harmony and healing in on’s life. Being optimistic has it’s advantages to healing. People that think with hope and bring goodness to bad situations live less overstressed lives. Stress can cause one to have fatigue and poor health. When I get stressed I check my blood pressure and sugar levels. If one or the other is not good I know to eat healthier, exercise and watch medication intake. The body works with the mind to foresee pending danger or illnesses. People that perceive themselves to be stressed have increased susceptibility to upper respiratory infection. Fossarelli (2002). Spiritually is one’s connection to God and can give the individual the confidence to have less susceptibility to disease or illness. People have slowed down the progression of fatal illnesses by thinking positively or by remaining optimistic. When hope is destroyed the body’s resistance to disease decreases. Fossarelli (2002).
The scientific view is to see the mind, body, and spirit as separate parts. In understanding how one feels, the individual will tell of what and how they feel. From the therapeutic view it is the psychological reshaping that gets restored. Samuel (2010). Depression is chemicals in the brain that can be restored with medication. Depression can take a toll on one’s body, mind, and spirit. Severe depression can effect sleep, appetite and lack of energy. It can effect one’s spirituality to the point of not wanting to get out of bed. Isolation can occur and can also effect one’s spirituality.
Mind, body, and spirit is a part of the life span. Freud spoke of the libido as psychic energy. His view of the mind was unconscious and conscious levels. Freud’s stages of psycho sexual development begins from age 3 to the adulthood and involves physical awareness such as in the phallic stage . Erickerson considered that psychological development continued throughout life and ending to a growing awareness to mortality. Weaver (2009). Frankl, the existentialist challenged psycho dynamic view that the end goal of all activity throughout life is the establishment of individual equilibrium. Weaver (2009) The mind ages as well as the body throughout the life span. Physical changes occur. As one experiences life changes their spirituality may have changes also.
Please respond to the above question using 250 words. Please also use at least 1 reference that is from a peer reviewed article or journal not a website reference. Please also cite the reference in APA 6th edition format.The post Week 7 DQ 1 – Response to fellow classmate – Tammy Rochester first appeared on Nursing School Essays.

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Discussion # 4 (3119) – Nursing Essay Tutors

 
Review how one of the following theorists have influenced: quality improvement, decisions on quality care, patient health, and safety goals:
1. Dorothea Orem,
2. Betty Neuman,
3. Madeleine Leininger,
4. Jean Watson, and
5. Patricia Benner.
Primary reference must be from peer-reviewed NURSING journals less than 5 y/o. One other reference may be from National professional, or governmental, or educational organizations. Supplemental  references (.org, .gov, and .edu) and the course textbook may be used as supplemental references:
  
George, J. (2011). Nursing theories: The base for professional practice (6thed.). Boston: Pearson.
The initial posting must have a different reference than the response to peer posting. See grading criteria and rubric for discussion postings. APA format required.

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For Phyllis Young: Accepting Cultural Differences

Accepting Cultural Differences
Earl Whitecloud is an American high-school student. He is constantly teased and bullied by his classmates because he occasionally wears clothing that represents his Native-American heritage. As a result, Earl spends most of his time at school alone, is absent far more than the average student, and performs poorly at school. As Earl’s teacher, who acutely perceives the problem, you decide to devote a class period to talking about diversity and accepting cultural differences. What three points will you emphasize the most and why? Will you involve Earl in the discussion? Why or why not?
600 Words
Please do not use Wikipedia.
NEED 2 References
Textbook must Be Used
Must use as one of references:  Textbook

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Response Plan outline – Nursing Essay Tutors

 
Create 1–2 page outlines of your response plan for three intervention scenarios.
Nurse leaders need to quickly identify a strategy for evaluating a nursing leadership problem and the dynamics related to the problem, in order to orchestrate intervention efforts and put together a plan of action that leads to stakeholder cooperation.
  Preparation
Use the Internet to research change theory, leadership, and communication strategies. Use the Suggested Resources to research leadership and communication concepts and change theory. The challenge in this assessment is to create a response plan for several intervention scenarios. There are three deliverables required for this assessment.
Rationale for this assessment:
Nurse leaders solve problems or resolve conflict on a daily basis. Understanding how change theory can be applied to a situation and examining various types of interventions in advance can relieve pressure on the nurse leader and improve the workplace environment and outcomes. Rehearsing potential interventions provides a mental toolkit on which to rely during stressful times.
Your management training workshop continues: The second day of HR’s Nursing Leadership Workshop is designed to help you identify and practice effective responses and interventions to common problems and situations. Participants are presented with three scenarios and must create a response plan for each scenario, in the form of a 1–2 page outline.
Deliverables: Submit three Response Plans to complete this assessment. Choose 3 of the 5 Intervention Scenarios linked in the Required Resources for this assessment. For each scenario you choose, develop a separate Response Plan in the form of a 1–2 page outline. Label each outline using the example below: Example: Response Plan for School Nurse. Instructions
Analyze each Intervention Scenario and describe the leadership, communication, and management strategies you believe would be most effective for each situation.
Use the following subheadings to organize your Response Plan outline for each situation. Change Theory: Explain concepts of change theory and how it can be used as a tool to manage situations. Identify elements of change theory that fit best with the scenario. How can you use change theory to deal with conflict? Strategies and Rationale: Describe an effective leadership style you would employ to address a problem. Explain the rationale for choosing a leadership strategy to solve a problem. Identify interventions to address the problem. Expected Outcome: Describe how outcomes or success of the style selected for each situation could be measured. Describe how you could determine improved outcomes or measure success of the leadership style selected for each situation. What might go wrong and how would you deal with that? Professional Standards: Explain how professional and legal standards guide the effective nurse leader when making decisions. Additional Requirements Written communication: Written communication should be free of errors that detract from the overall message. APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting. Length: Each outline should be 1–2 pages double-spaced. Font and font size: Times New Roman, 12 point. Number of resources: Use a minimum of three peer-reviewed resources.
The intervention scenarios to choose from are attached, must choose 3.
The grading rubric is attached. 

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What are neutrophils and eosinophils?

Neutrophils and Eosinophils are types of White Blood Cells. Other types of WBC include Lymphoctes, Monocoytes and Basophils.The post What are neutrophils and eosinophils? first appeared on Nursing School Essays.

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Alcoholism

“Why do people suffer from alcoholism and where a root of the problem is”
Its a Definition Essay, 3 pages long… 7-8 Paragraphs and 6-8 Sentences.
The post Alcoholism appeared first on Nursing Essay Tutors.
Alcoholism was first posted on April 14, 2024 at 10:05 pm.©2019 "nursingassignmenttutor". Use of this feed is for personal non-commercial use only. If you are not reading this article in your feed reader, then the site is guilty of copyright infringement. Please contact me at [email protected]

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Assignment 2 (3167) – Nursing Essay Tutors

 
In a 2-page paper, explore how economic, legal and political factors can impact patient outcomes (for example: ventilator-acquired pneumonia).
APA format required. Use three, level-one headings to organize the paper. See guidelines and rubric for written assignments.
Paper requires a minimum of two references: one from a peer-reviewed NURSING journal (less than 5 years-old) and one from the course textbook. 
  
Polit, D. E & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice(9th. ed.). Philadelphia, PA: Wolters Kluwer
Professional, governmental, or educationalorganizations (.org, .gov, or .edu) may be used as supplemental references.

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1. Many scholars believe business process benchmarking is the most important type of… 1 answer below »

1. Many scholars believe business process benchmarking is the most important type of benchmarking. Do you agree with this particular belief? Why or why not?
2. Describe the concept of 5w2h.
3. What management activities can be undertaken to support a firm’s benchmarking activities? Make your answer as substantive as possible.
4. What are some of the pluses and minuses of the benchmarking code of conduct? Would you add any other points to the code? If so, what?
5. Although benchmarking is a popular management technique, many firms are not engaged in the benchmarking process. Why do you think some firms avoid benchmarking? Are any of the reasons valid? Why or why not?
 
 

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