250 words, APA style, it needs a reference not a bibliography

 Question: Does my patient have significant aortic stenosis? 

 A 72 year-old woman with a history of CHF presents with several weeks of gradually progressive dyspnea on exertion (DOE). At her baseline, she is able to walk several blocks, but now feels winded. She denies chest pain, palpitations, syncope/near syncope, cough, orthopnea, or PND. She states she is compliant with her medications and diet. She has had a recent functional study that showed minimal ischemia.  

Meds

aspirin
digoxin 0.125 qd
lisinopril 20 mg qd
furosemide 20 mg qd
KCl 10 mEq qd

PE

HR 90, regular
PB 134/70

Labs

chem 7:
Na 132
K 5
Cl 94
HCO3 30
BUN 18
Cr 1.3
CBC: notable for Hgb 14 g/dL (Hct 43%)

CV

RRR, normal S1 and S2
No S3 but has S4
2/6 mid-peaking systolic murmur at the LUSB that radiates to the carotids.

PMI is mildly enlarged and sustained

Neck

Carotid pulse is brisk.
JVP flat
Positive abdominojugular reflux

CXR

Xray shows cardiomegaly and mild vascular redistribution

ECG

Unchanged with an incomplete LBBB pattern

Clinical Diagnosis

Worsening of her congestive heart failure (positive AJR, enlarged and sustained PMI, cardiomegaly, and vascular redistribution).

Clinical Questions

Is this patient’s worsening CHF due to significant aortic stenosis? 

Please elaborate why you think it may be aortic stenosis according to patient’s symptoms and how do you assess each symptom.

Compare properties of the anterior pituitary hormones with the posterior pituitary hormones. How are they similar or different relative to regulation and mechanism of secretion, vulnerability to brain trauma and inflammation, and long-term consequences of dysfunction?

The purpose of this assignment is for students to create an infographic to educate the community on the impact of a public health issue and make recommendations for policy change.

Research public health issues located on the American Public Health Association (APHA) website, found in the topic Resources under “Topics and Issues.” (https://www.apha.org/topics-and-issues) Select a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Based on the public health issue selected, create an infographic that briefly addresses the following: 

• Describe the selected public health issue and its impact on the community. Include data that demonstrate the significance of this issue and key risk factors leading to this issue.
• Discuss ways that the public health issue can be prevented, including key concepts of epidemiology.
• Explain a policy that currently addresses this issue and the impact of this policy on population outcomes including social justice and health equity.
• Propose at least one change to existing policies to better address this issue. Support recommendations with appropriate evidence.
• Summarize what steps are required to initiate policy change. Identify necessary stakeholders required to initiate policy change (government officials, administrator, etc.) and explain their level of influence.

Refer to the resource “Images, Infographics and Graphics Resources,” (https://libguides.gcu.edu/Images/Infographics), for additional guidance on completing this assignment in the appropriate style.

Cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN-BSN

3.4: Advance equitable population health policy.

3.5: Demonstrate advocacy strategies.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 3.4 and 3.5