Discuss the recommendations and evidence for improved health and quality of life due to adherence to a structured exercise program for the elderly with cardiovascular disease.

Case Study Poster and Resource Bibliography
Assessment 3: Case Study Poster and Resource Bibliography

Myocardial infarction is one of the leading causes of death around the world where patients who have survived a cardiac infarction are at a high risk for a subsequent heart attack. This risk has been shown to be reduced if the patient makes life style changes and reliably adheres to prescribed medication. In particular, older patients with myocardial infarction frequently suffer from comorbid conditions that can lead to multiple medications, reduced quality of life, and readmission to the hospital. Cost-effective solutions that improve these elderly patients’ health are more necessary than ever.

According to Seidl et al. (2016), regular information programs provided by trained nurses produced positive effects such improved muscle strength and blood fat levels with less significant physical restrictions and healthier diets for elderly post-infarct persons. Their results provide scientific evidence that supplementary care in a nurse-led case management program can cost-effectively improve the health and quality of life of elderly patients following myocardial infarction.

The purpose for this Case Study poster is to produce nurse-led case management strategies supported by evidence-based information on topics such as medication intake, nutrition and exercise, and psychosocial aspects, combined with information on important parameters such as blood pressure, pulse and/or blood sugar levels, in order to improve the health and quality of life for elderly persons who have suffered a myocardial infarction.

Seidl, H., Hunger, M., Meisinger, C., Kirchberger, I., Kuch, B., et al. (2016). The 3-Year Cost-Effectiveness of a Nurse-Based Case Management versus Usual Care for Elderly Patients with Myocardial Infarction: Results from the KORINNA Follow-Up Study. Value in Health. doi: 10.1016/j.jval.2016.10.001

This assignment is made up of two parts:

Part 1 – Case Study Poster

• Create an electronic poster (using Microsoft PowerPoint) to be displayed at a conference for nurses (NOTE: target audience is peers). Ensure the content of the poster is relevant for this audience; an example is provided on the Bb site to guide in regards to the depth of information expected.

• Select a topic of interest from one of the poster topics below. Choice of a broad overview or specific topical content is left to the researcher(s) who formulates the update.

• Poster must include (but is not restricted to):
o Brief introduction of topic;
o Up-to-date Australian statistics (relevant or contrasting international examples may be included); use charts, tables or figures;
o Evidence-based information relevant to nurses (e.g. pathophysiological concepts, clinical Australian guidelines, and treatment options);
o Health promotion, prevention and intervention strategies (current practices, future possibilities and developments)

• Marking guide
o Before submission of assignment, refer to the marking rubric (posted on this BB site) to understand how the poster will be marked. Ensure that you address each of the criterion for assessment according to the rubric as you design your poster.

• Create the poster
o Refer to “How to create a PowerPoint poster”;
o Refer to “What is a poster presentation?” to design the poster;
o Refer to the Camtasia video “Camtasia for Poster Guidance” for link to online poster templates (if desired) and instructions to format and upload your poster to Turnitin;
o Poster is a single PowerPoint slide – (use the Camtasia video “Camtasia for Poster Guidance” to set up the slide for the poster).
o Do NOT use any other program than Microsoft Power Point. The ECU IT system cannot support other formats;
o Save the PowerPoint file as a pdf prior to submission through Turnitin;
o Do not submit the rubric with your assignment; it is embedded within Turnitin.
o The Resource Bibliography (Part 2) is a subsequent pdf file (see the Camtasia video “Camtasia for Poster Guidance”)

• Referencing
o In-text and end-text referencing is required for the poster (APA format). Both are to be included on the poster and not to be provided as a separate slide/document. You must demonstrate evidence of use of at least five (5) recent (2010-2016) journal articles on your poster (NOTE: Use of websites or webpages are NOT allowed for support of the poster content).

Part 2 – Resource Bibliography

• Here, you are to provide a website list (10-15 sites) relevant to your selected topic;
• These are to be relevant for clients, nurses or both target audiences.
• The following information needs to be provided:
o Name of website (e.g. Healthy Aging)
o Web address (e.g. https://www.cdc.gov/aging/index.html)
o Brief description of the website, who it is aimed at and why it is useful in not more than one paragraph.
• Format this list with bullet points or as a table (see the sample poster) and save as a pdf file. Combine this pdf file with your pdf files for your poster and cover sheet (see the Camtasia video “Camtasia for Poster Guidance”) prior to submission using Turnitin.

Poster Topics- (Choose One)

• Case Study One (Mable) – Changes in the nature of cardiovascular disease and self-management due to aging.

A married 74-year-old female who lives in her own home was admitted to hospital with progressive increase in breathlessness, orthopnoea and ankle oedema over the previous 3 weeks. Her general practitioner had since prescribed oral coamilofruse.

She was apyrexic yet tachypnoeic. Sitting blood pressure was 110/70 mm Hg. ECG confirmed sinus tachycardia with Q waves of a previous infarction, chest X-ray confirmed cardiomegaly and interstitial oedema. Routine chemistry showed Na+ 128 mmol/L; K+ 5.8 mmol/L; urea 9 mmol/L; creatinine 155 mmol/L. A creatine kinase series was unremarkable. Echocardiography showed a dilated heart compatible with previous anterior myocardial infarction. The posterior wall was contracting vigorously.

This is a common clinical presentation of progressive systolic dysfunction after an unheralded myocardial infarction. The patient was symptomatically improved by initial intravenous diuretics and supplemental oxygen; correction of the fluid imbalance (1.5 L fluid restriction; oral coamilofruse twice daily) resulted in a weight loss of 4.5 kg over 5 days. Although supine blood pressure remained low (