– Select a potential natural or man-made disaster that could happen in
>    your community. Then, write a 3- to 4-page paper about the disaster from
>    the community nurse’s perspective.
>
> Section 1: The Disaster, Man-Made or Natural
>
>    – What disasters may strike your community and why? For example, do you
>    live in “Tornado Alley,” or has climate change resulted in unusual cold
>    weather snaps or blizzards in your community? Are you located in a flood
>    plain? Include possible diseases that may result from a natural
> disaster,
>    such as tetanus or cholera.
>
> Section 2: The Nursing Response
>
>    – Formulate responses to the disaster, considering systems and community
>    levels of intervention.
>    – Review websites where a disaster plan may be available for the public,
>    or if one is not currently available, call public health department to
> see
>    if a disaster plan exists for your community and what the plan contains.
>    – In addition to reviewing websites for information about your local
>    disaster plan, you will need to locate best practice/evidence-based
>    practice guidelines in professional literature to determine whether your
>    community’s disaster plan is as sound as it might be or if there is room
>    for improvement.
>
> Section 3: Is My Community Prepared for a Disaster?
>
>    – What conclusions can you draw about your community’s preparedness plan
>    from having completed this evaluation?
>
>
> Week 4: Evidence-Based Practice in Disaster Planning: Nurses as Leaders
>
>    – Public health surveillance is one way that public health officials
>    target intervention strategies (Turlock, 2016). Often, it is through
> prompt
>    recognition of and reporting of incidents of communicable disease that a
>    disaster can be averted (Turlock, 2016). Surveillance activities often
>    prompt questions such as, What is causing the disease? How is it
> spreading?
>    And who is at risk (Turlock, 2016)? While it is true that preparedness
>    planning cannot eliminate all traces of threat to a community, planning
>    assures that medical services and treatment are deployed in an
> effective,
>    efficient, and rapid manner (Turlock, 2016). Public health plays a vital
>    role in coordination of providers, assurance of supplies particularly
> when
>    the Strategic National Stockpile pharmaceuticals and supplies are
> required,
>    and mobilization of state and national response systems. Public health
>    officials may also provide health care services when required (Turlock,
>    2016).
>    – Stanhope (2016) noted that evidence-based practice (EBP) has become
>    more important in health care for many reasons: increased expectations
> of
>    consumers, increased availability of information through the Internet,
>    increased accountability for results, health care economic changes, and
>    growing numbers of lawsuits, among other reasons. EBP is a lifelong
>    problem-solving approach that regularly produces excellent results and
>    often provides the theoretical underpinnings for programs to mitigate
>    problems in the community. Once programs are in place, evaluation of
> their
>    effectiveness should be conducted to determine whether they are worth
> the
>    continued expenditure of resources. Use of EBP is vital to assure safe
>    outcomes for populations during disasters, such as massive communicable
>    disease outbreaks, and should be the foundation of disaster-planning
>    strategies.
>
>
> Required Readings
>
> Stanhope, M., & Lancaster, J. (2016). Public health nursing:
> Population-centered health care in the community (9th ed.). St. Louis, MO:
> Elsevier.
>
>    – Chapter 15, “Evidence-Based Practice” (pp. 342–354)
>    – Chapter 23, “Public Health Nursing Practice and the Disaster
>    Management Cycle” (pp. 503–528)
>    – Chapter 24, “Public Health Surveillance and Outbreak Investigation”
>    (pp. 529–544)
>    – Chapter 25, “Program Management” (pp. 545–567)
>
> Required Media
>
>    – Laureate Education (Producer). (2009a). Family, community and
>    population-based care: Emergency preparedness and disaster response in
>    community health nursing [Video file]. Baltimore, MD: Author.
>    – TED. (2012). How to step up in the face of disaster [Video file].
>    Retrieved from
>
> https://www.ted.com/talks/caitria_and_morgan_o_neill_how_to_step_up_in_the_face_of_disaster
>    – This Ted Talk describes the actions of two sisters who step up as
>    leaders during a tornado disaster in their community.
> 

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 The student is responsible to find an evidence- based journal article related to a disease condition/pathophysiology. Read it and provide a scholarly summary and feedback on the implications within healthcare with a minimum of 200 words.  Less than 15% similarity. APA format. 

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L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb.

Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.

Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.

One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm.

Questions

What are the effects of controlling BP in people with diabetes?

What is the target BP for patients with diabetes and hypertension?

Which antihypertensive agents are recommended for patients with diabetes?

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Hypertension care plan

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No plagiarism! 

apa format

To complete this week, after reading chapter two in Melnyk and reviewing the lectures you submit a 2-3 page paper that explores the background of your issue ( does the development of community programs and providing health education, reduce disparities in hypertension in predominately African American communities versus a more diverse community? ). For this paper, It will end with the PICOT question.  The parts of your paper should include:

• Introduction
• Definition
• Epidemiology
• Clinical Presentation
• Complications
• Diagnosis
• Conclusion with PICOT Question 

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