-Discuss the pathophysiology of Pregnancy Induced Hypertension (PIH).  

-Identify the preceipitating factors and predisposition to PIH.  

-Discuss the signs and symptoms and treatments.

– 1-2 paragraphs

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Write a 2-3 page APA formatted paper (not including cover sheet or reference page) utilizing a minimum of three resources based on the case scenario below. 

You may opt to do a power point presentation or Prezi with a minimum of 10 – 15 slides (not including cover sheet or reference slide) instead of the written paper. 

Scenario: A gravida two, para-one 34 year old woman comes into the office for pre-natal care. She is 28 weeks pregnant. Her blood pressure is 160/90 with a weight of 220 lbs and a height of 5’1. Her previous blood pressure at her visit 4 weeks ago was 122/ 78. Her previous weight was 210 lbs. She reports a history of gestational diabetes. Her fasting glucose is 108 with an A1C of 6.0. 

What focused assessments would you expect the practical nurse to perform? What important data would need to be communicated to her health care team?

Spelling and grammar is correct throughout the presentation. APA format is consistently done and correct. All information is referenced throughout the body of the presentation. Uses a minimum of 3 credible references.

1

Discusses the significance of blood pressure. What will be reported based on this finding? What condition are you looking for? How urgent is the reporting of this problem? 

2

Discusses the significance of the blood glucose finding. Outline what other focused assessments will be made based on this finding. What will be reported based on this finding? What condition are you looking for? 

-Briefly discuss the common findings of pregnancy induced hypertension (PIH), and nursing care and management of this disorder.

-Briefly discuss the common findings of gestational diabetes mellitus (GDM), and nursing care and management of this disorder.

-Includes SBAR report for this patient

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I will provide a client without violating HIPPA these are the areas need to be addressed in the genogram

• Demographic information
• Presenting problem
• History or present illness
• Past psychiatric history
• Medical history
• Substance use history
• Developmental history
• Family psychiatric history
• Psychosocial history
• History of abuse/trauma
• Review of systems
• Physical assessment
• Mental status exam
• Differential diagnosis
• Case formulation
• Treatment plan

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As the president of the 300-bed hospital which serves a diverse population of 50,000 citizens, it is the president’s responsibility to create a plan of action to help address and treat patients of the county who might become ill in the next 48-72 hours.

The first task you will undertake is to research the disease, its course of treatments, and cures to help effectively treat the potential outbreak. Once you have done so, you will create a presentation that you can give to the county board and CDC showing how your hospital will combat the disease, treat patients, and develop strategies to prevent the spread of the outbreak.

As the president, you will need to work with internal and external vendors on ensuring that the hospital has enough resources and that more resources can be ordered and delivered as quickly as possible. You will need to reach out to and gain assistance from other healthcare organizations in the area to help you track, treat, and control the spread of the disease. Â As the leader of the hospital, you will have to make decisions on how to properly manage the shortage of beds, doctors and nurses, and resources that may occur due to the outbreak. 

Instructions

Create an executive summary addressing how best to successfully manage the problem outlined in the scenario. This plan has two parts. First is the executive summary followed by a PowerPoint presentation with audio.

Step 1 – Write an Executive Summary covering the following:

• Develop an action plan to share with the hospital staff and CDC local office to address and contain the outbreak in an effective and efficient manner at the hospital.
• Outline the process of developing alliances and partnerships to help treat and contain the outbreak through the use of efficient and effective approaches to the healthcare delivery systems.
• Analyze the organizational decisions needed to be undertaken as a leader; that would play a part in addressing and containing the outbreak along with the use of limited resources.
• Determine the best leadership style to use to effectively bring together multiple departments and agencies to work together as one team in containing and treating the outbreak.
• Summarize innovative processes needed to address the outbreak given the shortage of resources and time to implement a strategy.
• Outline any ethical considerations that should be addressed as part of the strategy in treating and containing the outbreak due to the shortage of resources such as money, manpower, and medicine.
• Write a conclusion on the process changes needed to help improve reaction time and containment from the standpoint of the hospital.

Step 2 – Create a PowerPoint presentation 

 PowerPoint made up of at least 12 slides covering your findings and suggestions in dealing with the outbreak and containment of the disease

Grading rubric

1.Executive summary addressed the problem and touched on several areas of concerns that might arise in the undertaking of treating and containing the outbreak.

2.Executive summary outlined the importance of cross-functionality of teams

3.Executive summary discussed the importance of organizational decisions and briefly touches on how those decisions are affected by leadership system and the need for buy-in of different teams.

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 hi dear,

can help me to finish this assignment with good quality and be on time please?

Please follow the instructor carefully. There are 4 Discussions ,your response to classmates should be at least one paragraph for each Discussion, address the discussion topic or question, be respectful, and add to the discussion. You may draw upon personal experience, course or scholarly references, citing appropriately. Restating the primary response, or agreeing or disagreeing without supporting statements will result in a lower grade. 

In reference to including a paragraph for both primary and peer responses, 4-5 sentences constitute a paragraph.

Discussion one, 

In my community the biggest threat in my opinion is the San Andreas Fault. The San Andreas fault is a fault line in California that is about 800 miles long if you include all of the curves, 700 if you measure in a straight line.  This fault is one of the most famous in the world, and that is due to the amount of activity constantly being reported. Ever since childhood I have heard about “the big one” a massive earthquake that is supposed to hit when this fault splits. There have even been stories that California will completely break off of the US. The United States Geological Society tells us that, “The paleosceismic data on different parts of the San Andreas Fault Zone are all telling us that some sections appear to be past the average, or ‘overdue’ for a significant earthquake, But the data can’t be used to make predictions: we do not understand earthquakes well enough to know exactly where the next earthquake will occur, what the magnitude will be, or exactly when it will happen.” If a large magnitude earthquake hit, it would result in a very large scale incident affecting emergency services, hospitals, electric companies, water companies, and pretty much everyone. While building codes in California are very strict, many buildings have not actually been tested in a real life event and may not hold as strong as they are intended to. Hospitals also run many drills, but in the event of a major disaster the amout of patients could far outweigh the resources available. Water and gas lines could burst, and freeways could collapse. Overall the entire state could be placed into disarray that all of the planning possible may not prepare us for.

Discussion two,

  Living in California we see a little bit of everything depending on what part of the state you live in. I went searching for risks of an incident in my area and found the CAL OES website that lets you search a community by zip code to show what that community is most at risk for. I live in the northern part of San Diego County. Like all Californians we are at risk for earthquakes, moderate and intense sizes. My community is also at risk for flooding. On the positive side we are outside the zone for tsunamis. Every year during fire season I feel like my community is at risk for fires due to the amount of hills, mountains, trees and bushes in my neighborhood but according to the CAL OES website, my community is outside of the fire hazard area.

Discussion three,

   Emergency management involves plans, structures and arrangements established to engage the normal endeavors of government, voluntary and private agencies in a comprehensive and coordinated way to respond to the whole spectrum of emergency needs (What is Emergency Management, n.d.). Over the course of history, emergency management continues to evolve due to the learning process of each situation that occurs local, state, country, and globally. Various approaches and programs have been developed to address these needs in domestic and global contexts, including initiatives to strengthen public health preparedness and global health security (Rose, Murthy, Brooks, & Bryant, 2017). We learn from what works and what doesn’t in the context of how we respond to emergencies. Public health continues to progress and evolve. Emergency management continues to progress and evolve as well.

An example of emergency management learning from history is the infamous 9/11 attacks on the twin towers in New York City. The relationship between public health and emergency management came into sharper focus after the events of September 11, 2001, and efforts to strengthen ties have continued to evolve (Rose, Murthy, Brooks, & Bryant, n.d.). Going through natural disasters, terrorist attacks, infectious disease and other emergencies being prepared is an important factor in protecting the local communities, state and the country from a repeat of history. Furthermore, learning from history can help broaden and expand emergency management.

Discussion four,

  Emergency Management learns from history in many ways; from natural disaster preparedness to response to terrorist attacks. Two major historical examples are September 11th attacks and Hurricane Katrina 2005. From the September 11th attacks lessons learned included communication and coordination, the triage and movement of patients from the scene, and the preparation of hospitals. (Simon & Teperman, 2001) According to the George W. Bush White House archives lessons learned for emergency responses included the response of state and local governments, the knowledge and plan in case of disasters, and insufficient planning and coordination. (United States, 2006) In both cases communication has significant failures and inadequacies. According to the textbook communication needs must be addressed in all planning and then have backup systems in place in the event primary communications fail. However, like the book mentions funding and the overall cost of many communication methods cause hospitals and healthcare setting to have underfunded communication systems. (Reilly & Markeson, 2011)

Thanks,

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