APA Format.

Minimum 250 words in one page

At least 2 outside scholarly references.

Turnit it similarity maximum 20% 

1. What are the effects of controlling BP in people with diabetes?
2. What is the target BP for patients with diabetes and hypertension?
3. Which antihypertensive agents are recommended for patients with diabetes?

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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

1. What are the effects of      controlling BP in people with diabetes?
2. What is the target BP for patients      with diabetes and hypertension?
3. Which antihypertensive agents are      recommended for patients with diabetes?

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• Please use AHRQ , an organizational evidence-based standard and applicable Best Practice to guide your      topic development.
• 1. The introduction gives some history of the topic, the reason it is important to nursing practice 
• 2. This assignment requires proper APA format.
• 3. This includes a title page, reference page, and proper headings.
• 4. Write a 3-page paper (not including title page and reference page) addressing the following:
• Background of a Narcolepsy with Cataplexy related to your practice.  
• The PICO(T) format is used to organize research evidence to address clinical problems. You will use the PICO(T) question to identify relevant studies needed to develop evidenced based practice or best practices in nursing education.  

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Instructions

Consider your experiences at work, school, and in your personal life. You have, at some point, been asked to work with a group to achieve a particular goal. It might have been a group research project, a new marketing plan, a learning plan, a schedule to roll out new technology, planning a wedding, or even planning and creating a large family meal. In many collaborative efforts like these, there are disagreements. Select one collaborative experience from your past that involved some disagreements or significant differences of opinion.

Write a short 300 words paper in APA style discussing the following elements:

Describe the project that you were working on, including the people involved. Explain the problem that you encountered with the group. How was that problem overcome? What was the end result of encountering and dealing with that problem? What do you think was the cause of the problem? How much of the problem came from miscommunication, either from you or from other people involved? What did you do to help resolve the problem? If you were able to relive that experience, how would you change the way that you approached the encountered problem? How would you communicate differently? How, ultimately, was the conflict resolved?

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A new healthcare manager put some changes into place that would facilitate staff involvement in decisions related to patient care. One of these changes included transitioning to staff self-scheduling, with a few rules that the staff helped develop. One of the rules included that the more senior staff members would have first choice in their schedule. This new schedule process was well received until the holiday schedule started to be created. Negotiation and the importance of supporting each other to ensure everyone had some time with their family over the holidays was not prioritized, unlike in years past. A staff divide developed between the senior and less senior staff members. Senior members would give the less senior members the silent treatment and became noticeably less available to help the less senior members throughout their shifts. The conflict resulted in one staff member leaving work in tears and several others desiring to change floors or leave the hospital completely.

In your submission, respond to the following: Summarize the key problem outlined in the case study. How would you apply the ten steps to resolving an interest-based conflict (Quantum Leadership, pp. 250-253) to address this problem?

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