Hypertension Care Plan 1
Hypertension care plan
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Hypertension And Diabetes
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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Hysterosalpingography Hsg
Go to the March of Dimes website and find the professional resources. Find their online education and print materials.
After exploring the available resources, select a topic that is important to you. Write a 1 – 2 page paper discussing best practices related to perinatal health. Be sure to correctly format your paper using APA format.
Cover page is complete per APA format, sources are cited throughout the body of the paper, and references are correctly formatted per APA format, using proper grammar, punctuation, spelling, sentence structure and word usage. The entire paper shows detail to the topic, and the sentences flow well from one thought to the next.
A minimum of 3 appropriate references are used, including the March of Dimes website. Use the reference list supplied
The topic selected will address something that was seen by the student at the OB clinical site.
The patient’s situation needs to be introduced into the paper. The patient will be referred by initials only.
The topic selected addresses best practices related to prenatal or perinatal health, or prevention/ reduction of prenatal and perinatal morbidity and mortality in the United States, and is clearly introduced in the introductory paragraph.
Risk factors related to the topic are included.
Preventative measures related to the topic are included.
Common medical and nursing care and management are clearly and correctly outlined, and best practices identified.
Teaching topics important to the patient and the family are clearly and correctly outlined.
The topic is clearly summarized in the closing paragraph.
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Hypertension 19450377
What is hypertension, causes, progression, treatment, nursing assessment, nursing intervention and dietary therapy?
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Hypovolemic Shock Please Also See Attachment
Instructions
- Select a crisis exemplar from this course and write a 5-6-page.
- Obtain approval from your instructor regarding your chosen topic before writing the paper.
- Include the following in your paper:
- Cover page
- Brief introduction
- Pathophysiology of the exemplar includes discussion of the concepts involved
- Symptoms, diagnosis, treatment, and nursing care for your chosen exemplar
- Impact of family, culture, and community for your chosen exemplar
- Conclusion
- Reference page
- A minimum of three peer-reviewed literature resources, written within the past 5 years, is required for this assignment.
- This paper is to be typed and in APA formatting: Including cover page, in-text citations, and a reference page (abstract not required).
- Important: When this assignment is submitted on Canvas, it will be assessed by the plagiarism checker, Turnitin.com.
- See rubric used for grading this assignment
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Hypertension 19390649
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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Hypothyroidism Soap Note
Hypothyroidism SOAP NOTE
Patient Initials: Age: Gender:
SUBJECTIVE DATA:
Chief Complaint (CC): “ ”.
History of Present Illness (HPI):
Medications:
Allergies:
Past Medical History (PMH):
Current medication:
Past Surgical History (PSH):
Family History:
Personal/Social History:
Immunization: up to date.
Lifestyle:
Review of Systems:
General:
HEENT:
Neck:
Breasts:
Respiratory:
Cardiovascular/Peripheral Vascular:
Gastrointestinal:
Genitourinary:
Musculoskeletal:
Psychiatric:
Neurological
Skin:
Hematologic:
Endocrine:
OBJECTIVE DATA:
Physical Exam:
Vital signs: Temperature: ; BP: mmHg; HR: bpm; RR: /min; Oxygen Saturation: %; Pain: (0-10 scale), Weight lb; Height; BMI
General:.
HEENT:
Neck:
Chest
Lungs:
Heart:
Peripheral Vascular:
Genital/Rectal:
Musculoskeletal:
Neurological:
Skin:
ASSESSMENT:
Differential Diagnosis
1. Hyperthyroidism.
2.
3.
From both the subjective and objective data, it is clear that the main diagnosis is
PLAN:
Treatment Plan: (please prescription with dose)
Non-pharmacological approaches
For the follow-up, the patient should get back to the hospital after
References: 2 or 3 with APA format
Soap Note 2 Chronic Conditions (15 Points)
Pick any Chronic Disease from Weeks 6-10
Follow the MRU Soap Note Rubric as a guide:
Use APA format and must include minimum of 2 Scholarly Citations.
Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.
Please use the sample templates for you soap note, keep these templates for when you start clinicals.
The use of templates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.
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Hws On Health
Need this hw’s to be done on Sunday July 21, 2019 @ 11am Pacific Time Zone. Instructions are attached to this post. Follow it to a T. Drop me a PM if you have questions. Please have mercy on the pricing as I’m a broke boy. Thank you.
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Hypothesis Testing In Research
Provide two different examples of how research uses hypothesis testing, and describe the criteria for rejecting the null hypothesis. Discuss why this is important in your practice and with patient interactions.
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Hw1 18595215
– 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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