Gestational Hypertension In A 30 Year Old Patient Essay

All of the instructions will be given to you in a document. One document is the guidelines and the other is a sample to help guide you (and to make it a little more easier). For the background information summary, the section titled Significant assessment findings during days of care can be placed in a table. Also the medications can be placed in a table as well. I will also attach a NANDA Nursing Diagnosis to help for the “Risk for”. Gestational Hypertension In A 30 Year Old Patient Essay

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RUA: Interdisciplinary Care Assignment Guidelines
341/342 _RUA Assignment Guidelines 1
Purpose
The purpose of this assignment is for the student to reflect on the nursing care of a critically-ill individual from a clinical
experience. The student will demonstrate clinical reasoning skills and will discuss interdisciplinary care that had been
incorporated and/or anticipated during the care of the critically-ill individual.
Course outcomes: This assignment enables the student to meet the following course outcomes:
CO 1: Provide nursing care to patients and their families in critical and emergent care settings based on theories and
principles of nursing and related disciplines.
CO 2: Initiate the use of appropriate resources in direct care responsibilities within critical-care and emergent care Gestational Hypertension In A 30 Year Old Patient Essay
settings.
CO 3: Demonstrate effective therapeutic communication and relationship skills in providing care to patients and
families in critical-care and emergent care settings.
CO 4: Demonstrate effective clinical decision-making based on critical thinking skills and legal, ethical, and
professional standards and principles when caring for patients and families in critical care and emergent care
settings.
CO 5: Implement a plan of for continued personal, professional, and educational development related to nursing
practice within critical-care and emergent care settings.
CO 7: Use evidence including research findings from nursing and related disciplines to answer clinical questions
related to nursing care of patients in critical care and emergent care settings.
Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to
this assignment. Gestational Hypertension In A 30 Year Old Patient Essay
Total points possible: 100 points
Preparing the assignment
Follow these guidelines when completing this assignment. The paper should be typed and presented in APA format,
including an APA title page, use of headings, and references with in-text citations. Spelling and grammar will be
evaluated with this assignment. Speak with your faculty member if you have questions.
Background Information Summary:
• Demographics
• History of present illness
• Relevant past medical and surgical history
• Admitting diagnosis (diagnoses)
• Course of current hospitalization to date
• Significant assessment findings during day(s) of care. Include vital signs, focused assessment, and data
from monitoring devices. (This information can be presented in a table).
Laboratory and Diagnostic Tests
• Identify and list a summary of relevant and significant lab values and diagnostic tests/procedures
performed. Include the rationales for performing the tests and for any abnormal results. Provide an
analysis of the relationships between/among the diagnostic tests and lab results with the critically-ill
individual’s current condition(s). Gestational Hypertension In A 30 Year Old Patient Essay
2
NR341/342 Complex Adult Health
RUA: Interdisciplinary Care Assignment Guidelines
341/342 _RUA Assignment Guidelines 2
Medications
• Identify and list a summary of relevant and significant medications. Indicate the trade name and
generic name, the medication classification, the therapeutic use, major adverse effects, timing,
dosage, route of administration, and the nursing implications. Also include the rationale(s) as to why
the medication is prescribed for treatment. For example, document the rationale for how the
treatment corrects the critically-ill individual’s condition or a side effect of another drug that is
prescribed for treatment. *This information can be presented in a table.
Nursing Diagnoses
• In order of priority, identify three (3) nursing diagnoses for the individualized plan of care for this
patient. Two of the nursing diagnoses must address actual problems, and one of the nursing
diagnoses must be a “Risk for” or “Potential Complication” (PC). For each nursing diagnosis, include
three (3) specific, measurable, achievable, realistic, and timely (SMART) nursing goals/outcomes,
three (3) nursing interventions, and three (3) collaborative interventions. *This section can be
presented as a table or concept map.
Interventions – ROUTINE NURSING MANAGEMENT
• Describe independent nursing care you provided in the care of the critically-ill individual. Examples
include, but are not limited to: activity level, position, ongoing monitoring, and nutrition (prescribed Gestational Hypertension In A 30 Year Old Patient Essay
diet, tube feedings/TPN, formula, rate, and calculation of basal energy expenditure (BEE), patient
education, wound care etc.). The rationale must be included for each intervention.
Interdisciplinary (ID) Care
Collaborative Management
• Identify the members of the interdisciplinary team caring for the critically-ill individual. Provide a
brief description of their roles and responsibilities. Interdisciplinary team members include, but are
not limited to: physician, pharmacist, lab/diagnostic tests personnel, respiratory therapy, physical
therapy, occupational therapy, speech therapy, social work/case management, pastoral care, ethicist,
etc.
Therapeutic Modalities
• Describe the various therapeutic modalities used in the management of care for the critically-ill
individual. Discuss the extent of the nurse’s responsibilities and skills required to manage the
therapeutic modality in comparison to the responsibilities of the members of the interdisciplinary
team. Therapeutic modalities include but are not limited to: oxygen therapy (mode, FiO2,),
dialysis/CRRT (settings), ventilator therapy (mode of ventilation, settings, FiO2). The rationale must
be included for each modality.
Nursing Role Reflection
• Provide a brief summary of how your role interacted with the members of the interdisciplinary team.
Include in your summary
o Analysis of communication style preferences among interdisciplinary team members and with Gestational Hypertension In A 30 Year Old Patient Essay
the critically-ill individual and family members. What is the impact of your own
communication style on others?
o System barriers and facilitators. Did the organizational framework for interdisciplinary
management of care facilitate or hindered the quality of care/outcomes for the critically-ill
individual? What recommendations can you make to the organizational system for enhancing
interdisciplinary collaboration? Provide at minimum two (2) evidence-based literature sources
to support your recommendations.
3
NR341/342 Complex Adult Health
RUA: Interdisciplinary Care Assignment Guidelines
341/342 _RUA Assignment Guidelines 3
o Professional Development. Based on your experience(s), write ideas for your own professional
self-development plan to enhance your potential for becoming an effective member in an
interdisciplinary team.
• Page Limits
o The body of the paper should be between 7-10 pages, NOT including the Title and Reference
pages.
 Background Summary 1 to 1.5 pages
 Laboratory and Diagnostic Tests 1 to 1.5 pages
 Medications 1 to 1.5 pages
 Nursing Diagnoses 1 to 1.5 pages
 Interventions 1 page
 Interdisciplinary Care 1 to 1.5 pages
 Nursing Role Reflection 1 to 1.5 pages
For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online library.
Please note that your instructor may provide you with additional assessments in any form to determine that you fully
understand the concepts learned in the review module.
NR341/342 Complex Adult Health
RUA: Interdisciplinary Care Assignment Guidelines
341/342 _RUA Assignment Guidelines 4
Grading Rubric
Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.
Assignment Section and Required Criteria
(Points possible/% of total points available) Gestational Hypertension In A 30 Year Old Patient Essay
Highest Level of
Performance
High Level of
Performance
Satisfactory Level of
Performance
Unsatisfactory Level
of Performance
Section not present in
paper
Background Information
(10 points/10%) 10 points 8 points 6 points 4 points 0 points
Required criteria
• Demographics
• History of present illness
• Relevant past medical and surgical history
• Admitting diagnosis(es)
• Course of current hospitalization to date
• Significant assessment findings during day(s) of care.
Include vital signs, focused assessment, and data from
monitoring devices.
Includes no fewer
than 6 requirements
for section.
Includes no fewer
than 4 requirements
for section.
Includes no less than
2 requirement for
section. Gestational Hypertension In A 30 Year Old Patient Essay
Section present, yet
includes no required
criteria.
No requirements for
this section
presented.
Laboratory and Diagnostic Tests
(10 points/10%) 10 points 8 points 6 points 4 points 0 points
Required criteria
• Identifies and lists relevant and significant lab values
and diagnostic tests/procedures performed.
• Includes the rationales for performing the tests and for
any abnormal results.
• Provides an analysis of the relationships
between/among the diagnostic tests and lab results
with the critically-ill individual’s current condition(s).
Includes no fewer
than 3 requirements
for section. Items are
relevant, include
rationales for
abnormal results, and
an appropriate
analysis.
Includes no fewer
than 2 requirements
for section. Items are
relevant, include
rationales for
abnormal results, and
an appropriate
analysis.
Includes no less than
1 requirements for
section. Items are
relevant, include
rationales for
abnormal results, and
an appropriate
analysis.
Section present, yet
does not include
relevant items,
rationales for
abnormal results, or
an appropriate
analysis.
No requirements for
this section
presented.
Medications
(10 points/10%) 10 points 8 points 6 points 4 points 0 points
Required criteria
• Identifies and lists relevant and significant medications.
• Indicates the generic name, dosage, medication
classification, the therapeutic use, major adverse
effects, and nursing implications.
• Includes the rationale(s) as to why the medication is
prescribed for treatment.
Includes no fewer
than 3 requirements
for section. Items
include all relevant
and significant Gestational Hypertension In A 30 Year Old Patient Essay
medication
information and
rationale for each.
Includes no fewer
than 2 requirements
for section. Items
include all relevant
and significant
medication
information and
rationale for each.
Includes no less than
1 requirements for
section. Items
include all relevant
and significant
medication
information and
rationale for each.
Section present, yet
includes no required
criteria. Relevant
medication
information or
rationale(s) missing.
No requirements for Gestational Hypertension In A 30 Year Old Patient Essay
this section
presented.
NR341/342 Complex Adult Health
RUA: Interdisciplinary Care Assignment Guidelines
341/342 _RUA Assignment Guidelines 5
Nursing Diagnoses
(15 points/15%) 15 points 13 points 11 points 9 points 0 points
Required criteria
• Identifies three (3) nursing diagnoses in order of
priority: 2 actual problems and 1 risk for or potential
complications for the plan of care.
• Includes 3 nursing outcomes, 3 nursing interventions,
and 3 collaborative interventions for each nursing
diagnosis.
Includes no fewer
than 3 appropriate
and accurate
diagnoses that have
the required
outcomes, and
collaborative
interventions.
Includes no fewer
than 2 appropriate
and accurate
diagnoses that have
the required
outcomes, and
collaborative
interventions.
Includes no less than
1 appropriate and
accurate diagnoses
that have the
required outcomes,
and collaborative
interventions. Gestational Hypertension In A 30 Year Old Patient Essay
Does not Include
appropriate or
accurate diagnoses
and/or outcomes, or
collaborative
interventions.
No requirements for
this section
presented.

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Interventions: Routine Nursing Management
(10 points/10%) 10 points 8 points 6 points 4 points 0 points
Required criteria
• Describes independent nursing care provided in the
care of the critically-ill individual.
• The rationales are included for each intervention.
Includes appropriate
nursing care and
rationales for each
intervention
Includes appropriate
nursing care but does
not include correct or
appropriate
rationales for
interventions
Does not include
appropriate nursing
care and/or does not
include correct
rationales for
interventions
Does not include
nursing care and
rationales.
No requirements for
this section
presented.
ID Care: Collaborative Management Gestational Hypertension In A 30 Year Old Patient Essay
(10 points/10%) 10 points 8 points 6 points 4 points 0 points
Required criteria
• Provides a comprehensive list of the interdisciplinary
team members caring for the critically-ill individual.
• Provides a brief description of the roles and
responsibilities of each respective interdisciplinary
team members.
• At least two (2) scholarly, primary sources from the
last 5 years, excluding the textbook, are provided
Includes no fewer
than 3 requirements
for section.
Includes no fewer Gestational Hypertension In A 30 Year Old Patient Essay
than 2 requirements
for section.
Includes no less than
1 requirements for
section.
Section present, yet
includes no required
criteria.
No requirements for
this section
presented.
ID Care: Therapeutic Modalities
(10 points/10%) 10 points 8 points 6 points 4 points 0 points
Required criteria
• Describes the various therapeutic modalities used in
the management of care for the critically-ill individual.
• Discusses the extent of the nurse’s responsibilities and
skills required to manage the therapeutic modality in
Includes no fewer
than 3 requirements
for section.
Includes no fewer
than 2 requirements
for section.
Includes no fewer
than 1requirements
for section.
Section present, yet
includes no required
criteria.
No requirements for
this section
presented.
NR341/342 Complex Adult Health
RUA: Interdisciplinary Care Assignment Guidelines
341/342 _RUA Assignment Guidelines 6
comparison to the responsibilities of the members of
the interdisciplinary team.
• The rationales are included for each modality. Gestational Hypertension In A 30 Year Old Patient Essay
Nursing Role Reflection
(20 points/20%) 20 points 16 points 12 points 8 points 0 points
Required criteria
• Analysis of communication style preferences among
interdisciplinary team members and with the criticallyill individual and family members;
• Analysis of the impact of own communication style on
others
• Description of system barriers and facilitators in
relation to the quality of care/outcomes for the
critically-ill individual
• Discussion of recommendations to the organizational
system for enhancing interdisciplinary collaboration,
which are supported by at least two (2) evidencebased literature
• Description of ideas for own professional selfdevelopment plan to enhance own potential for
becoming an effective member in an interdisciplinary
team.
Includes no fewer
than 5 requirements
for section.
Includes no fewer
than 4 requirements
for section. Gestational Hypertension In A 30 Year Old Patient Essay
Includes no fewer
than 3 requirements
for section.
Includes 1-2
requirements for
section.
No requirements for
this section
presented.
APA Format, Spelling, Grammar, and Mechanics
(5 points/5%) 5 points 4 points 3 points 2 points 0 points
• Proper APA format for title page, headings,
references and in-text citations.
• No errors in spelling, grammar, and mechanics
Proper APA with
fewer than 4 errors
Proper APA with
fewer than 6 errors
Proper APA with
fewer than 8 errors
Proper APA with
fewer than 10 errors Gestational Hypertension In A 30 Year Old Patient Essay
No proper APA or
significant more than
10 error

High blood pressure is affecting more and more pregnant women. According to the Centers for Disease Control and Prevention (CDC), the number of pregnant women who developed high blood pressure in the United States almost doubled between 1993 and 2014.

High blood pressure affects an estimated 6–8 percent of pregnancies in women aged 20–44 in the U.S.

If left untreated, high blood pressure can lead to serious health complications for the mother, her infant, or both. In most cases, however, hypertension is preventable and treatable.

In this article, we will discuss the different types of high blood pressure that a woman can develop during pregnancy, the risk factors and complications of high blood pressure, and how to prevent and treat high blood pressure during pregnancy. Gestational Hypertension In A 30 Year Old Patient Essay

Types of hypertension in pregnancy
A woman may experience chronic hypertension, gestational hypertension, or preeclampsia during pregnancy.
According to the CDC, blood pressure measurements that are greater than or equal to 140/90 millimeters of mercury indicate high blood pressure.

Women can experience one of three types of high blood pressure during pregnancy: chronic hypertension, gestational hypertension, or preeclampsia.

A person may have chronic hypertension before pregnancy, whereas gestational hypertension only occurs during pregnancy.

However, gestational hypertension may sometimes persist after the pregnancy to become chronic hypertension.

Chronic hypertension
Women who have chronic hypertension either had high blood pressure before becoming pregnant or developed it within the first half, or 20 weeks, of their pregnancy.

It is possible for a woman to develop a subtype called chronic hypertension with superimposed preeclampsia.

Women with this condition have high blood pressure and can possibly develop an abnormal amount of protein in their urine, or proteinuria. The presence of protein in the urine can indicate problems with the kidneys. Women may also have changes in liver function. Gestational Hypertension In A 30 Year Old Patient Essay

Gestational hypertension
Gestational hypertension only occurs during pregnancy and without the presence of protein in the urine or changes in liver function. Women usually develop this condition in the second half, or after the first 20 weeks, of their pregnancy.

This form of high blood pressure is typically temporary and tends to go away after childbirth. However, it can increase a woman’s risk of developing high blood pressure later in life.

In some cases, the blood pressure will remain elevated after the pregnancy, resulting in chronic hypertension. Gestational Hypertension In A 30 Year Old Patient Essay

Preeclampsia
Preeclampsia is a high blood pressure condition that women can develop during pregnancy or after giving birth. It is a serious condition that can have severe consequences. It usually occurs in the third trimester. It rarely occurs after delivery, but it is possible.

Doctors often diagnose preeclampsia after taking blood pressure measurements and testing blood and urine samples. Women who develop a mild form of preeclampsia may not experience any symptoms.

If symptoms of preeclampsia do develop, they can include: Gestational Hypertension In A 30 Year Old Patient Essay

high blood pressure
proteinuria
excessive swelling of the face and hands
weight gain due to fluid retention
headaches
dizziness
irritability
shortness of breath
abdominal pain
nausea
vomiting
blurred vision
sensitivity to light
Preeclampsia with seizures, or eclampsia, is a different condition. It can be fatal.

Complications of hypertension for the mother
If hypertension is severe or uncontrolled, it can cause complications for the mother and baby.

High blood pressure during pregnancy puts women at an increased risk of more serious health conditions later in life. One 2013 study revealed that gestational hypertension was associated with a higher risk of ischemic heart disease, myocardial infarction (heart attack), heart failure, and ischemic stroke. Gestational Hypertension In A 30 Year Old Patient Essay

Poorly controlled high blood pressure puts a woman at risk of developing preeclampsia and gestational diabetes.

One complication of hypertension is HELLP syndrome. This is a rare life-threatening liver and blood disorder. Doctors consider it to be a severe variant of preeclampsia. HELLP stands for:

Hemolysis, or the breaking down of red blood cells
Elevated Liver enzymes, which is a sign of liver damage
Low Platelet count; platelets are a material that forms blood clots
Other complications associated with high blood pressure during pregnancy include:

stroke
placental abruption, a serious medical condition in which the placenta separates from the wall of the uterus too early
preterm delivery, or giving birth before the due date, which healthcare providers may advise if the placenta is not providing a enough nutrients and oxygen to the baby or if the mother’s life is in danger

Risks of hypertension for the baby
High blood pressure can increase the risk of poor birth outcomes, such as preterm delivery, smaller-than-average size, and infant death.

High blood pressure affects the mother’s blood vessels. This can decrease the flow of nutrients through the placenta to the baby, resulting in a low birth weight. Gestational Hypertension In A 30 Year Old Patient Essay

Hypertension-related preterm delivery can result in health complications for the baby. These may include difficulty breathing if the lungs are not fully developed, for example.

Signs and symptoms
A pregnant woman should attend regular prenatal checkups.
The American Heart Association (AHA) call high blood pressure the “silent killer” because most people who have it do not develop symptoms. This means that a person may have high blood pressure without knowing it.

Monitoring blood pressure is an essential part of prenatal care. It is important to remember that women can develop high blood pressure before, during, and after their pregnancy.

It is important that women attend regular prenatal checkups to ensure that their blood pressure and other vital signs are within normal ranges and receive treatment if not.

Also, blood pressure fluctuates in response to small changes in a person’s life, such as stress, diet, exercise, and the quality of their sleep. This is why it is so important that people check their blood pressure regularly.

Risk factors for hypertension
Risk factors for gestational hypertension and preeclampsia include: Gestational Hypertension In A 30 Year Old Patient Essay

a history of preeclampsia
preexisting hypertension
pregestational diabetes
having twins or triplets
preexisting kidney disease
some autoimmune diseases Gestational Hypertension In A 30 Year Old Patient Essay