Classes of medications for the control of hypertension

 

 

Complete this assessment in two parts: (a) develop an intervention as a solution to the problem and (b) submit your proposed intervention, with a written analysis, to your faculty for review and approval.
Part 1
Summarize the patient, family, or population problem.- Hypertension. To include why Hypertension is such a major health deficit and why is Hypertension such a big problem in the US?
Explain why the problem of Hypertension is so highly relevant in the hospital environment and why interventions elicited by the nurse are so important.
Below is the multipronged outline for my targeted Hypertension treatment and education for my individual: Mr. BN. Hispanic male/68 y/o
1. Medications
a. Explain the best classes of medications for the control of hypertension and risks associated. What are the best choices for your specific patient/client?What are the practice standards in prescribing hypertensive medications? (history of patient: Hispanic Male, initials-BN, 68 y/o with a diagnosis of hypertension for multiple years, non compliant with medications as well as not following guidelines to decrease the modifiable risk factors associated with hypertension)
Examples: (Ace inhibitors, ARB’s, Calcium channel blockers, thiazide diuretics, beta blockers)
a. Explain how certain over the counter supplements such as Fish oils, coq10, probiotics, roselle(hibiscus), red yeast rice, beets and garlic have a positive effect on reducing high blood pressure. What are the risks of taking OTC supplements for High blood pressure?

2. Lifestyle changes
a. Explain how daily monitoring(1, 2 or 3x/day) via blood pressure monitor at home increases not only patient compliance but also actively involves the patient to become empowered to reduce their blood pressure.
b. Explain how a smartwatch increases patient compliance to an exercise regimen. And what are the recommended daily steps or exercise regimen for improving health and specifically lowering blood pressure. How does exercise assist in lowering blood pressure? How does a sedentary lifestyle affect blood pressure?
c. What dietary changes will assist in the reduction of high blood pressure: Incorporating the following: Foods high in C, E, K, selenium, L arginine
d. Smoking cessation-Why is smoking cessation so important in reducing high blood pressure? What are the best methods/medications to reduce smoking?
In addition, address the requirements outlined below. These requirements correspond to the scoring guide criteria for this assessment, so be sure to address each main point.
● Define the role of leadership and change management in addressing the problem.
○ Explain how leadership and change management strategies influenced the development of your proposed intervention.
○ Explain how nursing ethics informed the development of your proposed intervention.
● Propose strategies for communicating and collaborating with the patient, family, or group to improve outcomes associated with the problem.
○ Identify the patient, family, or group.
○ Discuss the benefits of gathering their input to improve care associated with the problem.
○ Identify best-practice strategies from the literature for effective communication and collaboration to improve outcomes.
● Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of your proposed intervention.
○ Describe research that has tested the effectiveness of these standards and/or policies in improving outcomes for this problem.
● Explain how your Lifestyle modifications such as dietary changes and exercise will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
○ Cite evidence from the literature that supports your conclusions.
○ Identify relevant and available sources of benchmark data on care quality, patient safety, and costs to the system and individual.
● Explain how technology, care coordination, and the utilization of community resources can be applied in addressing the problem.
○ Cite evidence from the literature that supports your conclusions.
Additional Requirements
● Length: Your paper should be approximately 5–7 pages in length, not including the reference page.
● Supporting evidence: Cite at least five sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old. Provide in-text citations and references in APA format.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
● Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
○ Define the role of leadership and change management in addressing a patient, family, or population health problem.
● Competency 3: Transform processes to improve quality, enhance patient safety, and reduce the cost of care.
○ Explain how a proposed intervention to address a patient, family, or population health problem will improve the quality of care, enhance patient safety, and reduce costs to the system and individual.
● Competency 4: Apply health information and patient care technology to improve patient and systems outcomes.
○ Explain how technology, care coordination, and the utilization of community resources can be applied in addressing a patient, family, or population health problem.
● Competency 5: Analyze the impact of health policy on quality and cost of care.
○ Explain how state board nursing practice standards and/or organizational or governmental policies guided the development of a proposed intervention.
● Competency 6: Collaborate interprofessionally to improve patient and population outcomes.
○ Propose strategies for communicating and collaborating with a patient, family, or group to improve outcomes associated with a patient, family, or population health problem.
● Competency 8: Integrate professional standards and values into practice.
○ Write concisely and directly, using active voice.
○ Apply APA formatting to in-text citations and references.

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