Hbp Picot Analysis

The lack of knowledge and confidence of obtaining a manual blood pressure is an ever growing issue in the healthcare field. This paper will outline the importance of taking a manual blood pressure accurately. Providing the proper blood pressure measurement can determine a patient’s care and outcome when in a healthcare facility. I will talk about the pros and cons of manual blood pressures and personal experience of this vital skill in the healthcare field. I will also provide some simple but effect ways to increase confidence and knowledge by just basic education. All of my information and numbers will be supported by using references and studies in the use of manual blood pressure monitoring.

Modern medical advancements have significantly decreased the prevalence and severity of infectious disease as well as the treatment of acute, traumatic conditions. Pharmacological research has also gained insight into the management of chronic disease. Still, there is an epidemic of chronic, treatable diseases like stroke, heart disease, and kidney disease. Hypertension proves to be the underlying factor associated with these diseases. Hypertension is often referred to as the silent killer because of its indication in deadly disease, and the importance of monitoring ones blood pressure is vital. Lifestyle, diet, and genetic predisposition are all factors of high blood pressure. Chronic high blood pressure above safe levels, known as hypertension, puts elevated physical stress on the renal and cardiovascular systems. By controlling this factor in patients, healthcare providers can decrease cardiovascular events, improve health outcomes, and decrease overall mortality. Patient education is often overlooked in its role in the control and prevention of high blood pressure. This paper analyzes the causes and physiology behind high blood pressure as they relate to the current nursing interventions. The role of nurses is discussed in relation to patient education regarding high blood pressure, and educational approaches are analyzed.

Cooper L.A., & Roter D.L., & Carson K.A., & Bone L.R., & Larson S.M., & Miller E.R. III, & Levine D.M. (2011). A randomized trial to improve patient-centered care and hypertension control in underserved primary care patients. Journal of General Internal Medicine, 26, 1297 â[euro]" 1304. 10.1007/s11606-011-1794-6

This guidance can be used alongside the NHS Health Check programme, the national vascular risk assessment and management programme for those aged 40–74. This is an integrated approach to identifying and preventing four diseases: diabetes, cardiovascular disease, stroke and kidney disease (NHS Health Check Programme, 2009). The programme is being rolled out throughout England. The aim is to ensure everyone aged 40–74 who has not already been diagnosed with one of these conditions is offered a risk assessment and given advice and support to help them reduce and manage that risk.

K.H. is a 67-year-old African-American man with primary hypertension and diabetes mellitus. He is currently taking an angiotensin-converting enzyme (ACE) inhibitor and following a salt-restricted weight loss diet. He is about 30 pounds over his ideal weight. At his clinic visit his blood pressure is noted to be 135/96. His heart rate is 70 beats/min. He has no complaints. His wife brought a blood pressure cuff and stethoscope with her in the hope of learning to take her husband’s blood pressure at home.

* The U.S. High Blood Pressure Education Program is a public-private cooperative effort formed to help reduce death and disability related to hypertension, which is at the root of 50% of those suffering heart attacks and two-thirds of those suffering strokes. Using a campaign that integrates social marketing to first build awareness of the “silent killer,” and then encourage action, awareness of the problem more than tripled to over 90% and those seeking treatment more than doubled within a single decade.

Although this assessment tool cannot replace sound medical advice from the client’s primary care provider (PCP), this tool can provide valuable information that can be shared with the PCP that can be used to create a template for a healthier lifestyle.

Efficacy is defined as the ability to produce the desired result (“Efficacy,” n.d.). One way to establish efficacy is to test the knowledge of the health care providers. The blood pressure program will be ineffective if the providers lack HTN knowledge. The author will plan to evaluate fluctuations in employee knowledge, attitudes, and viewpoints about blood pressure screening and control. Furthermore, the health care team members need to understand how to measure a manual blood pressure adequately. Accurate blood pressure readings will facilitate more validity in the results (CDC, 2014). Efficiency distinctly represents the ability to accomplish tasks in the least amount of time and effort (“Efficiency,” n.d.). Measurement tools used for determining efficiency will be proper staffing, working equipment, various sizes of blood pressure cuffs, and acceptable space for the program. Quality is the characteristic or feature that something possesses (“Quality,” n.d.). Trained health care providers will aid the program in obtaining good quality. Also, new sphygmomanometer that are calibrated and education pamphlets will serve as increasing the quality of the program.

Hypertension (HTN) is a chronic cardiovascular condition that is characterized by high blood pressure. The blood pressure commonly abbreviated as BP is a measure of the force exerted on the blood vessels as the blood passes through them. The amount of blood pumped and the narrowness of ones’ vessels are directly proportional to the blood pressure (Mayoclinic staff, 2014).

I have use evidence base practice often in homecare. I had a homecare patient who has hypertension and don’t check his blood pressure regular. I explained to him the important of checking blood pressure daily. Evidence based practice shows self-management of blood pressure is a useful tool in monitor hypertension and preventing stroke (McNamar, Versace, Marriott & Dunbar, 2014). I requested the family to buy an electronic blood pressure cuff. I encouraged patient to record blood pressure daily and record. I also instructed patient to take results to next doctor appointment.

On this day, I presented my education presentation Nutrition for High Blood Pressure at Shepherd’s Clinics to patients and clients at the wellness center. I chose this topic due to the high number of patients that report to the clinic with a diagnosis of hypertension. For example, since beginning my practicum at the site, I took a tally of those with high blood pressure. More than half the patients being seen by a provider each day had high blood pressure. In addition to the patients seen at the clinic, in the United States the Centers for Disease Control and Prevention reports 75 million Americans have high blood pressure (High Blood Pressure Fact Sheet, 2016). Given these facts I wanted to address one big factor in reducing the risks of high blood pressure and reducing the risk of developing heart disease and other health risk. This factor is nutrition, as food plays a major role in managing diseases like blood pressure and diabetes.

Bosworth, Olsen, Grubber, Powers, and Oddone (2012) conducted a three-arm randomized controlled trial to determine the differences in AAs and Caucasians in two self-management hypertension interventions (N=636; non-whites n=328, and whites n=308). The subjects were randomly placed in the usual care (UC), home BP monitoring (HBPM), a tailored behavioral self-management intervention (TBSMI), and the two groups combined (TBSMI + HBPM). Data collection was done at the initiation of the research, 12 months, and 24 months from the control and intervention groups. BP results on whites at the baseline and intervention groups did not differ, but there was significantly reduction in the systolic BP of 7.5 mm Hg in AAs. This study denotes that a home BP monitoring in combination of nurse-administered telephone behavioral intervention was most effective in BP control in AAs.

With the information found with what a patient’s blood pressure is, it helps health care

Approximately one in every three adult’s ages 20 years old and older are diagnosed with high blood pressure or hypertension. Hypertension affects 78 million people in the United States and is equally prevalent in both men and woman (Crabtree et al., 2013). Hypertension is a major risk factor for cardiovascular disease (Hajjar & Kotchen, 2003). It can lead to stroke, myocardial infarction, renal failure, heart failure, neurological issues, and death if not detected early and not treated properly (James, Oparil, Carter, & et al., 2014). Approximately 9.4 million deaths in 2010 were attributed to high blood pressure (Angell, De Cock, & Frieden, 2015). About 54% of strokes, 47% of coronary heart disease, and 25 % of other cardiovascular diseases are attributed to high blood pressure (Arima, Barzi, & Chalmers, 2011).

Another intervention is patient education such as teaching what is considered hypertension, how to check the