Download or read book Improving Hypertension Management in Primary Care written by Laurie Granberry and published by . This book was released on 2021 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hypertension (HTN) is "the most common condition seen in primary care and can lead to myocardial infarction, stroke, renal failure, and death if not detected early and treated appropriately". High BP is consistently of the most fatal health conditions in the US. Despite often having no warning signs, untreated high blood pressure increases the odds of suffering from poor outcomes from cardiovascular disease and stroke. This study focuses on managing HTN in an ambulatory care setting in San Jose, Ca. serving ethnically diverse and vulnerable populations. The Iowa Model for Evidence-Based Practice to Promote Quality Care, developed by Titler et al., "is well-known and highlights the importance of considering the entire healthcare system from the provider to the patient, to the infrastructure, using research within these contexts to guide practice decisions". The theoretical framework of the Middle-Range Theory of Self-Care of Chronic Illness is applied to the study as the patient population is identified as having the chronic condition of HTN and the need for self-care strategies. The central phenomenon of self-care is defined as a "process of maintaining health through health-promoting practices and managing illness". A second theoretical framework is Wagner's chronic care model, a process improvement model to achieve improved coordination of long-term medical conditions within healthcare organizations. This project's methodology is the utilization of a multimodel team approach in educating patients on hypertension management. Patients are selected as identified as having essential hypertension according to the EMR. A joint educational presentation utilizing PowerPoint to review HTN and its consequences with a demonstration on appropriate blood pressure measurement is provided. Community partners discuss food preparation/selection. After the presentation, there is a 6-7 - minute relaxation video. Patients are given a blood pressure machine and log to take home. There is also a brief survey for the participants to complete. There is a time set aside to meet with the provider and pharmacist to review medications. Patient confidentiality is respected throughout the process. In conclusion, effective group classes with collaborative efforts to address the critical risk factor of HTN can help patients lower their blood pressures, better maintain a steady medication routine and diet, provide strategies in helping to manage blood pressure, ultimately leading to an improved quality of life and reduced risk of death. This finding compares favorably to that of the literature review, which supports multimodal strategies in treating this chronic illness. Ultimately, the goal of this evidence-based outcomes project utilizing the Iowa model with self-care and chronic care theoretical frameworks as a guide will improve blood pressure results and provide strategies for providers and patients to help manage their chronic illness.
Download or read book A Population Based Policy and Systems Change Approach to Prevent and Control Hypertension written by Institute of Medicine and published by National Academies Press. This book was released on 2010-08-13 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hypertension is one of the leading causes of death in the United States, affecting nearly one in three Americans. It is prevalent in adults and endemic in the older adult population. Hypertension is a major contributor to cardiovascular morbidity and disability. Although there is a simple test to diagnose hypertension and relatively inexpensive drugs to treat it, the disease is often undiagnosed and uncontrolled. A Population-Based Policy and Systems Change Approach to the Prevention and Control Hypertension identifies a small set of high-priority areas in which public health officials can focus their efforts to accelerate progress in hypertension reduction and control. It offers several recommendations that embody a population-based approach grounded in the principles of measurement, system change, and accountability. The recommendations are designed to shift current hypertension reduction strategies from an individual-based approach to a population-based approach. They are also designed to improve the quality of care provided to individuals with hypertension and to strengthen the Center for Disease Control and Prevention's leadership in seeking a reduction in the sodium intake in the American diet to meet dietary guidelines. The book is an important resource for federal public health officials and organizations, especially the Center for Disease Control and Prevention, as well as medical professionals and community health workers.
Download or read book Priorities for research on hypertension care delivery written by World Health Organization and published by World Health Organization. This book was released on 2024-02-12 with total page 49 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hypertension (HTN) is a major global public health problem. Cardiovascular diseases (CVDs) are the leading cause of death worldwide. Hypertension, which affects about 1.3 billion adults, is a major risk factor for many CVDs. Uncontrolled hypertension can lead to various adverse clinical conditions such as myocardial infarction, stroke, heart failure and kidney failure. Despite the availability of cost-effective interventions for hypertension treatment, only one in five people with hypertension has it under control. As part of ongoing initiatives for countries to strengthen universal health care, the World Health Organization (WHO), together with ministries of health and other partners, has demonstrated the feasibility of using hypertension programmes in primary care as a pathfinder for universal health coverage. Improving service delivery for noncommunicable diseases is part of the WHO Thirteenth General Programme of Work and contributes to WHO’s Triple Billion Goal of having a billion more people with universal health coverage.
Download or read book Home Blood Pressure Monitoring written by George S. Stergiou and published by Springer Nature. This book was released on 2019-10-31 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hypertension remains a leading cause of disability and death worldwide. Self-monitoring of blood pressure by patients at home is currently recommended as a valuable tool for the diagnosis and management of hypertension. Unfortunately, in clinical practice, home blood pressure monitoring is often inadequately implemented, mostly due to the use of inaccurate devices and inappropriate methodologies. Thus, the potential of the method to improve the management of hypertension and cardiovascular disease prevention has not yet been exhausted. This volume presents the available evidence on home blood pressure monitoring, discusses its strengths and limitations, and presents strategies for its optimal implementation in clinical practice. Written by distinguished international experts, it offers a complete source of information and guide for practitioners and researchers dealing with the management of hypertension.
Download or read book Implementing a Nurse driven Evidence based Quality Improvement Protocol for Blood Pressure Management in Primary Care written by Veronica Anderson and published by . This book was released on 2021 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hypertension is a global chronic medical condition that is life threatening and eventually fatal if left untreated. Elevated blood pressure will disrupt the function of the cardiovascular system and impact the function of major organs, resulting in devastating complications for the patient while increasing cost for the healthcare system. This evidence-based quality improvement project is aimed at increasing control for veterans with high blood pressure and lowering blood pressure to a goal under 140/90 through a nurse driven education program. A quasi-experimental project design was utilized to improve nursing practice in managing hypertension care by addressing veterans understanding of self-care management and nurses’ knowledge of hypertension management. Descriptive statistics were used to describe the data collected over a two-month period. Findings suggested that when using a combination of the structured hypertension education program, optimized nursing support, and frequent monitoring, blood pressure and self-care management for veterans improved. Implications for practice is to implement a nurse-driven protocol to be adopted by the Primary Care service line for enhanced hypertension care.
Download or read book The Resident Leader written by and published by . This book was released on 1992 with total page 8 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Primary Care Hypertension Management in Older Adults written by Ryan G. Davis and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Purpose: Primary care providers can improve hypertension (HTN) management by using the Hear the Beat (HTB) pamphlet to guide the comprehensive management of HTN, especially for older adults. The 2020 International Society of Hypertension Global Hypertension Practice Guidelines provide updated blood pressure (BP) parameters and encourage greater patient participation. The HTB pamphlet needed revision to comply with the latest guidelines. The Doctor of Nursing Practice (DNP) team modified the pamphlet and created training on updates for clinical staff at the Ogden Clinic - Farmington family practice and urgent care. Methodology: Clinical staff completed a pre-education survey and were educated on the updated HTB pamphlet. Next, the staff completed a post-education survey and utilized the pamphlet for two months. Finally, a post-implementation survey was given. A questionnaire was given to patients two weeks after receiving HTB so that Ogden Clinic's quality department staff could determine the usefulness of the updates. Qualitative and quantitative data were gathered, with most on a Likert scale or Yes/No/Unsure. Results: Data analysis revealed an increase in HTB usage by clinical staff. Staff members also improved in defining national BP parameters and explaining home BP tracking. Patient responses showed a universal belief that the HTB pamphlet is helpful. In addition, 93.75% of patients agreed that their knowledge and frequency of home BP monitoring increased. Over 80% saw a BP improvement. Implications for practice: These results indicate that HTB is a clinical tool capable of managing HTN and is preferred by staff and patients.
Download or read book Hypertension Management for the Primary Care Clinician written by Alan H. Mutnick and published by ASHP. This book was released on 2004 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book combines comprehensive coverage of various aspects of hypertension with guidance in conveying important concepts, knowledge, and advice to patients. The result is a highly useful tool for achieving clinically successful, cost-effective pharmaceutical care for hypertensive patients, and for reducing the morbidity and mortality associated with this devastating disease state. Book jacket.
Download or read book Strategies for improving hypertension management written by Komal Marwaha and published by Frontiers Media SA. This book was released on 2023-05-10 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Smart Health Choices written by Les Irwig and published by Judy Irwig. This book was released on 2008 with total page 255 pages. Available in PDF, EPUB and Kindle. Book excerpt: Every day we make decisions about our health - some big and some small. What we eat, how we live and even where we live can affect our health. But how can we be sure that the advice we are given about these important matters is right for us? This book will provide you with the right tools for assessing health advice.
Download or read book Diabetes and Hypertension written by Samy I. McFarlane and published by Springer Science & Business Media. This book was released on 2012-10-19 with total page 196 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diabetes and hypertension have evolved as two of the modern day epidemics affecting millions of people around the world. These two common co-morbidities lead to substantial increase in cardiovascular disease, the major cause of morbidity and mortality of adults around the world. In Diabetes and Hypertension: Evaluation and Management, a panel of renowned experts address a range of critical topics -- from basic concepts in evaluation and management of diabetes and hypertension, such as dietary interventions, to evaluation and management of secondary hypertension in clinical practice. Other chapters focus on high cardiovascular risk populations such as those with coronary heart disease, chronic kidney disease and minority patients. In addition, evolving concepts and new developments in the field are presented in other chapters, such as prevention of type 2 diabetes and the epidemic of sleep apnea and its implication for diabetes and hypertension evaluation and management. An important title covering two of the most troubling disorders of our time, Diabetes and Hypertension: Evaluation and Management will provide the busy practitioner with cutting edge knowledge in the field as well as practical information that can translate into better care provided to the high-risk population of diabetics and hypertensive patients.
Download or read book Improving hypertension control in 3 million people written by and published by World Health Organization. This book was released on 2020-09-30 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Hypertension Management Through Patient Education written by Shaleena Kumar and published by . This book was released on 2015 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Hypertension serves as a common diagnosis among Americans, and its management to prevent further cardiovascular complications remains as an organizational goal. To prevent complications, the goal of a Primary Care Provider's patient panel maintaining a blood pressure less than 140/90 has been established on the organization's national office. In the Primary Care Clinic, an interdisciplinary team consisting of a Registered Nurse, Clinical Psychologist, and Cardiologist implemented a group education class aimed at a Hypertensive Veteran cohort. The purpose of this project is to improve self-management behaviors in the Veteran population, and to help increase the hypertension performance metric by 2% one month after class implementation. Blood pressure readings were measured before and after the class, as well as the percentage of well-controlled hypertensive patients on the Primary Care Dashboard. Data collection revealed a 2.2% performance increase one month after the class implementation; this reflects an improvement in the Primary Care Provider's ability to manage his hypertensive cohort, while also indicating an overall increase in the number of hypertensive patients whose systolic blood pressure was lower than 140 mmHg, and diastolic blood pressure lower than 90 mmHg.
Download or read book Improving Blood Pressure Outcomes Through Dynamic Group Patient Education and Scheduled Telephone Follow up written by Bridgid Wiredu and published by . This book was released on 2012 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Background: According to the Center for Disease Control (2011), about one in three adults have hypertension which increases the risk of kidney disease, heart disease, congestive heart failure and stroke. Hypertension is the first and third primary cause of death in the United States. Forty six percent of Americans have their blood pressure controlled. High blood pressure costs the United States 76 billion for health care services, medications, and missed work days (CDC, 2011). Patients in the Primary Care Clinic at the Baltimore Veterans Administration Medical Center are returning with uncontrolled blood pressure in spite of the programs in place for hypertension management. These programs include a group class, one-to-one and tele-health weight control sessions, and a smoking cessation group class. Other programs are medication management and a walk-in hypertension clinic with medication dose adjustments. Objective: The objective is to improve blood pressure control in a population of veteran male patients between the ages of 45-64 with uncontrolled hypertension who are receiving antihypertensive medications through patient education and telephone follow-up calls. Methods: A letter of invitation was sent to 100 to 150 veterans to participate in a hypertension group education session with telephone follow-up call. Of those participants who responded, 30 participated in the project. The initial hypertension group education was followed by a two week telephone follow-up call and a monthly blood pressure check. Findings: The veterans demonstrated improved blood pressure control and adherence to lifestyle changes and medications secondary to patient education and telephone follow-up call." -- Abstract.
Download or read book Advances in Patient Safety written by Kerm Henriksen and published by . This book was released on 2005 with total page 526 pages. Available in PDF, EPUB and Kindle. Book excerpt: v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.
Download or read book Qualitative Methods and Health Policy Research written by Elizabeth A. Murphy and published by Transaction Publishers. This book was released on 2003-08-01 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: Qualitative researchers have traditionally been cautious about claiming that their work was scientific. The "right-on" schools have exaggerated this caution into an outright rejection of science as a model for their work. Science is, for them, outmoded; "an archaic form of consciousness surviving for a while yet in a degraded form" (Tyler 1986:200). Scientists' assertions that they are in pursuit of truth simply camouflage their own lust for power. There is no essential difference between truth and propaganda. The authors acknowledge that the boundary between science and propaganda has often been breached and some distrust of scientific claims may be healthy. They also question the claim that science creates disinterested and objective knowledge of an observer-independent world without concluding that science is impossible. The skeptics' reservations about qualitative research are based on the deep-rooted assumption among natural scientists, and some social scientists, that there is a world "out there," prior to, and independent of, their observations. This world can be known objectively in the sense that all observers will, if identically placed, see it in exactly the same way. If a suitable language were available, they would also all produce identical descriptions. From these observations they can work out the laws governing the world's operations. The authors try to resolve these contrary claims by asserting that science is a procedural commitment. It consists of openness to refutation, a conscientious and systematic search for contradictory evidence, and a readiness to subject one's preconceptions to critical examination. The devotion to truth as a regulative ideal is an essential difference between science and propaganda. This work is a unique and innovative defense of scientific method. Elizabeth Murphy is reader in sociology and social policy at the University of Nottingham, UK. Robert Dingwall is professor and director of the Institute for the Study of Genetics, Biorisks, and Society at the University of Nottingham, UK.
Download or read book Guideline for the pharmacological treatment of hypertension in adults written by World Health Organization and published by World Health Organization. This book was released on 2021-08-25 with total page 61 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this guideline, the World Health Organization (WHO) provides the most current and relevant evidence-based global public health guidance on the initiation of treatment with pharmacological agents for hypertension in adults. The recommendations target adult, non-pregnant patients who were appropriately diagnosed with hypertension and counselled about life-style modifications. The guideline provides new recommendations on the threshold for the initiation of pharmacological treatment for hypertension, as well as recommendations on intervals for follow up, target blood pressure to be achieved for control, and the cadre of health care workers who may initiate treatment. The guideline provides the basis for deciding whether to initiate treatment with monotherapy, dual therapy or single-pill combinations, as well as guidance for countries selecting medicines and algorithms for hypertension control for their national guidelines for hypertension management.
