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Hypertension Case Management Essay

1572 words - 7 pages

Care Plan Elements of Hypertension
Susan Salby
American Sentinel University

Care Plan Elements of Hypertension
Worldwide, hypertension is the most common contributor to death of any medical risk factor. HTN contributes to the development of heart disease, heart failure, chronic renal failure requiring dialysis, stroke, peripheral vascular disease and cognitive decline. The risk of cardiovascular events doubles for every 20/10mmHg rise in blood pressure above 115/70mmHg. Untreated HTN causes progressive renal and vascular damage, eventually leading to a treatment resistant state. Hypertension is usually diagnosed and treated in the community. As this is largely an asymptomatic ...view middle of the document...

The initial goal must be prevention from such a condition. The preventive goal can be best achieved by providing education to the community about the guidelines to normal blood pressure reading, self and community monitoring of blood pressure, modification of life styles, which will facilitate early detection and effective blood pressure control measures reducing the morbidity and mortality (ESH/ESC Hypertension Guidelines Committee, 2003). When developing an overall case management plan, it is imperative to base it on best practices in order to ensure that the patient receives the best possible care, utilizing and managing available resources in a cost-effective manner. Today, evidence-based practice (EBP) is incorporated into an increasing number of health care delivery systems. EBP helps to identify and assess high-quality, clinically relevant research that can be applied to clinical practice as well as the development of health policy. As one travels from one area of the country to the other, or even within one community, there can be great variation in practice and delivery (Finkleman, 2011).
Published Guidelines
Practice guidelines are systematically developed statements used to assist practitioners in making decisions about appropriate health care for specific clinical conditions that should be evidence-based (National Guideline Clearinghouse, 2009). Practice guidelines assist health care professionals in making clinical decisions. They provide current information and research on a specific problem or diagnosis. Health care organizations, professional organizations, and the federal government develop guidelines. The guidelines focus is on providing information, education, and preventive care. According to the guidelines by the European society of hypertension and European society of cardiology hypertension, diagnosis should not be made on blood pressure reading only but must also take into consideration the presence or absence of risk factors, organ damages and other aspects of the patient's medical, personal and social life. These aspects are the aims of the initial diagnostic evaluation, including the variations in the home and clinic blood pressure readings. The disadvantage of home blood pressure is increased to the anxiety level due to knowledge deficit regarding normotensive blood pressure and treatment options, self -management by individuals may begin causing too many other health issues due to unmonitored used of medications and other treatment options (ESH/ESC Hypertension Guidelines Committee, 2003).
The seventh report on the national committee on prevention, detection, evaluation and treatment of high blood pressure provides us with guidelines for prevention and treatment of hypertension. According to the guideline's systolic blood pressure greater than 140mm of Hg in persons 50years or older are considered as high-risk factors for cardiovascular disease (CVD) risk than the diastolic pressure. The risk...

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