- NURS FPX 4900 assessment 2: quality, safety, and cost considerations.
Quality, safety, and cost considerations
The issue of immoderate blood pressure in young adults is becoming a significant concern in the US (Carthon et al., 2019). Many individuals face numerous challenges in their lives; their cultural, financial, social, economic, and personal factors contribute to shaping the lifestyle of individuals with high blood pressure. The contemporary case relates to Mr. Ahmad Ul Hassan, a Somalian male who is living in Wisconsin and has a record of consuming heavy alcohol and tobacco.
Challenges in Hypertension Management
On account of neglecting his cholesterol levels and developing high blood pressure, the character has been tormented by high blood pressure and is also showing signs of cardiac pain. The contemporary healthcare approach to managing excessive blood pressure focuses on prevention and intervention to support individuals with high blood pressure in improving their health.
Similar to many high blood pressure patients, Hassan has failed to meet his glycemic goals set with the aid of the approach of the countrywide popular guidelines for high blood pressure control, which has increased his risk of high blood pressure. The affected man or woman furthermore faced a few vascular issues; nurses felt that with the growing number of patients with excessive blood pressure, the healthcare device is handling increasingly severe conditions.
Barriers to Effective Treatment
Within the 2-hour practicum consultation, the number one nurse decided that the unique affected man or woman had been hospitalized 2 times in the past two months because of his cardiovascular and chest pain problems. The patient’s use of this remedy also resulted in a significant increase in blood pressure. The specialist’s format to assist the affected individual utilizes extraordinary treatment consistent with the individual’s great needs and aligns with the Healthy People 2030 goals.
The affected character received hydrochlorothiazide twice, but the night nurse had no information on this intervention due to a loss of communication with the daytime nurses. Because it considerably affects patients’ fitness, there can be a desire to decrease the holdover verbal exchange (Carthon et al., 2019). Moreover, the practicum hours confirmed that the affected individual has been using beta-blockers with immoderate salt levels and once relied on hypoglycemic oral capsules. The affected person had to shop for glucose strips to complete his medical assessments.
Besides scientific health insurance, his scientific bills were an excessive amount for him to pay. This shows that the manipulation of immoderate blood pressure requires nurses to create a plan to invest extra in the drugs and diet of the affected person. Several prescription charges for the affected individual increased his fees, which had a significant impact on his fitness. Appropriate care is, consequently, critical to reducing the financial burden on sufferers’ minds and their households to improve drug adherence and reduce excessive blood pressure signs and symptoms (Kashani et al., 2019). Explore NURS FPX 4900 Assessment 3 Assessing the Problem: Technology, Care Coordination, and Community Resources Considerations for more information.
Nurs fpx 4900 assessment 2 quality, safety, and cost considerations
Moreover, damage to blood vessels and arteries is also caused by excessive blood pressure. Blocked arteries in Hassan’s frame can prevent blood from flowing and might cause a stroke. This would additionally result in coronary heart failure and kidney failure. The excellent protection is the records and control of high blood pressure. Consequently, numerous protection threats are added by using the method of immoderate blood pressure.
The self-tracking blood stress cannot assist the patient significantly. In terms of rate, incorrect remedies and ineffective treatments are growing expenses for healthcare corporations. This problem also leads to numerous readmissions and high hospital costs. This suggests that the challenges of high blood pressure are not always directly related to normal nursing performance.
Evidence-Based Practices: Role of State Board and Policy Interventions on Quality, Safety, and Costs
To ensure that high blood pressure sufferers are treated effectively and readmission fees are reduced, many researchers recommend using the strength of will training and manual (DSMES) to help the affected person connect with various aspects of their life to enhance health outcomes. However, the self-management of high blood pressure requires nurses to guide the patients on the proper route, which requires higher training. Consistent with the Bress et al. (2017) test, nurses must recognize extra excessive blood pressure energy of will schooling (HSME) techniques to improve patients’ critical health outcomes.
Empowering Nurses Through Education
Through higher education, nurses can use higher competencies to combat high blood pressure by implementing the HSMES paradigm. The technique enhances capabilities and enables nurses to collect more information about the most effective interventions to improve the quality of care. For example, nurses can help patients develop strategies to promote treatment adherence, engage in regular exercise, maintain a healthy diet, and follow a weight-reduction plan. The function of schooling in managing excessive blood pressure is crucial, as it employs technology-based, comprehensive compliance and a patient-centered, individual-focused approach.
Furthermore, implementing HSEs techniques will empower nurses with financial and non-financial resources to combat excessive blood pressure with proper supervision. Moreover, another model that can help boost nurses’ competencies is the DSMES version, which benefits from having greater records associated with high blood pressure, coronary heart disease, and other conditions. This device is integral because it enables price effectiveness and drug adherence, while also lowering pharmacy and pharmaceutical fees.
Improving Blood Pressure Management
The authorities have advocated for and established several high-quality insurance schemes to help adjust countrywide insurance corporations, enabling patients to reduce their healthcare costs. That involves obtaining the proper blood pressure tool. The countrywide necessities and guidelines from the NHA also recommend the use of an informed and knowledgeable nursing body of individuals who can rely on the guidance of experienced blood pressure experts.
This would ensure that interdisciplinary teams interact effectively to achieve individual-related outcomes and create a healthy environment for nurses to reduce hospitalizations (Powers, 2019). Furthermore, for better control of excessive blood pressure, nurses require an integrated recovery method that provides a nutrient-rich diet plan following the guidelines of the NHA to offer a nutritious diet to patients. Additional technological apps can connect nurses with improved management of high blood pressure. This brings us to the significance of utilizing telehealth equipment.
Nurs fpx 4900 assessment 2: quality, safety, and cost considerations
Present-day health practices require a more effective diagram for managing high blood pressure. The strain on patients and nurses has increased due to prolonged on-the-go hours of non-preventable, complex care. The selected affected individual was soon no longer privy to the very last outcomes of hypertension on his mental health.
The studies indicate that the healthcare machine in the US is also plagued by a prevalence of excessive blood pressure issues, and there is an acute scarcity of well-informed nursing instructors and experts in this field Luger, 2019). Consequently, the NUSing Health Board suggests that nurses and hospitals improve their coordination and proper practices. Those regulations and pointers can impact nurses’ scope to implement the interventions. Nurses can utilize these country boards and authorities’ recommendations to develop more effective plans for managing excessive blood pressure within their organizations.
Strategies to Improve Quality, Safety, and Costs to the System
The American immoderate blood strain enterprise’s nationwide elegant suggestions are beneficial in this context to assist nurses in achieving the proper blood glucose levels within a wide range. This workout, moreover, enables nurses to devise effective dietary modifications for patients with hypertension. Furthermore, the Worldwide High Blood Pressure Federation also presents nurses with HbA1C control guidelines; nurses are advised to aim for a level of 7% or lower and ensure that they can assist patients in making lifestyle adjustments to maintain regular blood pressure (Bress et al., 2017).
Similarly, the role of the National Coronary Heart Organization is crucial in helping nurses promote decreased cholesterol levels by providing a valuable resource for consuming healthy fats and avoiding oily foods. Using those techniques can help reduce the costs of care and permit hospitals to alleviate their financial burden by utilizing devices such as sphygmomanometers and medications.
Furthermore, according to the study posted by Kashani et al. (2019), the location of an organizational lifestyle is pivotal in ensuring vulnerable, inexperienced, and exceptional results in managing excessive blood pressure. The take-look indicates schooling, training, and education of control and nurses to improve tightly closed practices.
The examination further emphasizes the importance of effective coordination between nurses and their doctors to avoid unnecessary drug management, which can increase the cost of hospital care. Moreover, doctors and nurses want to assess all indicators of immoderate blood pressure collaboratively with nutritionists. Using telemedicine can be effective due to the advancements of the era in streamlining pharmaceutical data to ensure optimal healthcare outcomes.
Enhancing Blood Pressure Care
Furthermore, nurses and directors should actively participate in educational publications, seminars, and educational programs to develop healthy eating plans and effectively treat patients, as well as manually manage their care to enhance their quality of life. I also tested that the case of this specific individual in our organization is crucial; he requires nutritional adjustments and effective blood pressure monitoring. Using telemedicine in his case results in excessive expenses for the healthcare device.
For instance, the use of telehealth in treating individuals with high blood pressure is beneficial to ensure better glucose monitoring. Nurses may encounter difficulties using mobile phones or computer systems to deliver instructions during video conferences. As a result of the interventions, high blood pressure-related misery can be decreased, and glucose monitoring efforts can be improved, which will definitely impact patients’ quality of life (Cohen et al., 2018).
The benefits of telemedicine have been established through the valuable contributions of several unique researchers, as highlighted in the resource of Carthon and Hatfield (2019), which advocates for the use of telemedicine to foster excellent care (QoC) in healthcare settings. They observed that telemedicine makes nurses more efficient and reduces medical errors.
Furthermore, immoderate blood pressure nurse specialists (HNS) also play an imperative role in the primary healthcare setting to enhance patient-focused outcomes. The HNS enables better collaboration among medical clinicians, nurses, and specific stakeholders, including patients’ families; the professional assists nurses in enhancing their education. Therefore, adopting the HNS is essential, and it calls for mitigating certain traumatic conditions to achieve smooth effects (Alqenae, 2020).
References
American Heart Association (AHA) – Hypertension Guidelines. https://www.heart.org/en/health-topics/high-blood-pressure
Healthy People 2030 – Heart Disease and Stroke Objectives. https://health.gov/healthypeople/objectives-and-data/browse-objectives/heart-disease-and-stroke
CDC – Self-Measured Blood Pressure Monitoring. https://www.cdc.gov/bloodpressure/self_measured.htm
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) – Hypertension. https://www.niddk.nih.gov/health-information/kidney-disease/high-blood-pressure
HealthIT.gov – Telehealth and Care Coordination. https://www.healthit.gov/topic/health-it-initiatives/telehealth-and-remote-patient-monitoring