Case Management with Hypertension
Hypertension, known as high blood pressure, affects millions of people, including children, teenagers, and adults. Treatment of hypertension comes in many forms, which includes complete lifestyle and diet modifications (Hypertension: Overview & Facts, n.d.). High blood pressure can damage the heart, brain, and kidneys, without any noticeable symptoms. The effectiveness of case management can control hypertension and prevent the risks for further complications. The case managers can work with patients who have difficulties managing their blood pressure, through the use of medications, as well as self-care management, which includes the modification of lifestyle, and diet, as well as adequate exercise. Research as well as substantial evidence has shown that, individuals can reduce their risk for cardiovascular disease by lowering their blood pressure through lifestyle modifications, medications, or both.
A formal case management program is essential to those who suffer from hypertension, since they can provide help in many different ways. Since there can be a lot of difficulty in achieving and maintaining an ideal lifestyle to control hypertension, a systematic team approach with the help of health care professionals will provide the patient with adequate care, support, and follow-up. A study was done to test the effects of nurse case management compared with usual care in controlling cardiovascular risks in patients who suffer from diabetes. The results showed that when a nurse case manager is involved in the care of patients with diabetes, there is a vast improvement in reaching the target values for glycemia, lipids, and blood pressure, as compared to those who were treated with standard car...
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Vicki is a 42-year-old African American woman who was diagnosed with Hypertension a month ago. She has been married to her high school sweetheart for the past 20 years. She is self-employed and runs a successful insurance agency. Her work requires frequent travel and Vicki often has to eat at fast food restaurants for most of her meals. A poor diet that is high in salt and fat and low in nutrients for the body and stress from her job are contributing factors of Vicki’s diagnosis of hypertension. This paper will discuss the diagnostic testing, Complementary and Alternative Medicine treatments, the prognosis for hypertension, appropriate treatment for Vicki, patient education, and potential barriers to therapy that Vicki may experience.
I would classify hypertension and diabetes as both being cost effective or decreased costs and increased effectiveness according to the four quadrants. (page 128). It is more cost effective for these patients to monitor and treat rather allowing the illness to spiral out of control that could create more expensive treatment (page 169). A patient could save money by buying a portable electronic monitor, commit to exercising, and limiting salt and other dietary recommendations. It is important for the patient to take control of their illness and learn ways to reduces any adverse effects to improve
Case management has become the standard method of managing health care delivery systems today. In recent decades, case management has become widespread throughout healthcare areas, professionals, and models in the United States; and it has been extended to a wide range of clients (Park & Huber, 2009). The primary goal of case management is to deliver quality care to patients in the most cost effective approach by managing human and material resources. The focus of this paper is on the concept of case management and how it developed historically, the definition of case management, the components of case management, and how it relates to other nursing care delivery models.
"Causes of High Blood Pressure: Weight, Diet, Age, and More." WebMD. WebMD, n.d. Web. 28 Nov. 2013.
Remembering that prevention is the best cure, we are going to discuss what is high blood pressure, how to easily measure it, and how to effectively prevent it. (Thesis)
Heart Failure Overview WebMD Reviewed by Thomas M. Maddox, MD on May 28, 2012 http://www.webmd.com/heart-disease/heart-failure/heart-failure-overview
Blood pressure is a measurement of the force against the walls of your arteries as your heart pumps blood through your body. Hypertension is another term used to describe high blood pressure. This common condition increases the risk for heart disease and stroke, two leading causes of death for Americans. High blood pressure contributed to more than 362,895 deaths in the United States during 2010. Approximately 67 million persons in the United States have high blood pressure, and only half of those have their condition under control. An estimated 46,000 deaths could be avoided annually if 70% of patients with high blood pressure were treated according to published guidelines (Patel, Datu, Roman, Barton, Ritchey, Wall, Loustalot; 2014).
I chose this topic because I took care of a patient who had high blood pressure in my previous clinical placement. Ever since I have been taken care of this patient, I discovered that she has been withdrawal, depressed and this behavior challenged me to research on hypertension.
Nordqvist, C. (2013, November 20). What is Weight Watchers? What are the benefits of Weight Watchers? ADDENDUM TABLE 2 TO WEIGHT WATCHERS DIET. Retrieved from Medical News Today: http://www.medicalnewstoday.com
P ICOT? Individuals with type II diabetes as well as their families and their healthcare professionals are impacted by this problem. The intervention identified as best practice focus on direct nursing support as the most effective management in diabetes patients. Interventions focused on management strategies prescribed by nurse practioners and medical doctors. The study results indicate that the use of direct patient support provided by nurse practioners were most effective for compliance and increasing management in diabetes
...smoking, high cholesterol diet, age, gender, sedentary lifestyle, contraceptives and hormone replacement therapy. Nurses can fill significant treatment gaps in the risk factor management of patient with coronary heart disease. “Cardiac rehabilitation programs including nursing education exert a beneficial effect on patients’ quality of life, exercise capacity, lipid profile, body mass index, body weight, blood pressure, resting heart rate, survival rate, mortality rate and decreased myocardial infarction risk factors.” ( Health Science Journal, 2012). Healthcare professionals should discuss with the patients therapeutic lifestyle changes, emphasizing the role of diet in heart disease. Nurses should provide information and teaching about medications to lower cholesterol levels and also discuss the relationship between diabetes, hypertension and CAD.
Hypertension also known simply as high blood pressure is a common problem related to heart disease. When a person has high blood pressure, the heart has to work harder. It also speeds up the hardening of the arteries (atherosclerosis). Although high blood pressure cannot be cured, it can be controlled with a healthy diet, exercise and if necessary medication
The Web. The Web. 22 Jan. 2014. http://www.mayoclinic.org/diseases-conditions/high-blood-pressure/basics/definition/con-20019580>. High cholesterol levels in the body.
Nurses are one of the most valuable resources in any healthcare organization (Longest, Rakich, & Darr, 2006). Nurses play an important role as members of the multidisciplinary healthcare teams. Nurses help organizations to achieve its mission and vision and meet its goals and objectives. Nursing care is vital to the provision of the healthcare delivery system in promoting health and wellness, preventing illness, restoring health, caring for disabled, and helping dying patients and their families (Catalano, 2006). The promotion of quality of nursing care and the safety of nursing practice takes place through nursing education and ensuring clinical practices meet evidence-based practice, accreditation, and certification requirements (Ironside,