NURS FPX 4900 Assessment 1 Assessing the Problem: Leadership Collaboration Communication Change Management and Policy Considerations CG

 
Considering that hypertension is prevalent among the older male population of age 55 years, the practice problem has been selected for assessment. In this case, the subject for assessment, Mr. Doe, is a 63-year-old Caucasian male who has been experiencing uncontrolled high blood pressure for the last two years after initial diagnosis. His healthcare provider had provided him with appropriate information regarding medical therapy procedures and medication adherence; however, education concerning lifestyle adjustments was not given. With the information, Mr. Doe complied with the medication instructions and schedules but maintained his sedentary lifestyle, including daily smoking and consumption of diets rich in high sodium. Mr. Doe seems not to receive any change despite the medication. Mr. Doe problem is relevant to my practice as a nurse specialized in Gerontology since, high blood pressure is considered a key factor that increases the risks of dementia development in later life. Therefore, throughout this assessment, an analysis will be based on literature from peer-reviewed publications, a description of specific nurse proficient standards and practices that can potentially influence patient outcomes, and an exploration of best leadership strategies and techniques to enhance patient safety and care outcomes. 

Analysis of Evidence from Peer-Reviewed Literature

The utilization of evidence-based practices and research findings from scholarly literature is imperative in the nursing profession since they meet validation and credibility measures. The peer-reviewed articles provide evidence-based information regarding hypertension and effective practices of nursing standards. Based on a research survey of evidence analysis, lifestyle modification is considered an appropriate intervention that efficiently reduces, and controls adverse effects associated with hypertension. Based on research conducted by Sanchez et al. (2019) to assess the effectiveness of reversing hypertension using multi-lifestyle medical modification intervention, the results indicated that lifestyle intervention is appropriate as the primary practice for patients diagnosed with hypertension. The research consisted of 173 individuals; among them, 114 had hypertension. They were subjected to lifestyle principles including nutrition (sodium restrictions, high fiber, non-cholesterol foods), exercise, water, sunlight, abstinence from tobacco and alcohol, rest, and fresh air. By the end of the research, 50% of coronary heart disease risks were reduced, 62% of stroke risks were reduced, and 50% of levels of blood pressure were reduced. In support of the above evidence-based practice, Rippe (2019) provides research on lifestyle strategies that effectively reduce risk factors and prevent and treat cardiovascular diseases. In reference to two large cohort studies on the reduction of risks associated with cardiovascular diseases, Rippe provides that lifestyle practices, including regular physical practices, weight management, abstinence from smoking cigarettes, and good nutrition are the core strengths of hypertension control. 

In another study, Smart et al. (2019) provide a systemic review and meta-analysis on the effectiveness and safety of isometric resistance training as an evidence-based practice for reducing blood pressure among adults. A total of 326 participants, with 192 assigned to IRT and 135 controls, each aged between 56- 66 years, participated in the study after being diagnosed with high blood pressure. In a training that ranged between 3-12 weeks, the meta-analysis indicated as s significant treatment effect for the group participants who experienced a reduction of high blood pressure. According to Smart et al., the management therapy of high blood pressure has contributed to the high percentage by lifestyle modifications, including smoking cessation, healthy dietary habits, physical activities, and stress management. Based on the research findings, approximately 50% of people with hypertension have been successfully controlled within clinical targets. The above articles in the literature review provide thorough information and well-reasoned arguments and discussions; the articles have gone through the most rigorous review process, the information provided is relevant to the topic of study, and therefore considered dependable.