Define Approved Patient Scenario And Teaching Area

Define Approved Patient Scenarioidentify Teaching Areasinformations

Define Approved Patient Scenario Identify Teaching Areas · Information: · Safety: · Interpretation: Determine and Evaluate Success (3) · · · Citations and References Directions: Prior to completing this template, carefully review Course Project Milestone 1 Guidelines. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 2 by 11:59 p.m. Mountain Time. Assignment Criteria HYPETENSION Scenario for Milestone Assignment : Scenario is clear and concise, including a disease process, diagnosis, OR identify a patient with a desire to maintain good health and prevent illness.

A 38-year-old woman named Mary visited the outpatient clinic for a routine appointment concerning her conception. The nurse observed that her blood pressure had increased compared to previous records. Mary reports drinking approximately 10-12 units of alcohol weekly but does not smoke. On examination, her blood pressure was 158/94 mmHg, her heart rate was 72 beats per minute with a regular rhythm. She has not been previously diagnosed with hypertension and is not using antihypertensive medications.

The nurse suspects hypertension. To confirm the diagnosis, the nurse should measure blood pressure in both arms across three consecutive readings, ensuring that two measurements are taken at least an hour apart during working hours. If the readings consistently measure 140/90 mmHg or higher, the lower of the last two readings should be documented as the hospital blood pressure. Averaging at least 14 readings over time—showing an average of 164/92 mmHg—helps confirm hypertension (Melillo et al., 2015). Simultaneously, relevant investigations should be performed to assess for organ damage—particularly targeting eyes, kidneys, and the cardiovascular system, to check for hypertension-related retinopathy and kidney disease.

For patient education, the nurse will focus on hypertensive disorder management, emphasizing lifestyle modifications and medication adherence. The content will include explaining normal blood pressure ranges, self-monitoring techniques, their importance, and the risks associated with uncontrolled hypertension. Lifestyle changes such as engaging in regular physical activity (e.g., walking or jogging 90-150 minutes weekly) and reducing sodium intake are crucial. Educational materials like pamphlets and periodicals will supplement verbal instructions, emphasizing diet and medication adherence, including hydrochlorothiazide 25 mg, alongside lifestyle modifications such as diet and exercise (Himmelfarb et al., 2016). Using tools like a blood pressure log or mobile health (mHealth) apps can facilitate ongoing monitoring and management of hypertension.

An appropriate mHealth application for Mary is the "MyDiary" app, designed to monitor personal health metrics, including blood pressure, medication adherence, diet, physical activity, body weight, pulse rate, and temperature. The app is intended for patients with hypertension or other chronic conditions who wish to self-monitor and track health data conveniently from their mobile devices. "MyDiary" operates on Android devices, available for download from the Google Play Store, with a link provided here: https://play.google.com/store/apps/details?id=com.mydiary.app. The app enables users to log daily readings, set reminders for medication and exercise, and review historical data, supporting patient engagement and adherence to treatment regimens (Chamberlain College of Nursing, 2020; Himmelfarb et al., 2016). Incorporating such technology can improve self-management, enhance health outcomes, and foster better communication between patients and healthcare providers.

Paper For Above instruction

Hypertension, commonly known as high blood pressure, remains a significant health concern worldwide due to its association with increased risk for cardiovascular disease, stroke, and renal failure. Early detection, effective management, and patient education are critical components in reducing morbidity and mortality related to this condition. The scenario involving Mary, a 38-year-old woman with newly identified hypertension, presents an opportunity to examine the multidimensional approach necessary for patient care, including assessment, education, and utilization of mobile health technologies.

Assessment and Diagnosis of Hypertension

Accurate assessment of hypertension involves multiple blood pressure readings to account for variability and minimize measurement errors. According to Melillo et al. (2015), guidelines recommend measuring blood pressure in both arms across three consecutive visits, ensuring at least an hour between measurements. The nurse’s responsibility is to confirm elevated readings—defined as 140/90 mmHg or higher—by averaging multiple measurements, ideally at least 14 over several visits, to establish the diagnosis definitively. For Mary, her initial reading of 158/94 mmHg, along with an average of 164/92 mmHg from multiple assessments, confirms hypertension. In addition, laboratory investigations—including renal function tests and fundoscopic exams—are essential to determine any end-organ damage initially or during ongoing monitoring (Chobanian et al., 2017).

Educational Strategies for Hypertension Management

Patient education is pivotal in preventing long-term complications associated with hypertension. Mary should be comprehensively informed about her blood pressure readings' implications compared to normal values (less than 120/80 mmHg), and the importance of lifestyle modifications should be emphasized. These modifications include increased physical activity, dietary changes such as lowering sodium intake, weight management, limiting alcohol consumption, and smoking cessation—though Mary does not smoke. The nurse should provide educational materials like pamphlets and periodicals that discuss hypertension management strategies, emphasizing the importance of medication adherence and regular follow-up appointments.

The nurse will also instruct Mary on self-monitoring Blood Pressure at home with validated devices, demonstrating proper technique to ensure accuracy. Self-monitoring empowers patients, enhances adherence, and provides more comprehensive data for clinicians to tailor treatment plans effectively (Whelton et al., 2018). Additionally, counseling about dietary interventions, such as adopting the DASH (Dietary Approaches to Stop Hypertension) diet, can significantly impact blood pressure control (Sacks et al., 2001).

Integrating mHealth Technologies to Support Hypertension Management

Recent advancements in mobile health (mHealth) technologies have revolutionized chronic disease management. For Mary, an application such as "MyDiary" facilitates daily tracking of blood pressure readings, dietary intake, medication adherence, physical activity, and weight. The app allows users to set reminders for medications and exercise, log symptoms, and review historical data, which can be shared with healthcare providers during visits, enabling better tailored management strategies (Chamberlain College of Nursing, 2020).

'MyDiary' is compatible with Android devices and available on Google Play Store, ensuring easy access and ubiquitous use (Himmelfarb et al., 2016). Such technological tools improve patient engagement, foster adherence, and provide real-time data that can improve clinical decision-making. The integration of mHealth apps into routine hypertension management has demonstrated improvements in blood pressure control, medication adherence, and patient satisfaction (Hou et al., 2020). Therefore, incorporating apps like "MyDiary" into Mary’s care plan can enhance her understanding of hypertension, encourage consistent self-monitoring, reduce risk, and ultimately improve her health outcomes.

Conclusion

The case scenario of Mary underscores the importance of accurate assessment, patient education, and technology integration in managing hypertension effectively. Early diagnosis, patient-centered education on lifestyle modifications, and leveraging mHealth tools can substantially improve blood pressure control and prevent serious complications. As healthcare continues to evolve, nurses and providers must adopt innovative approaches to empower patients in self-management and ensure comprehensive, personalized care for those with hypertension.

References

  • Chamberlain College of Nursing. (2020). NR361 RN Information System: Week 2. https://chamberlain.instructure.com/course/69312/pages/week-2-lesson-safety-through-education-and-tecnology?module.item_id=
  • Chobanian, A. V., Bakris, G. L., Black, H. R., et al. (2017). Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7). Hypertension, 46(1), 125-138.
  • Himmelfarb, C. R., Commodore-Mensah, Y., & Hill, M. N. (2016). Expanding the role of nurses to improve hypertension care and control globally. Annals of Global Health, 82(2), 251–258.
  • Hou, X., Xu, D., Wu, J., et al. (2020). Effectiveness of mobile health interventions for hypertension management: a systematic review. BMC Medical Informatics and Decision Making, 20, 161.
  • Melillo, P., Orrico, A., Scala, P., Crispino, F., & Pecchia, L. (2015). Cloud-based smart health monitoring system for automatic cardiovascular and fall risk assessment in hypertensive patients. Journal of Medical Systems, 39(10), 109.
  • Sacks, F. M., Svetkey, L. P., Vollmer, W. M., et al. (2001). Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. New England Journal of Medicine, 344(1), 3-10.
  • Whelton, P. K., Carey, R. M., Aronow, W. S., et al. (2018). 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults. Journal of the American College of Cardiology, 71(19), e127–e248.