Hptn In Nursing

Superior Essays
Hypertension (HTN), the leading risk factor for cardiovascular disease, remains a national problem (Hanus, Simoes, Amboni, Ceretta, & Tuon, 2015). The prevalence rate of HTN is approximately 1 billion people around the world (Hanus et al., 2015). Moreover, complications from HTN cause an estimated 9.4 million deaths per year (Kjeldsen et al., 2014).
It is important to understand HTN and the negative effects it can cause within the human body as an advanced practice registered nurse (APRN). Therefore, the family nurse practitioner (FNP) should work to improve the management of HTN in the primary care setting by providing patient-centered education and care. The writer will create a HTN education program designed specifically for African
…show more content…
African Americans have an increased prevalence rate of HTN (40.4%) compared to their white counterparts (27.4%) (Still, Ferdinand, Ogedegbe, & Wright, 2015). When compared to other ethnicities, African Americans are also more likely to suffer from hypertension-related complications such as renal failure, myocardial infarction, and stroke (Brown, 2015). Furthermore, African Americans are more likely to be taking antihypertensive medications, yet less likely to have controlled blood pressure readings (Still et al., …show more content…
The ACE Star model was created to address both implementation and translation into the EBP process (Schaffer, Sandau, & Deidrick, 2013). The following five components orchestrate the ACE Star model: a) identification of new knowledge materials, b) synthesis of findings after a thorough literature review, c) translation of evidence into practice, d) incorporation of findings into practice, and e) evaluation of the impact that the implementation provided for the clinical practice (Schaffer et al., 2012). The ACE Star model can be applied to HTN education in the primary care setting. The primary provider and other staff members should discover new knowledge on HTN after completing a review of literature and best practices, especially when addressing African American patients. Then, the provider should translate the findings and make changes in the clinical practice area. Finally, the provider will be able to evaluate the effects of the change in HTN after providing cultural-specific

Related Documents

  • Decent Essays

    EBP Change Project

    • 264 Words
    • 2 Pages

    A key component to determine if an EBP change project is successful is by measuring the EBP change project outcome. According Melnyk and Fineout-Overholt (2015) it is important to be able to monitor outcomes in an EBP change project to determine the significance that it could potentially have on healthcare quality and patient outcomes. Therefore, data collection and data analysis is pertinent to determine the success of an EBP change project (Harris, Roussel, Walters, & Dearman, 2011). The intended outcome for this EBP change project is that African Americans between the ages of 18-60 years old with prediabetes will exhibit an increase in diabetes at the end of the 6-week diabetes education program. An increase in diabetes knowledge would be…

    • 264 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    With this information, it shows how recent research in medicine and genetics makes it even more crucial to resist the temptation to deploy racial categories. Throughout the text, many facts were displayed so support the argument that was being provided. African American between the ages of 45 and 64 are 2.5 times more likely to die from heart failure than Caucasians in the same age range. The African American population—with darker-skinned blacks generally having higher blood pressure than lighter-skinned blacks.…

    • 631 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Stroke is linked to several other chronic diseases such as diabetes, hypertension, obesity, hyperlipidemia, and heart failure. Of these disease processes four of them are more common among African Americans. According to Feng (2015) the incidence of stroke has been declining in recent years however, in the southeastern states the occurrence of stroke is increasing. This has been shown to be especially true among middle-aged African Americans. Despite years of work aimed at lowering the rate of stroke more recent data has shown that while hospitalization due to stroke among whites is not increasing the incidence of stroke among middle aged black population in such states as South Carolina is increasing.…

    • 285 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    In case of pacing the coronary heart rhythm from ventricular conduction device, the price slows right down to 30-40/min and QRS complexes on the ECG are wider than 120 ms. In ventricular traumatic inflammation the depolarization of cardiomyocytes is caused by several mechanisms – reentry, induced hobby, ectopic foci of excitation or mixture of these. In ventricular traumatic inflammation (VF) the heart paintings is useless, fibrillating ventricals are not pumping blood and the circulation stops. As an effective remedy of VF there comes a defibrillation. Ventricular extrasystole is a contraction that arises from ectopic foci in the place of Purkinje fibers, it has extensive QRS complex.…

    • 1142 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    PICOT Question

    • 940 Words
    • 4 Pages

    Consistent with the existing literature, patient knowledge of HTN will be determined using Hypertension knowledge questionnaire. The questionnaire was designed by the National Institutes of Health for determination of patient HTN knowledge and had an acceptable level of reliability. The original questionnaire was developed from the existing guidelines and information published by various bodies that have an interest in heart disease, including CDC, American Heart Association, and National Lung and Blood Institute (Martins, Gor, Teklehaimanot, & Norris, 2000). The 12-items questionnaire involved with true and false answers. The HTN knowledge questionnaire will be administered before and after the implementation of the education and HBPM program.…

    • 940 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The cardiovascular system is dynamic and always changing to regulate blood flow to essential organs. Hypertension elevates the blood pressure within the ventricles which compresses the coronary vasculature, while on the other hand, downstream systemic vasculature and organs that receive the blood supply will be harmed as well. Consequently, ventricles will undergo hypertrophy due to a higher afterload, Vasculature elasticity will be compromised, and lastly highly perfused organs (heart, kidneys, and/or brain) will incur end-organ damage organs. Hypertensions effects on the heart is very significant and progressive. For instance, to accommodate for a higher afterload the vascular wall must response to this pressure overload by increasing the wall thickness, inevitably causing concentric hypertrophy.…

    • 581 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Introduction There are many different diseases that are prevalent in the population today. Walks for cancer and MS, and ice water bucket challenges for ALS. However something that does not get a lot of attention and is the number 1 killer or people in the United States is Heart disease (Leading Causes of Death, 2015). Underlying the blanket term of Heart disease are some diagnoses such as CAD, HTN, and angina or narrowing of coronary arteries causing pain (Heart Disease, n.d.).…

    • 1604 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    CHW In Nursing

    • 1415 Words
    • 6 Pages

    In addition, research on the inclusive management of heart disease by nurse/CHW teams particularly among minority groups also provides proof around the effectiveness of CHW/nurse teams (Allen, Himmelfarb, Szanton & Frick, 2014). Specifically, the study provides evidence that an outreach nurse team that includes a CHW is an effective intervention. As discussed previously, CHWs play a central role in these teams, acting as a culturally competent health broker and health educator for patients with…

    • 1415 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Hypertension (primary/essential) is one of the most common diseases diagnosed today. Hypertension is a major risk factor in cardiac heart disease, including myocardial infarction and sudden cardiac death. Hypertension is also an independent risk factor for the development of stroke and renal failure. A person with hypertension has double the risk of developing cardiac heart disease than those who have normal blood pressures. What is primary/essential hypertension?…

    • 391 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    High Blood Pressure

    • 539 Words
    • 3 Pages

    A condition in which the force of the blood against the artery walls are high enough that it can cause health problems. Hypertension hikes the chances of getting a disease of the heart and having a stroke. Hypertension, also known as High Blood Pressure, has had many theories on how it was discovered. It has been around since the early Egyptian empires, but the importance did not come around until around the 1950s. By the 16th Century Leonardo Da Vinci showed many diagrams of the anatomical structure of the coronary blood vessels and the valves of the heart.…

    • 539 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Cardiovascular disease is the leading cause of death in the United States. Over 60% of the cardiovascular deaths are due to ischemic heart disease (IHD) and acute myocardial infarction (AMI) (cdc wonder ref). Systemic hypertension is one of the leading risk factors worldwide for IHD and AMI (GBD). Hypertension affects over 75 million people in the United States and the prevalence is increasing worldwide. Heart attack statistics showed that 69% of patients who present with their first myocardial infarction also have hypertension (1).…

    • 510 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    High blood pressure, or hypertension, is a condition in which the force of the blood against the artery walls is high enough that it can eventually cause health problems. When the heart beats, is crates pressure that pushes blood through the arteries. Blood pressure is the result of this “push”, or force. There are two forces; one occurs when the blood pumps out of the heart and into the arteries and the second occurs as the heart rests between beats. These two forces each represent the numbers in a blood pressure reading.…

    • 810 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    On my fifth week, I will identify the strength and barriers when implementing EBP to ensure its effectiveness. On my sixth week I need to find a strategic plan to improve the adherence of EBP in the clinical settings. On my seventh week, I would like to study how education plays an important role when implementing evidenced-based practice, so the healthcare staff can continue to support the new thinking and ideas. On my eighth week, I will gather information about evidence based practice that has worked from the past.…

    • 704 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    A blood pressure in or above that range is a problem because that can lead to stroke, heart failures and attacks and much more. Hypertension can be preventable by paying attention to some current guideline recommendations and/or alterations in one’s…

    • 1209 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Causes Of Hypertension

    • 1094 Words
    • 5 Pages

    Each individual must strive for a healthier lifestyle which can be challenging because one will have to eliminate certain favourites in life whether it be diet or hobbies. As defined by World Health Organization (WHO), it is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.” REFERENCE HERE. There are many chronic diseases which affect people today in society, one of which is hypertension. Hypertension is also known as a silent killer, it is referred to as high blood pressure.…

    • 1094 Words
    • 5 Pages
    Improved Essays