Part One: Comprehensive Teaching Plan
Many people experience hypertension, an ongoing medical issue with profound effects on healthcare institutions, patients, and society. According to Susanto et al. (2019), this predicament demands a multifaceted solution for an effective outcome by integrating essential components such as effective communication strategies, cooperation skills, and strong leadership. Thus, this teaching plan aims to empower a group of hypertensive patients above fifty by comprising the above elements and more.
Successful implementation of any intervention requires strong leadership. The healthcare professionals, educators, and community leaders will form a multidisciplinary team to create and execute the comprehensive teaching plan. Susanto et al. (2019) state that establishing clear lines of communication among teammates can encourage seamless information sharing, feedback, and constant improvement. Furthermore, this plan will implement change management strategies to enable the population to adopt healthier lifestyles while complying with their medication routines.
By emphasizing evidence-based practices, the teaching plan aims to prioritize providing high-quality care. Susanto et al. (2019) claim that patient education stresses the need to monitor blood pressure at home, properly manage medication intake, and regularly visit a healthcare professional while providing current information, clear instructions, and appropriate follow-up measures to ensure patient safety. In addition, the plan includes inexpensive techniques that can mitigate the financial burden on both people and the healthcare industry. Susanto et al. (2019) opine that this entails endorsing the use of common medicines, enlightening patients on cost-effective healthcare resources, and scrutinizing probable insurance policy selections. Equally, using mobile apps for patients, telehealth platforms, and wearables to track progress and monitor BP levels can help improve patient involvement in their care. Hence, these resources will enable individuals to manage their health and enhance their general wellness.
Moreover, efficient care coordination guarantees seamless transitions among providers and healthcare settings. Susanto et al. (2019) claim that the intervention’s reach can be expanded by collaborating with community resources, including support groups. Hence, healthy lifestyle initiatives will also be promoted through community partnerships.
Part Two
Analysis of the Comprehensive Hypertensive Patients Teaching Plan
Population’s Problem and Rationale
Targeting individuals aged 50 and above, the teaching plan has been developed to tackle hypertension in the elderly population. According to Park & Kim (2015), due to the increased vulnerability of older adults to hypertension, this age group suffers mainly because of physiological changes. Notably, blood vessels tend to become less elastic and more rigid as one age, causing a rise in blood pressure. Likewise, the onset of hypertension may result from age-induced modifications in hormonal regulation and kidney function.
Moreover, the older demographic commonly exhibits multiple comorbid conditions. According to Park & Kim (2015), the risk of developing hypertension increases in older adults with health problems like diabetes, obesity, or chronic kidney disease. Hence, comorbidities can worsen hypertension and increase the difficulty of treating it. In addition, Park & Kim (2015) claim that elderly hypertension is strongly influenced by lifestyle choices such as sedentary living, unhealthy diet choices, and heightened stress levels. Therefore, targeted interventions are needed because modifying these lifestyle factors in older age can be challenging. Moreover, this group’s particular restrictions and requirements should be considered when implementing this intervention.
The link between hypertension in the elderly and cardiovascular diseases and other complications makes it an important public health issue. Park & Kim (2015) suggest that the strain that high blood pressure puts on the cardiovascular system raises the likelihood of suffering from serious conditions such as heart attacks, heart failure, or strokes. Furthermore, hypertension can increase the risk of developing or exacerbating various ailments, including renal disorders and cognitive deficits. Thus, preventing these complications and improving overall health outcomes requires effective condition management.
Role of Leadership and Change Management:
The elderly’s problem with hypertension can only be solved through strong leadership. Correia et al. (2019) suggest that effective implementation of a health teaching plan requires strong leadership through guidance, resource allocation, and a supportive atmosphere. Moreover, implementing change management tactics is crucial for encouraging the integration of healthier lifestyle habits and adherence to medication schedules. Notably, a teaching plan should incorporate several techniques for managing change, such as individual therapy, group counseling, and education sessions (Correia et al., 2019). Hence, these methods will assist patients in adopting behavioral modifications and self-care techniques.
Nursing Ethics and Intervention Development:
The teaching plan for hypertensive patients can only be developed considering nursing ethics. Guided by ethical principles like autonomy, beneficence, and non-maleficence, a specific approach is taken when designing interventions. According to Correia et al. (2019), healthcare ethics demands that patients’ autonomy be respected as a fundamental principle. Hence, the teaching plan emphasizes involving patients in making decisions about their hypertension management to promote autonomy. Correia et al. (2019) state that empowering patients to make informed choices about their care involves information on lifestyle modifications and medication adherence. Equally, the plan acknowledges the significance of customizing treatments to suit individual patients’ specific requirements, inclinations, and principles. Thus, by respecting patients’ autonomy, this approach promotes active engagement in self-care.
Similarly, the educational program emphasizes acting by beneficence -the ethical principle that prioritizes patient care. According to Correia et al. (2019), a comprehensive health plan aims to give patients enough information, abilities, and support to handle their conditions better. Likewise, the principle of beneficence advocates education, support, and empowerment for promoting patients’ health and quality of life. Therefore, by educating patients about the condition, its consequences, and self-management strategies, the teaching plan aims to enhance their health outcomes and overall well-being.
Communication and Collaboration Strategies:
Older adults’ hypertension outcomes can be improved through effective collaboration and communication. According to Correia et al. (2019), clear communication can be facilitated by using simple language in patient education materials and visual tools for better comprehension. Equally, if there are regular communication channels between healthcare professionals, educators, and patients, it fosters collaboration allowing for feedback mechanisms to be established, which in turn allows for continual improvements. Correia et al. (2019) opine that the inclusion of input received from surveys, focus groups, or patient representatives enhances the relevance and effectiveness of a given teaching plan. Thus, the It integrates their standpoints, demands, and tastes.
Influence of Nursing Practice Standards and Policies:
Nursing practice standards and policies established by state boards, healthcare organizations, and government entities significantly affect the creation of the hypertension management teaching plan. According to Boehning & Haddad (2023), these entities are essential in determining health interventions, including teaching plans. Likewise, providing quality care is ensured while prioritizing patient safety and promoting evidence-based practices through these policies and standards. One crucial body that guided the plan’s design is ANA or the American Nurses Association Standards. Boehning & Haddad (2023) suggest that the significance of patient education, self-management, and practice based on evidence is highlighted by ANA standards. Hence, educational components in the teaching plan adhered to these standards so that patients could receive comprehensive information on hypertension, including its management and necessary lifestyle changes.
Similarly, patients’ outcomes are improved when healthcare systems adopt evidence-based guidelines for managing hypertension. Arnett et al. (2019) opine that regular medication use, lifestyle adjustments, and consistent monitoring lead to improved control over high blood pressure levels while reducing cardiovascular events. Similarly, sticking to hypertension treatment guidelines leads to a marked decrease in cardiovascular events and mortality rates based on findings from their systematic review. Boehning & Haddad (2023) opine that healthcare professionals can refer to these guidelines when delivering optimal care to ensure proper assessment, management, and education of hypertension patients by healthcare providers; these standards provide clear expectations. Hence, the teaching plan follows guidelines and regulations by conforming to nursing practice standards.
Improving Quality of Care, Enhancing Patient Safety, and Reducing Costs
The primary goal set by this teaching plan proposal is to upgrade healthcare standards for hypertensive patients through promoting scientifically proven practices, enabling self-monitoring for BP readings, and efficient administration of medicine. According to Correia et al. (2019), empowering patients with knowledge and skills is a way to boost their capacity to actively engage themselves in taking care of themselves. Notably, clear instructions with accurate information along with adverse event reporting protocols and preventing medication errors are all necessary steps in prioritizing patient safety. Correia et al. (2019) state that sustainable interventions should consider cost by endorsing budget-friendly approaches such as investigating insurance coverage alternatives, prescribing generic medicines, and teaching patients about affordable options. Thus, by enhancing medication adherence and self-management, the plan aims to lessen healthcare expenses related to hypertension complications.
Integration of Technology, Care Coordination, and Community Resources
The use of technology improves patient engagement and self-management in healthcare interventions. According to Swan et al. (2019), technology is crucial in conveniently accessing educational material, medication reminders, and self-monitoring tools for blood pressure through mobile applications. Besides, telehealth platforms have revolutionized how healthcare is delivered by allowing virtual consultations and remote monitoring that help physicians remotely evaluate patient progress. Thus, the plan will offer the population valuable insights into sleep patterns, heart rate, and physical activity through smartwatches or similar wearables.
Equally, the teaching plan emphasizes care coordination to guarantee smooth transitions between healthcare providers and settings. Swan et al. (2019) suggest that intervention plans should recognize the essentiality of an integrated approach with contributions from pharmacists, nurses, specialists, physicians, and allied health workers. Hence, the teaching plan incorporates consistent hypertension management through coordinated care to reduce the risk of fragmented patient care. Likewise, to reinforce healthy lifestyle habits and offer extensive care for hypertensive patients, the teaching plan highlights the use of community resources. Swan et al. (2019) state that working together with neighborhood medical facilities, drugstores, and assistance organizations gives people in the area access to beneficial resources and services. Thus, the teaching plan incorporates offering regular blood pressure checks and health screenings by local clinics to ensure the continuous surveillance of patients’ hypertension status.
In conclusion, the teaching program focuses on a population of elderly individuals over fifty years. The comprehensive program covers essential areas, including leadership qualities, change management skills, ethical considerations in nursing, and effective communication strategies. Similarly, it incorporates pooled resources, aiming to improve hypertension outcomes by meeting this population’s distinct requirements while empowering patients by providing essential tools, information, and support. Equally, the plan stresses the significance of increasing patient safety while decreasing healthcare expenses.
References
Arnett, D. K., Blumenthal, R. S., Albert, M. A., Buroker, A. B., Goldberger, Z. D., Hahn, E. J., Himmelfarb, C. D., Khera, A., Lloyd-Jones, D., & McEvoy, J. W. (2019). 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: Executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation, 140(11), e563–e595. https://doi.org/10.1161/CIR.0000000000000677
Boehning, A. P., & Haddad, L. M. (2023). Nursing Practice Act. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK559012/
Correia, J. C., Lachat, S., Lagger, G., Chappuis, F., Golay, A., & Beran, D. (2019). Interventions targeting hypertension and diabetes mellitus at community and primary healthcare level in low-and middle-income countries: A scoping review. BMC Public Health, 19(1), 1–20. https://doi.org/10.1186/s12889-019-7842-6
Park, E., & Kim, J. (2015). Vulnerable older adults with hypertension demonstrate age-and gender-specific presentations of hypertension management problems. https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/79336
Susanto, T., Rasny, H., Susumaningrum, L. A., Yunanto, R. A., & Nur, K. R. (2019). Prevalence of hypertension and predictive factors of self-efficacy among elderly people with hypertension in institutional-based rehabilitation in Indonesia. Education, 21(1), 14–21. https://doi.org/DOI: 10.32725/kont.2018.007
Swan, B. A., Haas, S., & Jessie, A. T. (2019). Care coordination: Roles of registered nurses across the care continuum. Nursing Economics, 37(6), 317–323. https://www.proquest.com/openview/efc8dc84b9840eb7f50a544eeb839e7a/1?pq-origsite=gscholar&cbl=30765
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