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How the Population Problem Impacts the Quality of Care, Patient Safety, and Costs to the System and Individual

Increasing fatality rates in the U. S. have been attributed in large part to an increase in the prevalence of high blood pressure in recent years. This indicates that high blood pressure is still a danger to human health and safety throughout the U. S. A person suffering from hypertension, for example, may suffer from renal failure, cardiac arrest, or stroke (Hopkins et al., 2019). A safer and better way of living may help individuals prevent or battle this condition because of the significant connection between lifestyle and nutrition and the disorder. 7.7 million people die per year from hypertension across the globe, with 520 970 of those fatalities happening in the U. S. It’s possible to avoid or avert hypertension by adhering to a care coordination plan designed by healthcare professionals and carers. Because high blood pressure is a persistent health issue, those who maintain a care coordination plan developed by medical professionals and carers may avoid it (Newell & Jordan, 2018). High-quality healthcare has been negatively affected, and patients in hospitals have been put in danger by this significant health concern.

The healthcare and US government spend a significant sum of finances on high blood pressure medication and associated medical equipment instead of hiring skilled health professionals. A large amount of money spent on high blood pressure medications and medical equipment is meant to help hospitals manage the worsening illness and decrease the higher death rate it causes. Patients and their families have to shoulder the financial burden of hypertension treatments since they need the usage of costly drugs and demand a great deal of attention (Newell & Jordan, 2018). Patients and their families incur additional costs when they often visit health care facilities, requiring the deployment of realistic, evidence-based strategies to manage the problem. As a result, people with high blood pressure may need more specialized care in terms of nutrition, medical assistance, and psychological therapy to help them quit unhealthy habits such as excessive drinking and cigarette smoking, which can be expensive. The correct procedures must be used to treat and prevent high blood pressure from progressing (Nielsen et al., 2018). Due to medical expenses and stress, patients’ loved ones may be unable to save money, and these health issues might result in renal failure, cardiovascular problems, or stroke.

Patients with chronic high blood pressure may benefit from hospital admission, allowing faster and more effective therapy. Hospitalization for patients with high blood pressure significantly increases the cost of medicine, placing a significant drain on the family’s resources and time. High blood pressure is generally avoided since it may strain family finances. Consequently, health professionals and clinicians must develop crucial methods to improve patient outcomes (Nielsen et al., 2018). Fortunately, in the US, people may still get affordable, high-quality health care even if they have high blood pressure because of programs like Medicare and Medicaid. Medicaid and Medicare cover people with high blood pressure and many other health conditions like diabetes. United States citizens of all socioeconomic situations may now get high-quality healthcare because of Medicaid’s cost-cutting efforts. Nursing professionals encounter every one of the realities listed above in their daily work, indicating that healthcare organizations need to take action to decrease or manage high blood pressure and its detrimental effects.

How The Problem’s Impact on Care Quality, Patient Safety, And System and Individual Costs May Be Affected by State Board Nursing Practice Standards

Many criteria are established by the federal government and state regulatory agencies that nurses must adhere to while giving care and prescriptions to patients. This directs the work of nurses. The Nursing Board ensures that all nursing personnel has the necessary skills and expertise (Bell, 2018). To gauge the quality of the care provided, it is possible to evaluate the competency of the nurses. For instance, in assessing the validity of nurse licensure, the Board of Nursing investigates to ascertain that the registered nurse is competent to deliver quality care to patients. An example of a Nursing Board guideline is the Nursing Practice Act which reviews the quality of care given to all people in the healthcare facilities by health professionals themselves. To increase the quality of care delivery, the nursing board teaches nurses how to create an interpersonal relationships with patients, which might also result in better health results (Bell, 2018). It also verifies the work of American nurses by establishing licensing criteria, which are enforced by a federal law known as the Nursing Practice Act (NPA). The NPA also controls healthcare costs so that individuals of all socioeconomic backgrounds may readily get high-quality treatment. As a result, this body sets rules that mainly safeguard nurses during their work with patients. Patients’ level of satisfaction with medical professionals in hospitals has been boosted thanks to federal and state government programs. To enhance the relationship between patients and nurses, local governments must enact other regulations, such as ethical standards and state compliance with relevant laws.

Good, robust, and positive connections between patients and medical workers improve care coordination that, in turn, improves patient safety (Gaier & Heidary, 2019). On top of developing rules and regulations for patients and their loved ones, the board makes sure they are adhered to strictly to promote excellent and stable connections with a wide range of patients and family members. These principles likewise govern the expenses of the healthcare system. A big part of the state board’s responsibility is facilitating cooperation via workshops and conferences. High-quality treatment for people with high blood pressure is essential here.

Ways to Ensure Quality of Care, Patient Safety, and System and Individual Cost Reduction

All healthcare practitioners must prioritize the patient’s needs above all else since they are responsible for providing the most excellent quality of care while ensuring the safety of those they serve. Quality treatment, protection of patients, and healthcare costs may all be improved by adopting the patient-centered paradigm (Gaier & Heidary, 2019). Patient-centered care involves delivering therapy tailored to every individual’s specific needs and desires. The value of the patient is the driving force behind all choices made by healthcare providers. Health care practitioners should educate high blood pressure patients about the importance of lifestyle changes and regular physical activity to improve their health and well-being. Whether it comes to monitoring the development of high blood pressure patients and determining when help is needed, caregivers must use the developed care coordination approach.

Healthcare professionals can detect and address any gaps in the patient’s recovery process, hence improving their quality of care and ensuring their safety. It is possible to decrease the detrimental effects of high blood pressure on health while simultaneously minimizing the expense of medication by working with individuals to make lifestyle changes and increase regular exercise (Gaier & Heidary, 2019). Sadly, high blood pressure may cause significant consequences, including cardiovascular disease and diabetes, which can cost the person and family members a great deal of money. It is decided to utilize a patient-centered method to salvage the situation and minimize costs.

On the other hand, multidisciplinary collaboration amongst medical practitioners may considerably improve safety and quality of care. The open exchange of knowledge and thoughts on complicated high blood pressure issues is possible when healthcare facility owners and professionals work together. When it comes to giving high-quality medicine in specific scenarios, these notions might be necessary. Furthermore, good multidisciplinary teamwork may develop a patient care coordination strategy (Neidenbach et al., 2018). Drug administration mistakes, which may put patients in danger, can be reduced via multidisciplinary teamwork in healthcare facilities. Health care institutions may avoid paying patients by reducing drug delivery mistakes.

Medical practitioners from several fields might provide particular therapy advice to individuals with hypertension in addition to using an integrated strategy. Patients are provided with efficient methods for quitting alcohol and cigarette dependence and shifting to a healthy lifestyle, as well as support and encouragement. To enhance their health and safety, smokers and drinkers with high blood pressure should stop doing so. Patients with high blood pressure may benefit from three different evidence-based interventions to improve their quality of care and safety. Effective dialogue (open communication) in healthcare requires physicians to involve patients in making decisions about their health. It is also necessary to keep track of patient development throughout the patient care lifecycle by maintaining open and ongoing contact between the nurse and patient (Judd, E., & Calhoun, 2018). It is also possible for healthcare providers to advise patients in various ways, such as educating them on the need to avoid unhealthy habits and frequently exercising to lower their risk of high blood pressure, through open communication.

It is vital for health care providers to use current technologies like eHealth, Telehealth, and Telemonitoring to improve patient care and ensure patient safety. With telemonitoring, nurses may monitor their patients’ blood pressure variations and provide practical advice or emergency assistance. Ensuring the health and well-being of hypertension patients are made more accessible when the correct medications are administered at the right time when there is evidence that their blood pressure has increased over average (Bashi et al., 2018). Combining the above strategies reduces the expense of high blood pressure medication and prevents the adverse effects of high blood pressure on personal health when used together. Implementing these strategies requires improving the quality of service and the well-being of patient safety in the United States healthcare system.

Part 2: Report on My Experience with Ms. Molina During the First 2 Hours of Practicum

I met Cedrick Derrick during my first two hours of practicum hours. It seems that Cedrick is a heavy smoker and drinker, as well as being overweight and suffering from hypertension. To better grasp hypertension, I searched PubMed for relevant studies. Approximately 32M citations for biomedical literature may be found in PubMed and ProQuest databases. To ensure accuracy, the papers and journals are authored by people with advanced degrees, many of whose names may be found on the credits page. High blood pressure and its significant risk causes, like cigarette use, excessive alcohol consumption, obesity, inactivity, a poor diet, and diabetes, are addressed in these articles. Articles like this explain how lifestyle changes like stopping smoking and drinking, exercising, and eating a nutritious diet can successfully control and prevent high blood pressure.

Throughout our conversation, I discovered that Cedrick Derrick did not know much about high blood pressure. She didn’t understand the dangers of hypertension and how to deal with them. He could not comprehend hypertension since Cedrick felt that she had a healthy lifestyle and that it was a fallacy. I had to include his family to ensure he was aware of his situation through these difficult times. The cooperation and open dialogue with Cedrick and his loved ones as a family meant they recognized and acknowledged the problem; this permitted a speedy reaction wherein they began working toward treating the sickness. To help him better understand high blood pressure and its implications, I created a care coordination plan so that he was included in his family education and taught how to manage the disease effectively. Cedrick Derrick began to make lifestyle adjustments that were critical to his health and general wellbeing, and these improvements enhanced his level of care delivery and happiness.

References

Bashi, N., Karunanithi, M., Fatehi, F., Ding, H., & Walters, D. (2018). Remote Monitoring of Patients With Heart Failure: An Overview of Systematic Reviews. Journal of medical Internet research19(1), e18. https://doi.org/10.2196/jmir.6571

Bell K. (2018). Public Policy and Health Informatics. Seminars in oncology nursing34(2), 184–187. https://doi.org/10.1016/j.soncn.2018.03.010

Gaier, E. D., & Heidary, G. (2019). Pediatric Idiopathic Intracranial Hypertension. Seminars in neurology39(6), 704–710. https://doi.org/10.1055/s-0039-1698743

Hopkins, U., Itty, A. S., Nazario, H., Pinon, M., Slyer, J., & Singleton, J. (2019). A systematic review is a systematic review of the effectiveness of delegation interventions by the registered nurse to the unlicensed assistive personnel and their impact on quality of care, patient satisfaction, and RN staff satisfaction. JBI Library of systematic reviews10(15), 895–934. https://doi.org/10.11124/jbisrir-2012-65

Judd, E., & Calhoun, D. A. (2018). Apparent and true resistant hypertension: definition, prevalence and outcomes. Journal of human hypertension28(8), 463–468. https://doi.org/10.1038/jhh.2013.140

Neidenbach, R., Niwa, K., Oto, O., Oechslin, E., Aboulhosn, J., Celermajer, D., Schelling, J., Pieper, L., Sanftenberg, L., Oberhoffer, R., de Haan, F., Weyand, M., Achenbach, S., Schlensak, C., Lossnitzer, D., Nagdyman, N., von Kodolitsch, Y., Kallfelz, H. C., Pittrow, D., Bauer, U., … Kaemmerer, H. (2018). Improving medical care and prevention in adults with congenital heart disease-reflections on a global problem-part I: development of congenital cardiology, epidemiology, clinical aspects, heart failure, cardiac arrhythmia. Cardiovascular diagnosis and therapy8(6), 705–715. https://doi.org/10.21037/cdt.2018.10.15

Newell, S., & Jordan, Z. (2018). The patient experience of patient-centered communication with nurses in the hospital setting: a qualitative systematic review protocol. JBI database of systematic reviews and implementation reports13(1), 76–87. https://doi.org/10.11124/jbisrir-2015-1072

Nielsen, J. Ø., Shrestha, A. D., Neupane, D., & Kallestrup, P. (2018). Non-adherence to antihypertensive medication in low- and middle-income countries: a systematic review and meta-analysis of 92443 subjects. Journal of human hypertension31(1), 14–21. https://doi.org/10.1038/jhh.2016.31

 

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