m

Assessment 1: Defining a Gap in Practice

Student Name

o
Capella University

.c
Course Name

Prof Name
PX
MARCH 8, 2024
SF
R
U
N

Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing?
Call Us Now (516) 218-0006
Email us at: Contact@nursfpx.com
Website: NURSFPX.com
For Free MSN Sample: NURSFPX.com/free-Sample
 o m
.c
Defining a Practice Gap: Executive Summary
PX
Hypertension is prevalent, affecting approximately 116 million individuals in the United States,
and is often compounded by obesity, leading to severe cardiac events. The summary contrasts
the effectiveness of lifestyle adjustments versus medication in controlling hypertension among
overweight patients and assesses the role of care coordination in patient decision-making.
SF

Clinical Priorities for Overweight Hypertensive Patients

Obesity, linked to adverse health outcomes including hypertension, manifests hormonal,

nervous system, and kidney abnormalities in hypertensive individuals. Effective strategies
R

integrating medication or lifestyle changes are imperative for managing hypertension symptoms
in overweight patients.
U

Role of Care Coordination

Care coordination is vital for healthcare providers to assist overweight hypertensive individuals
N

in managing their condition. Improved coordination enhances communication between patients

and healthcare professionals, involving various specialists such as physicians, nutritionists,
pharmacists, and nurses.

In-depth Analysis or Knowledge Gap

Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing?
Call Us Now (516) 218-0006
Email us at: Contact@nursfpx.com
Website: NURSFPX.com
For Free MSN Sample: NURSFPX.com/free-Sample
While medications may have adverse effects in obese hypertensive patients, evidence suggests
that adopting low-salt diets and regular exercise may help manage hypertension symptoms.

PICOT Question

In overweight adults with hypertension, do lifestyle modifications compared to antihypertensive

medications result in lower blood pressure within six months?

Population: Overweight adults

m
Intervention: Lifestyle modifications
Comparison: Lifestyle modifications versus medications
Outcome: Low blood pressure
Time: Six months

o
Explanation of the Selected Gap

.c
Effective care planning is essential to mitigate potentially fatal consequences of hypertension.
Lifestyle changes significantly reduce blood pressure. Care coordinators play a pivotal role in
PX
educating overweight hypertensive patients and assessing their knowledge.

Services and Resources for Care Coordination

Healthcare teams can utilize social media, fact sheets, and handouts to educate obese
SF

hypertensive patients about lifestyle changes. Telehealth can monitor patients' compliance with
prescribed lifestyle changes.

Barriers
R

Barriers to care coordination include patients' lack of trust in healthcare professionals, inability to
engage in self-management practices, challenges with health information technology, resource
constraints, patient beliefs, motivation, and depression.
U

Type of Care Coordination Intervention

N

Care coordination entails teamwork, effective utilization of health information technology, care
and medication management, and patient-centered care.

Specific and Practical Way

Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing?
Call Us Now (516) 218-0006
Email us at: Contact@nursfpx.com
Website: NURSFPX.com
For Free MSN Sample: NURSFPX.com/free-Sample
Adhering to the Chronic Care Model, healthcare professionals should foster responsibility and
accountability by conducting regular meetings with key stakeholders, implementing plans,
assisting patients in achieving self-management goals, and conducting follow-up assessments.

Support the Strategy for Collaborative Care

A collaborative care strategy should prioritize lifestyle modifications as the primary intervention,
involving interdisciplinary teams.

Example of Strategies

m
Interdisciplinary teams should collaborate to improve health outcomes, engaging healthcare
providers, administrators, nutritionists, information technology specialists, and consumers in the
care process.

o
Specific Nursing Diagnosis

.c
The specific nursing diagnosis is hypertension induced by obesity. Nurses educate obese
hypertensive patients about lifestyle changes to normalize blood pressure.
PX
Planning of the Intervention and Expected Outcomes

Care coordinators establish goals and targets, formulate care plans, and educate obese
hypertensive patients about lifestyle modifications over medication. Telehealth facilitates patient
SF

education and compliance monitoring.

Outcomes

Patients benefit from recognizing the superiority of lifestyle changes over medications, with
R

effective collaboration among healthcare providers achieving optimal health outcomes.

Assumptions
U

Care coordination efforts enable overweight hypertensive patients to adopt necessary lifestyle
changes, considered more beneficial than medication therapy.
N

Conclusion

Healthcare professionals should advise obese patients to implement necessary lifestyle

modifications to manage hypertension. Lifestyle changes are favored over medications due to
potential side effects.
Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing?
Call Us Now (516) 218-0006
Email us at: Contact@nursfpx.com
Website: NURSFPX.com
For Free MSN Sample: NURSFPX.com/free-Sample
References

Agency for Healthcare Research and Quality. (2018). Care Coordination | Agency for Healthcare
Research & Quality. Ahrq.gov. https://www.ahrq.gov/ncepcr/care/coordination.html

Alsaigh, S. A. S., Alanazi, M. D., & Alkahtani, M. A. (2019). Lifestyle modifications for
hypertension management. The Egyptian Journal of Hospital Medicine, 70(12), 2152–2156.
https://doi.org/10.12816/0045044

CDC. (2020, February 25). Facts About Hypertension. Centers for Disease Control and
Prevention.

m
https://www.cdc.gov/bloodpressure/facts.htm#:~:text=Nearly%20half%20of%20adults%20in

Chrysant, S. G. (2019). Pathophysiology and treatment of obesity‐related hypertension. The

o
Journal of Clinical Hypertension, 21(5), 555–559. https://doi.org/10.1111/jch.13518

Cosimo Marcello, B., Maria Domenica, A., Gabriele, P., Elisa, M., & Francesca, B. (2019).

.c
Lifestyle and hypertension: An evidence-based review. Journal of Hypertension and
Management, 4(1). https://doi.org/10.23937/2474-3690/1510030
PX
Csige, I., Ujvárosy, D., Szabó, Z., Lőrincz, I., Paragh, G., Harangi, M., & Somodi, S. (2018). The
impact of obesity on the cardiovascular system. Journal of Diabetes Research, 2018(3407306),
1–12. https://doi.org/10.1155/2018/3407306

de la Sierra, A. (2019). New American and European hypertension guidelines, reconciling the
differences. Cardiology and Therapy, 8(2), 157–166. https://doi.org/10.1007/s40119-019-0144-3
SF

Gebreyohannes, E. A., Bhagavathula, A. S., Abebe, T. B., Tefera, Y. G., & Abegaz, T. M. (2019).
Adverse effects and non-adherence to antihypertensive medications in University of Gondar
Comprehensive Specialized Hospital. Clinical Hypertension, 25(1).
https://doi.org/10.1186/s40885-018-0104-6
R

Heinert, S., Escobar-Schulz, S., Jackson, M., Del Rios, M., Kim, S., Kahkejian, J., &
Prendergast, H. (2019). Barriers and facilitators to hypertension control following participation in
U

a church-based hypertension intervention study. American Journal of Health Promotion, 34(1),

52–58. https://doi.org/10.1177/0890117119868384
N

Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C.
(2021). Nursing care coordination for patients with complex needs in primary healthcare: A
scoping review. International Journal of Integrated Care, 21(1). https://doi.org/10.5334/ijic.5518

Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing?
Call Us Now (516) 218-0006
Email us at: Contact@nursfpx.com
Website: NURSFPX.com
For Free MSN Sample: NURSFPX.com/free-Sample
Kebede, T., Taddese, Z., & Girma, A. (2022). Knowledge, attitude, and practices of lifestyle
modification and associated factors among hypertensive patients on-treatment follow up at
Yekatit 12 General Hospital in the largest city of East Africa: A prospective cross-sectional study.
PLOS ONE, 17(1), e0262780. https://doi.org/10.1371/journal.pone.0262780

Kreps, G. L. (2018). Communication and effective interprofessional health care teams.

International Archives of Nursing and Health Care, 2(3).
https://doi.org/10.23937/2469-5823/1510051

Liu, X., Sutton, P. R., McKenna, R., Sinanan, M. N., Fellner, B. J., Leu, M. G., & Ewell, C.
(2019). Evaluation of secure messaging applications for a health care system: A case study.

m
Applied Clinical Informatics, 10(1), 140–150. https://doi.org/10.1055/s-0039-1678607

Mahmood, S., Shah, K. U., Khan, T. M., Nawaz, S., Rashid, H., Baqar, S. W. A., & Kamran, S.

o
(2019). Non-pharmacological management of hypertension: in the light of current research. Irish
Journal of Medical Science, 188(2), 437–452. https://doi.org/10.1007/s11845-018-1889-8

.c
Oparil, S., Acelajado, M. C., Bakris, G. L., Berlowitz, D. R., Cífková, R., Dominiczak, A. F.,
Grassi, G., Jordan, J., Poulter, N. R., Rodgers, A., & Whelton, P. K. (2018). Hypertension.
Nature Reviews Disease Primers, 4(4), 18014. https://doi.org/10.1038/nrdp.2018.14
PX
Semlitsch, T., Krenn, C., Jeitler, K., Berghold, A., Horvath, K., & Siebenhofer, A. (2021).
Long-term effects of weight-reducing diets in people with hypertension. Cochrane Database of
Systematic Reviews. https://doi.org/10.1002/14651858.cd008274.pub4
SF

Shariq, O. A., & McKenzie, T. J. (2020). Obesity-related hypertension: A review of

pathophysiology, management, and the role of metabolic surgery. Gland Surgery, 9(1), 80–93.
https://doi.org/10.21037/gs.2019.12.03

Volterrani, M., & Sposato, B. (2019). Remote monitoring and telemedicine. European Heart
Journal Supplements, 21(Supplement_M), M54–M56. https://doi.org/10.1093/eurheartj/suz266
R
U
N

Do you need Help to complete your Capella Uni MSN FlexPath Class in 1 Billing?
Call Us Now (516) 218-0006
Email us at: Contact@nursfpx.com
Website: NURSFPX.com
For Free MSN Sample: NURSFPX.com/free-Sample