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Assessment 1: Defining a Gap in Practice

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Student Name

Capella University

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Course Name

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Prof Name
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Mar 8, 2024
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Executive Summary: Addressing Gaps in Hypertension Management Among Overweight
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Hypertension affects a significant portion of the US population, leading to serious cardiac
complications. Obesity compounds the issue, making effective interventions crucial. This
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summary examines lifestyle adjustments versus medication routines for managing hypertension
in overweight patients and investigates how coordinated care influences patient decisions.
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Clinical Focus on Overweight Hypertensive Patients:

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Obesity, as defined by the WHO, correlates with adverse health outcomes, including
hypertension. Overweight individuals with hypertension often experience hormonal imbalances,
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abnormalities in the sympathetic nervous system, and impaired kidney function. Effective
strategies, whether through medication or lifestyle changes, are vital for managing hypertension
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symptoms.

Importance of Care Coordination:

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Care coordination is pivotal in assisting overweight hypertensive individuals. Streamlined

processes facilitate communication between patients and healthcare providers, involving
various stakeholders.

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Identified Gap in Knowledge:

While medications may have drawbacks, evidence indicates that lifestyle adjustments such as
low-sodium diets and regular exercise can help control hypertension symptoms in obese
individuals.

PICOT Question:

Do lifestyle modifications, compared to antihypertensive medications, lead to lower blood

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pressure within six months for overweight adults with hypertension?

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Explanation of Chosen Gap:

Effective care planning is crucial to avoid dire consequences. Lifestyle changes significantly

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reduce blood pressure, with care coordinators playing a vital role in patient education.

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Recommended Services and Resources:

Healthcare teams can utilize social media, fact sheets, and telehealth to educate patients about
lifestyle modifications. vi
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Barriers to Care Coordination:
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Challenges include patient trust issues, difficulties in self-management, and resource limitations.

Type of Care Coordination Intervention:

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Effective care coordination entails teamwork, leveraging health technology, managing

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medications, and prioritizing patient-centered care.

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Practical Implementation:
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Healthcare organizations should utilize the Chronic Care Model, fostering responsibility and
accountability, and involving stakeholders in planning, implementation, and follow-up.

Supporting Collaborative Care:

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Collaborative care emphasizes lifestyle adjustments for obese hypertensive patients,

necessitating effective collaboration among stakeholders.

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Example Strategies:

Interdisciplinary teams, including healthcare providers, administrators, nutritionists, IT

specialists, and patients, should actively engage in care planning.

Specific Nursing Diagnosis:

Nurses play a crucial role in educating obese hypertensive patients about lifestyle modifications.

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Intervention Planning and Expected Outcomes:

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Regular meetings establish goals, formulate care plans, and educate patients about lifestyle
adjustments, with telehealth utilized for monitoring.

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Expected Outcomes:

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Patients benefit from recognizing the efficacy of lifestyle changes, facilitated by effective
collaboration among healthcare providers.

Assumptions: vi
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It is assumed that care coordination enables overweight hypertensive patients to adopt
necessary lifestyle changes.
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Conclusion:
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Healthcare professionals should prioritize lifestyle adjustments over medication therapy to

effectively manage hypertensive symptoms.
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References
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CDC. (2020, February 25). Facts About Hypertension. Centers for Disease Control and
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https://www.cdc.gov/bloodpressure/facts.htm#:~:text=Nearly%20half%20of%20adults%20in

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