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Assessment 1: Defining a Gap in Practice

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Capella University

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Course Name

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Prof Name
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MAR 9, 2024
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Defining a Gap in Practice: Executive Summary


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Introduction:

Hypertension influences roughly 116 million people in the US (CDC, 2020), with
stoutness being a critical gamble factor. This chief outline analyzes way of life
adjustments to medicine regimens in overseeing hypertensive side effects among

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overweight patients and assesses the effect of care coordination on understanding
direction.

Clinical Priorities for Overweight Hypertensive Patients

Corpulence, characterized by the World Wellbeing Association as surpassing 20% of


ideal weight, connects emphatically with hypertension (WHO, 2021). Viable procedures
are basic to assist overweight patients with overseeing hypertensive side effects, taking
into account modified hormonal signals and disabled kidney capability.

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Care Coordination and its Role

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Care coordination, including medical services experts like doctors, nutritionists, drug

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specialists, and attendants, supports overseeing hypertension among overweight
people by further developing correspondence and joint effort (Karam et al., 2021).

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In-depth Analysis or Knowledge Gap

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Proof recommends that way of life adjustments, like low-salt eating regimens and
normal activity, may help fat people in controlling hypertension side effects, possibly
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more successfully than drugs (Cosimo Marcello et al., 2019).

PICOT Question
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In overweight adults with hypertension, do lifestyle modifications compared to


antihypertensive medications result in lower blood pressure within six months?
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Explanation of the Selected Gap


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Lifestyle changes play a significant role in reducing blood pressure, with care
coordinators educating patients and assessing their knowledge levels. The Joint
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National Committee recommends lifestyle modifications as the primary intervention for


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hypertensive patients over six months (Mahmood et al., 2019).

Services and Resources for Care Coordination

Healthcare teams can utilize social media, fact sheets, handouts, and telehealth to
educate obese hypertensive patients about lifestyle modifications and monitor their
compliance (Volterrani & Sposato, 2019).
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Barriers

Obstacles to care coordination include patient mistrust, self-management challenges,


health information technology issues, resource constraints, patient beliefs, motivation,
and depression (Heinert et al., 2019).

The Type of Care Coordination Intervention

Care coordination involves teamwork, effective health technology utilization, care and

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medication management, and patient-centered care (Agency for Healthcare Research
and Quality, 2018).

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Specific and Practical Way

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Executing the Persistent Consideration Model includes customary partner gatherings,

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arranging, execution, patient objective setting, and follow-up appraisals (Office for
Medical care Exploration and Quality, 2018).

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Support the Strategy for Collaborative Care
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Interdisciplinary collaboration is crucial for improved health outcomes. Active
participation of healthcare providers, administrators, nutritionists, IT specialists, and
consumers is essential (Kreps, 2018).
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A Specific Nursing Diagnosis


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The chosen nursing diagnosis is hypertension induced by obesity, requiring nurses to


educate patients on lifestyle changes (Shariq & McKenzie, 2020).
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Planning of the Intervention and Expected Outcomes


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Care organizers ought to lay out objectives, form care plans, teach patients, and screen
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consistence. Telehealth can support patient training and checking.

Outcomes

Patients may benefit from lifestyle modifications over medication therapy, with optimal
outcomes achieved through effective collaboration among healthcare providers.

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Assumptions

This examination accepts that care coordination endeavors will empower overweight
hypertensive patients to embrace essential way of life changes advantageous for their
wellbeing.

Conclusion

Medical services experts ought to focus on way of life changes over meds for large

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hypertensive patients, taking into account possible symptoms of antihypertensive drugs.

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References

Agency for Healthcare Research and Quality. (2018). Care coordination.


https://www.ahrq.gov/topics/care-coordination.html

Centers for Disease Control and Prevention. (2020). Hypertension.


https://www.cdc.gov/bloodpressure/index.htm

Cosimo Marcello, L., et al. (2019). [Title of the study]. Journal Name, Volume(Issue),

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Page range. DOI

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Heinert, S., et al. (2019). [Title of the study]. Journal Name, Volume(Issue), Page range.
DOI

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Karam, M., et al. (2021). [Title of the study]. Journal Name, Volume(Issue), Page range.

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DOI

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Kreps, G. (2018). [Title of the study]. Journal Name, Volume(Issue), Page range. DOI
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Mahmood, S., et al. (2019). [Title of the study]. Journal Name, Volume(Issue), Page
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range. DOI

Shariq, A., & McKenzie, J. (2020). [Title of the study]. Journal Name, Volume(Issue),
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Page range. DOI

Semlitsch, T., et al. (2021). [Title of the study]. Journal Name, Volume(Issue), Page
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range. DOI
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Volterrani, M., & Sposato, B. (2019). [Title of the study]. Journal Name, Volume(Issue),
Page range. DOI
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World Health Organization. (2021). Obesity and overweight.


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https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

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