In-depth Analysis or Knowledge Gap NURS FPX 6614 Assessment 1 Defining a Gap in Practice Executive Summary

 

Hypertension symptoms in overweight patients could be managed with the help of medications, but evidence suggests that medications have side effects. These side effects can worsen the situation for an obese hypertensive patient (Gebreyohannes et al., 2019). Additionally, the adverse effects caused by antihypertensive medications make medication adherence difficult for the patient (Gebreyohannes et al., 2019). Cosimo Marcello et al. (2019) reported that only around a third of hypertension patients treated with antihypertensive medication reach the desired number (Cosimo Marcello et al., 2019).

NURS FPX 6614 Assessment 1 Defining a Gap in Practice Executive Summary

Research by Cosimo Marcello et al. (2019) suggests that low-salt diets and regular exercise may assist obese people in controlling their hypertension symptoms. Patients can safely reduce weight and keep their blood pressure steady with a combination of healthy eating and regular exercise (Cosimo Marcello et al., 2019).

PICOT Question

NURS FPX 6614 Assessment 1 Defining a Gap in Practice Executive Summary

What is the PICOT question?

For hypertensive obese individuals, a (population, intervention, comparison, outcome, and time) PICOT methodology may be useful for analyzing the relative merits of lifestyle modifications versus medications and filling in the knowledge gap. The PICOT question is: In overweight adults with hypertension do lifestyle modifications as compared to antihypertensive medications result in low blood pressure within 6 month time period? 

Population: Overweight adults

Intervention: Lifestyle modifications 

Comparison: Lifestyle modifications versus medications 

Outcome: Low blood pressure 

Time: six months 

Explanation of the Selected Gap

NURS FPX 6614 Assessment 1 Defining a Gap in Practice Executive Summary

According to Alsaigh et al. (2019), proper care planning is necessary to safeguard patients from the potentially lethal implications that hypertension might have. Changes in lifestyle have a significant role in lowering blood pressure and postponing the development of hypertension in individuals who are otherwise healthy. Patients with hypertension should consider making lifestyle adjustments first before initiating pharmacologic therapy (Alsaigh et al., 2019). The care coordinator’s responsibility is to educate overweight hypertensive patients. Furthermore, they need to assess their level of knowledge by asking them free-form questions after educating them. This is the last but most important part of the care coordinator’s job. The patient will need to be instructed by the coordinator on how to make the necessary behavioural adjustments so as to achieve the desired outcomes (Karam et al., 2021)