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

At the regional level, the Joint National Committee (JNC) has recommended that hypertensive patients engage in lifestyle modifications for six months. These modifications, according to the JNC, include increased physical exercise and dietary changes for obese patients, low salt intake, and limited alcohol consumption (de la Sierra, 2019). PREMIER trial was the largest clinical trial performed in the US that evaluated the methods of lowering blood pressure through changes in lifestyle. It evaluated the impact on hypertension by making many concomitant adjustments to one’s way of life. This trial showed that weight loss, getting more exercise, and eating well were all great ways to manage hypertension without drugs (Mahmood et al., 2019). Additionally, lifestyle modification and medications can both lower blood pressure within six months, but medications can certainly show their side effects within the six months period (Kebede et al., 2022). 

Services and Resources for Care Coordination

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

Resources 

Healthcare teams can make use of social media messages, fact sheets, and handouts to educate obese hypertensive patients on lifestyle modifications. 

Potential Services 

In numerous facilities, care teams consist of nurses, physicians, pharmacists, information technology specialists, and hospital administrators. Nurses, as care coordinators, can play their role in raising awareness among obese hypertensive patients on making healthy lifestyle choices. In addition, the entire team can utilize telehealth to monitor patients’ compliance with their prescribed lifestyle change regimens (Volterrani & Sposato, 2019).

Barriers 

The process of care coordination is hindered by a number of obstacles. These obstacles include insufficient coordination with patients due to a lack of patients’ trust in healthcare professionals or their inability to engage in self-management practices (Heinert et al., 2019). In addition, since health information technology plays a significant part in care coordination, nurses and other members of the healthcare team may encounter obstacles to its successful use. Also a lack of resources can also be an issue in the care coordination process. Beliefs of obese hypertensive patients, patient motivation, and depression could also be a barrier to the care coordination process (Heinert et al., 2019).