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Implementing obesity management in primary care: Linking evidence based guidelines with a nurse practitioner model of care
(2016-06-03)
Background: Obesity is a rising epidemic, affecting over one third of U.S. adults and over 13% of the world’s population, carrying significant morbidity and mortality. There have been decreasing rates of obesity ...
Improving heart failure management utilizing a chronic disease clinic model
(2016-10-20)
Chronic diseases are currently the leading cause of preventable death and disability worldwide. Clinical prevention disease-specific interventions designed with a population health management approach offer solutions. ...
Decreasing blood pressure readings using a patient-centered interprofessional team approach
(2016-10-07)
Background and Purpose: Hypertension is one of the most modifiable risk factors for the prevention of heart disease. Current practice involves medical management of hypertension by the primary care provider. Provision of medical management alone is not improving blood pressures of patients with hypertension. Therefore, a patient-centered interprofessional team was developed to address the lack of a coordinated approach to the management of hypertensive patients.
Methods: The family nurse practitioner as clinician guides the interprofessional team in the management of hypertension. An interprofessional team was implemented in a rural Midwestern family practice clinic. Patients included were 18 to 60 years old with a diagnosis of hypertension. At least two previous blood pressure readings were required, and the last reading must have remained elevated over 140/90. Initial blood pressure readings were compared to final visit readings to measure improvement. Systolic blood pressure was reduced significantly throughout the project (p = 0.0067).
Conclusion: Implementation of the interprofessional team in the management of hypertension has provided a positive improvement in the BP of the patients participating.
Implications for Practice: The interprofessional team design supports the perfect environment for advanced practice nursing leadership.
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