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Utilizing a team-based approach to improve hypertension management in a medical home practice
Hypertension is one of the leading causes of heart disease in the United States. Currently, there are about 80 million Americans who have a diagnosis of hypertension. As the rates of patients diagnosed with hypertension ...
How high! Decreasing blood pressure in men aged 45-65 in primary care: A quality improvement project
(2018-05-15)
Purpose: Hypertension is a health issue that affects many people worldwide. The Memphis area has many people who have been diagnosed with hypertension and experience poor outcomes. A local Memphis primary care clinic allowed ...
The effective management of high blood pressure by improving adherence through education
(2016-10-11)
This project assessed the effectiveness of the adoption of a policy including guidelines and training to improve antihypertensive medication adherence rates. The project determined the utilization of hypertensive clinical ...
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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