Introduction
Individuals suffering from hypertension usually require immediate healthcare attention. Based on the patient's described symptoms it reveals that the patient is suffering from a chronic health condition that characterized by headache, depression and chest pressure. Since their condition often results in an increased number of fatalities. This calls for prompt evidence-based management plan to establish an effective care plan for the hypertension patient (CDC, 2014).
Pertinent Diagnostics
Based on the described symptoms of allergic rhinitis, depression, and hypothyroidism; it shows that the patient has an underlying disorder that is believed to be the direct cause of hypertension. Also, the patient has a history of drinking and smoking for the past 15 years. So to detect such disorders gives the prospect of providing specific treatment that will help lower the blood pressure. Besides the patient has a habit of eating a lot of salt so that the pertinent diagnostics will involve a complete blood count, basic metabolic profile, lipid profile, urinalysis and measurement of blood glucose level (Gleason-Comstock, J.et. al., 2015).
The Patient Education Plan
Due to the chronic nature of the patient illness, it prompts the need for a self-management patient education plan. The purpose of a patient education plan is to encourage behavior skills that are necessary to optimize the quality of life. It is important to recognize that one of the most effective approaches in a patient education plan is focusing on the individualized needs of the patient. This is, however, is dependent on the prior life experience and the existing support networks for the patient's illness (Gleason-Comstock, et. al., 2015).
Under the context of the plan, patient education will be delivered via information technology. This will be useful in promoting hypertension control. This will involve a provider-driven approach to provide health education as well as improve knowledge and also encourage self-assessment. Through multiple brief sessions, it is expected this will increase motivation and increase self-efficacy leading to increased patient medication adherence as well as improved health outcome of blood pressure control (Titler, 2008).
Furthermore, a clinical trial will be carried out through subsequent education sessions on the ramifications of excessive drinking and smoking. This will be an effective strategy for achieving short term patient management of blood pressure (Titler, 2008).
Cultural and Lifespan Considerations
The patient needs more than one drug to reduce their diastolic blood pressures to 80 mm Hg. The patient will also need two or more drugs to achieve blood pressure levels of less than 150/85mm Hg. Ideally, it is recommended that the patient is given 10 milligrams of Zyrtec daily. There should be a coherent strategy for evaluating and managing patients whose pleasure is quite challenging to control. Another consideration is on the patient's allergic reaction to penicillin which should be aggregated into a systematic approach towards the patient's condition (Gleason-Comstock, et. al., 2015).
Health Promotion or Health Care Maintenance Needs
The intervention plan for the patient will be monitored through randomized and controlled clinical trials. This will help guide the clinical practice that is principally derived from evidence resources. The overall goal of healthcare is to ensure the overall well being of the patient. Besides, the intervention plan should help in the early identification of symptoms programs in which the strategy is to reduce the burden of illness, injury, and disability. The patient will require a periodic healthcare check to ensure to ensure that the weight and blood pressure is within the recommended range. The treatment should also be adjusted in which the patient should visit the healthcare provider at least once or twice per year with successive medication adjustment phases (Gleason-Comstock,.et. al. 2015).
Follow-up and Referral for This Patient
It is vital that blood pressure control should be more stringent to prevent recurrent events. The drug dosage also needs to be changed, or the patient should be prescribed with new medication from time to time. Besides, in every follow-up visits, the patient should be screened for damage to the heart, eyes, brain, kidney as well as peripheral arteries to that is related to high blood pressure. They should visit the health care provider in good time so to determine if there are any side effects with the medication as well as obtain suggestions for coping with any change treatment. The follow-up visits will also present an excellent opportunity for monitoring the associated risk factors (Gleason-Comstock et al. 2015).
Conclusion
In conclusion, hypertension is common in everyday practice in which the patients need more than one drug to reduce their diastolic blood pressures to 80 mm Hg. The patients also need two or more drugs to achieve blood pressure levels of less than 150/85mm Hg. Ideally, it is recommended that there should be a coherent strategy for evaluating and managing patients whose pleasure is quite challenging to control. They should be aggregated into a systematic approach. Even though the recommendations are presented sequentially, it is highly recommended that clinicians should consider many of the options simultaneously and use their judgment.
References
Centers for Disease Control and Prevention. (October 29, 2014). High blood pressure facts. Retrieved From: http://www.cdc.gov/bloodpressure/facts.htm
Gleason-Comstock, J., Streater, A., Ager, J., Goodman, A., Brody, A., Kivell, L., Paranjpe, A., Vickers, J., Mango, L., Dawood, R., ... Levy, P. (2015). Patient education and follow-up as an intervention for hypertensive patients discharged from an emergency department: a randomized control trial study protocol. BMC emergency medicine, 15, 38. doi:10.1186/s12873-015-0052-3
Titler, M. G. (2008). The evidence for evidence-based practice implementation.
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