The Effect of Patient Education and Home Monitoring on Medication Compliance

A thirty-seven-year-old woman was diagnosed with hypertension after undergoing a test. Following the test outcomes, the woman had medications and lifestyle changes recommended for her, which she did not adhere to. Lifestyle changes included nutritional changes as well as exercises. Her reluctance to subscribe to changes recommended led to renal failure. The woman currently receives peritoneal dialysis at her home where she takes a heart-healthy diet, take walks daily as well as adhere to her medications. This essay will help answer the PICOT question: "What is the impact of regular exercises regimen on blood pressure compared with lack of exercise over a period of thirty-two weeks, for patients diagnosed with hypertension?"

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Summary

According to, Leggio, M. et al., when patients are diagnosed with hypertension, it is essential for them to follow the recommendations given which include lifestyle changes as well as adherence to medication. Patients who have exercises recommended for them undergo an aerobic exercise program which is consisted of two phases that are sixteen weeks long each. There existed several differences between the exercising group of hypertension-diagnosed patients and the non-exercising group (Leggio, M. et al., 2018).

Observed variances between the two groups were a more significant reduction in the left ventricular mass as well as the inter-ventricular septal thickness (Moraes-Silva et al., 2017). The stated changes were most significant to the exercising group. With most of the patients ending the first phase of the exercises, sixteen weeks long, there was the substantial reduction of the blood pressure in the exercising students. It was signified by the decrease in the systolic blood pressure which decreased by a seven mmHg with the first phase of exercises, followed by six mmHg in the second phase in average (Moraes-Silva et al., 2017).

Conclusion

According to, Hacihasanoglu et al. (2011), it is important to have patients educated on the importance of adherence to the prescriptions given mostly with the consistent medication follow-up as well as regular exercising. With significant differences between the exercising and non-exercising group of patients, it is evident that patients should adhere to healthy nutritional behaviors as well as physical activities (Hacihasanoglu et al., 2011). Events such as walking, swimming, jogging as well as any exercise that a patient can tolerate, should be included in the patients' recovery prescriptions (Oliveira, R.K. et al., 2013).

References

Hacihasanoglu, R., & Gozum, S. (2011). The effect of patient education and home monitoring on medication compliance, hypertension management, healthy lifestyle behaviors and BMI in a primary health care setting. Journal of clinical nursing, 20(56), 692-705.

Oliveira, R. K., Urbina, M. F., Tracy, J. A., Karin, A. L., Waxman, A., & Systrom, D. (2016). Prevalence Of Exercise Pulmonary Hypertension In Borderline Resting Mean Pulmonary Arterial Pressure. In D53. THE PROMISED LAND: CLINICAL STUDIES IN PULMONARY HYPERTENSION (pp. A7325-A7325). American Thoracic Society.

Leggio, M., Fusco, A., Armani, M., D'Emidio, S., Severi, P., Calvaruso, S., ... & Mazza, A. (2018). Pulmonary hypertension and exercise training: a synopsis of the more recent evidence. Annals of medicine, 50(3), 226-233.

Moraes-Silva, I. C., Mostarda, C. T., Silva-Filho, A. C., & Irigoyen, M. C. (2017). Hypertension and Exercise Training: Evidence from Clinical Studies. In Exercise for Cardiovascular Disease Prevention and Treatment (pp. 65-84). Springer, Singapore.