When using websites to find evidence-based research credible sources are NIH, .gov websites, .org websites, Mayo Clinic and hospital policies. However, blogs, Wikipedia and .com websites are not credible sources of information. Lifestyle modifications include weight loss, exercise, eating a healthy diet, smoking cessation, and stress reduction.
In an article written by Yang et al., a study of 1139 adults with hypertension complying with lifestyle modification was conducted. Patients were assessed on their lifestyle, including smoking, alcohol use, salt intake, and physical activity NURSFPX 4900 ASSESSMENT Problem Identification Template. The purpose of this study was to identify and evaluate life-style modifications associated with blood pressure control in patients diagnosed with hypertension.
The participants checked in at weeks 4, 8, and 12 and discussed drug adherence, weight, physical activity, alcohol and salt consumption, and blood pressure readings. At the conclusion of the study 961 participants (84%) were in the success group. It was discovered that reduced salt intake and increased physical activity were attributed to successful blood pressure control, and increased BMI was associated with uncontrolled blood pressure
The article stated that dietary modifications which are beneficial in reducing hypertension include low sodium intake, alcohol in moderation, weight loss, a diet rich in fruits, vegetables, legumes, low-fat dairy products, and low saturated fat. The researchers also followed up with the participants after 18 months and weight reduction continued to show a trend in reduction of blood pressure (Yang, et al., 2017).
An article written by Magobe et al., stated that the first step in treating hypertension is lifestyle modification and that physical exercise can lower blood pressure and improve quality of life. In the referenced study participants had to engage in physical activity for 10 to 30 minutes a day at least three times a week.
The participants varied from ages 41 to 80 years old and had been diagnosed with hypertension for 1 to 10 years. Lifestyle modifications were proven to lower blood pressure and reduce cardiovascular disease by 21% when patients adhered to a healthy lifestyle (Magobe et al., 2017).
In my current nursing practice evidence from the literature proves to be true. When patients are admitted to the ICU with hypertensive crisis or stroke it is because they have uncontrolled hypertension. When educating them on proper diet, obesity, and exercise it is discovered that they do not practice these lifestyle behaviors. Lack of adequate treatment, reluctance to make lifestyle changes, compliance, and access to healthcare can present barriers to evidence-based practice (Devkota et al., 2016). NURSFPX 4900 ASSESSMENT Problem Identification Template
The Health Belief Model can be used to assist in behavior change for patients. This model is frequently used in the healthcare setting. In this model goal setting, decision-making, and social learning are integrated for making one’s own decisions, along with the patient’s perceived barriers for the change (Drevenhorn, 2018). This model can be effective in treating patient with hypertension because it allows the individual to make choices and decisions that can be a benefit/detriment to their health. NURSFPX 4900 ASSESSMENT Problem Identification Template
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