Answer for NURS-FPX 4050 Assessment 4: Final Care Coordination Plan Hypertension is a major global concern due to its complications like stroke, heart disease, and chronic kidney disease.

Answer for NURS-FPX 4050 Assessment 4: Final Care Coordination Plan Hypertension is a major global concern due to its complications like stroke, heart disease, and chronic kidney disease. The purpose of this paper is to present my final care coordination plan for hypertension by identifying three healthcare issues and interventions to address them. The paper will also address ethical decisions in these interventions, the impact of health policy on care coordination, and the priorities of the care coordination plan. Patient-Centered Health Interventions The identified healthcare issues related to hypertension that will be addressed in the care coordination plan are Poor BP control, High risk of stroke, and Poor lifestyle practices. This section will address each issue by proposing an intervention for each and community resources for the interventions. Poor BP Control Poor BP control is defined as BP of ≥140/90 mm Hg for patients without diabetes and ≥150/90 mm Hg for patients >80 years without diabetes. Various factors have been attributed to poor BP control, including lack of early detection of high BP, inadequate treatment, and poor adherence to treatment (Carey et al., 2021). Besides, poor BP control is identified as a major risk factor for cardiovascular diseases. Educating patients on medication adherence is the proposed intervention to address poor BP control. Various factors are associated with poor adherence, including little hypertension knowledge and ignorance of the need for long-term treatment, high medication cost, religious practices, cultural beliefs, and complementary medications and practices. The nurse will assess these factors to determine how to design the patient education plan to increase patient’s knowledge and change their attitude toward long-term treatment for hypertension (Carey et al., 2021). The community resources that will foster the intervention include support groups for hypertensive patients, Community-based medication delivery programs, and Hypertension Community Outreach programs. High risk of stroke Stroke is one of the complications of poor BP control. Reduction of BP is associated with significant benefits in stroke risk and related mortality risk in older persons. Gorelick et al. (2020) explain that stroke is the second most common cause of death globally and the second leading cause of disability-adjusted life years. Proper BP management is fundamental to the prevention of stroke and acute treatment. The proposed intervention to lower the risk of stroke is intensive BP-lowering therapy via pharmacological and non-pharmacological therapy. Funakoshi et al. (2022) found growing evidence showing that BP-lowering therapies based on renin-angiotensin system (RAS) blockers, calcium blockers, and diuretics effectively prevent recurrent strokes among patients with a history of stroke or transient ischemic attack (TIA). Patients who fail to achieve optimal BP control will have their medication therapy modified per the current hypertension treatment guidelines and their lifestyle practices reviewed to identify gaps and address them. Community resources facilitating the BP-lowering therapy intervention include Stroke Prevention Programs, Community Health Worker Stroke Prevention programs, and Community stroke and TIA education programs. Poor lifestyle practices Hypertension control often becomes challenging due to poor lifestyle practices like smoking, unhealthy dietary habits, physical inactivity, and excessive alcohol drinking. Ojangba et al. (2023) explain that maintaining healthy lifestyle factors can lower systolic BP by 3.5 mm Hg and decrease the risk of CVD by roughly 30%, notwithstanding genetic susceptibility to hypertension. The proposed intervention will be to provide health education on lifestyle modification to improve lifestyle factors. Patients will be empowered to modify behavior like reducing sodium, salt, and fat intake, eating habits to include more fruits and vegetables, cessation of smoking, less alcohol intake, maintaining healthy body weight, exercising regularly, and reducing stress. Furthermore, lifestyle changes will be recommended in hypertensive patients as an initial therapy before initiating medication and as an adjunct to pharmacologic therapy in those receiving it. Lifestyle changes can support the withdrawal of medication and reduce the number of hypertensive patients with medication-controlled BP if highly motivated patients successfully adopt and maintain lifestyle changes (Ojangba et al., 2023). Community resources for this intervention will include support groups, a CDC-approved curriculum containing lessons and handouts, and community programs that support healthy eating and active living.