Lifestyle Modifications Provider Adherence - 1492 Words

Lifestyle Modifications: Provider Adherence to JNC7 Guidelines Introduction Hypertension, a condition more commonly known as high blood pressure, is a major risk factor for many medical diseases and comorbidities. Hypertension affects 1 of 3 American adults each year, leading to comorbidities such as heart disease, coronary artery disease, stroke, and kidney disease. The treatment of hypertension totals $46 billion annually (CDC High Blood Pressure Facts, 2015). Clinical treatment guidelines, developed in 2003 by The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure (JNC 7), were established for clinician management of hypertensive patients. The JNC 7 produces a standard of care in classification and treatment of hypertension, establishing standards for providers to educate their hypertensive patients in areas such as lifestyle modifications and pharmacological treatment. The JNC 7 recommends that lifestyle modifications, such as weight loss and exercise, be the preliminary treatment plan for lowering blood pressure and specifically recommends a diet rich in fiber, fruits, vegetables and low fat dairy products as outlined in the Dietary Approaches to Stop Hypertension (DASH) diet (C. Hobanian et al., 2003). More currently, JNC7 recommendations have been modified in the Eighth Report of the Joint National Committee (JNC 8), increasing the baseline blood pressure goal (Sessoms, Reid, Williams, Show MoreRelatedDiabetes : A Common And Well Known Disease1564 Words   |  7 Pagescommon and well-known disease in the US. Healthcare providers manage the care of patients daily as both direct and indirect effects of diabetes contribute to their poor health. Diabetes mellitus type 2 is characterized by high blood sugar levels as a result of insulin resistance. The risk factors associated with an increasing prevalence in the US includes genetics, family history, poor eating habits, sedentary lifestyle, and obesity.1 Healthcare providers are challenged to assess each diab etic patient’sRead MoreDeveloping The Strategy For Children With Type 2 Diabetes Mellitus1580 Words   |  7 Pagesby outlining various factors related to problems of diabetes regimen adherence. Therefore, issues such as demographics, psychological and social factors are of concern, alongside other factors such as medical systems, healthcare providers, and factors related to disease and treatment (Chesanow, 2014). Of course the best way to address the challenges of noncompliance is to implement an educational protocol to improve adherence. Through this protocol, we can determine the patient s perceived seriousnessRead MoreThe Importance Of Diabetes1529 Words   |  7 Pagesin the Elderly: Effects of Pharmacologic Versus Exercise and Diet Interventions Introduction Diabetes mellitus (DM) type II is a disease that is prevalently found within the older adult population. Type II diabetes is typically managed through lifestyle changes, such as diet and exercise, along with oral medications and insulin to help achieve the intended blood glucose. According to the American Diabetes Association, as people get older, their risk for type II diabetes increases and in fact, oneRead MoreHeart Failure And The Elderly Population1608 Words   |  7 PagesHeart failure is more commonly diagnosed in the elderly population. There are ways to help manage heart failure like lifestyle modifications and use of pharmacology, and assessment for surgical intervention. Treatment of heart failure requires intensive medical, dietary, behavioral, and lifestyle modification to achieve improved quality of life, fewer hospitalizations, and decreased mortality (Singh, H., McGregor, Nigro, Higginson, and Larsen, 2014). Heart failure is a complex condition thatRead MoreJNC1 Data Collection Methodology806 Words   |  4 Pagesas the process of maintaining health through the use of health-promoting practices and the self-management of illness in both healthy and ill states (Wonggom, Tongpeth, Newman, Du, Clark, 2016). Treatment compliance is defined as adherence to lifestyle modification recommendations as noted in the JNC-7 guidelines which includes weight loss or maintenance of ideal body weight (BMI of 18.5-24.9kg/m2), eating low fat foods and diet rich in fruits and vegetables, limiting sodium intake to 2.4G/dayRead MorePharmaceutical Treatment Vs. Lifestyle Modification913 Words   |  4 Pagesof Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults. However, the 2013 ACC/AHA Guideline has still not gained multinational acceptance among providers (Stone, 2014). Pharmaceutical treatment versus lifestyle modification has been a controversy among the scientific community (Sin atra, 2014). Provider adherence to the 2013 ACC/AHA Cholesterol Guideline in order to achieve universal standard of care remains a challenge. The recent guideline represents a major shift from priorRead MoreHealth Disease Choice : Diabetes802 Words   |  4 Pagesimpact the optimal glycemic control and reduce the risk for complications. A multidisciplinary approach is vital in the delivery of nutritional care. To maximize the benefit of nutritional care, it must be individualized, accounting the patient’s lifestyle and beliefs, preferences, and willingness to change. The nutrition guidelines emphasized diets low in saturated fats, increase intake of fiber and multigrain foods, low fat dairy foods, and avoid processed meat products. To significantly reduce theRead MoreComplementary And Alternative Therapy Treatment870 Words   |  4 Pagesthe benefits are resounding for increasing quality of life and overall health. Lifestyle Choices While medication adherence, cultural sensitivity, and patient-centered care are important, it is equally important to consider the lifestyle choices of patients. The role of the nurse is to take into consideration the patient’s diet choices, exercise routine or lack of, and overall habits in general. Lifestyle modifications to improve hypertension in special patient populations could include encouragingRead MoreA Short Note On The Elderly Population : A Final Review Of Literature Synthesis1332 Words   |  6 PagesGrossman, Migliardi, and Swallow, 2014). Heart failure is more commonly diagnosed in the elderly population. There are ways to help manage heart failure like lifestyle modifications and use of pharmacology, and assessment for surgical intervention. Treatment of heart failure requires intensive medical, dietary, behavioral, and lifestyle modification to achieve improved quality of life, fewer hospitalizations, and decreased mortality (Singh, H., McGregor, Nigro, Higginson, and Larsen, 2014). SynthesisRead MoreEthical Decision # 5 : Uncooperating Patient Essay872 Words   |  4 Pageshowever despite the adherence to the therapy, she was frequently hospitalized due to the ketoacidosis episodes. After she joined the diabetic program, she was better able to manage her life-style choices which help her to accomplish better therapeutic outcomes. Regrettably three years ago, Ms. Dennis went through a dreadful divorce followed by a loss of her executive position. Since then, she has been noncompliant with her insulin therapy as well as with her lifestyle modifications. She started to abuse