Posted: December 11th, 2022

Hypertension

Hypertension

High blood pressure (hypertension) is a common health condition that affects how well one's body arteries function. Thus, BP screening, diagnosis, treatment, and ongoing BP monitoring are essential components of healthcare. A healthcare professional determines a patient's vulnerability based on their age and general health and advises regular blood pressure monitoring. However, those with hypertension are treated and given prescriptions to follow by doctors in order to normalize their blood pressure levels. For men aged 30-45, strict monitoring of hypertension medication adherence would be improved with the inclusion of nurse-led plans, efficient patient education, self-reporting, healthy diets and exercises, evidence-based hypertension (HTN) management, use of social networking platforms for hypertension information search, and access to care from tertiary level healthcare setup.
The PICOT inquiries
How does strict medication adherence (I) compared to not taking medications (C) affect blood pressure (O) within five months of medication (T) for community men aged 30-45 with high blood pressure (P)?
The medical issue
Uncontrolled hypertension (P), a problem with universal healthcare, causes more deaths among many different populations. Less than one in five people have hypertension under control, according to (Oh, 2022). Hypertension increases the risk of developing kidney, vascular, brain, and heart diseases, as well as other serious cardiac conditions. These illnesses also result in more deaths, particularly among men between the ages of 30 and 40, who have been shown to be less likely to seek medical attention or take their medications as directed. Ineffective medical care, poor personal care, non-adherence to prescribed medications, and inadequate patient education regarding the importance of taking care of oneself and taking medications are all contributing factors to the rising number of hypertension-related deaths (Shukla et al., 2020).
It has been confirmed by Shukla et al. (2020) and Pallangyo et al. (2022) that non-adherence to medication is a widespread issue that needs to be addressed by coordinated programs. Shukla et al. (2020) indicate that persistent reminders, such as messages, may also offer significant potential for enhancing medication adherence trends and ideal health benefits. Simegn et al. (2021) also show that doctors' failure to follow a standardized treatment protocol causes hypertensive patients to have poor medication adherence. In order to increase medication compliance, most doctors rely on angiotensin-converting inhibitors but do not provide patients with enough information. Additionally, lack of knowledge, difficulty accessing medications and healthcare services, a lack of government commitment, ignorance of evidence-based recommendations, poverty, the unwillingness of medical professionals to promote patient commitment to adherence to prescribed medications, and specific laws pertaining to health all contribute to poor medication adherence (Sarato et al., 2021). the basis for picking this subject
Since my uncle passed away from uncontrolled hypertension (P), I am aware of its seriousness, which is why I chose this topic. Therefore, I think that male patients aged 30-45 should be strictly monitored for medication compliance (I) in order to raise their blood pressure (O) during the prescribed medication period (T). The strategy would reduce avoidable deaths caused by abrupt changes in average blood pressure (PB) levels.
Possibility of incorporating the evidence you discovered in clinical practice
A variety of strategies have been used, each with advantages and drawbacks, to improve adherence to hypertension treatments. In order to improve strict monitoring of prescribed medication in abnormal blood pressure levels, effective and integrated action planning with personal assessment tools for blood pressure for males aged 30-45 years is necessary (I). According to Oh (2022), a nurse-driven program for blood pressure monitoring would ensure strict monitoring of hypertension medications prescribed to men between the ages of 30 and 45 in order to improve blood pressure control. The male nurse will primarily work with the registered nurses to create joint goals for meeting each person's needs. Strict medication adherence (I) monitoring would also include dietary and exercise recommendations for better recovery after the successful use of prescribed medications. In accordance with the doctor's instructions, the patient should also continuously self-monitor the effects of their medications on their blood pressure levels. These self-evaluations help practice change for the better over time, which is essential evidence of clinical significance. Still, in order to improve appropriate outcomes and promote strict medication adherence, medical prescribers should be instructed in treatment methods for novel hypertension treatments.
Additionally, the majority of hypertensive outpatients in the tertiary level setting adhere to their medications religiously (Pallangyo et al., 2022). However, for proper hypertension management, healthy lifestyle changes would be included in effective suboptimal BP control. Strict medication compliance could also use a comprehensive strategy for individual clinical evaluation or self-reports, including structured interviews, online tests, written questionnaires, and voice response systems (Shukla et al., 2020). This could be combined with routine pill counting, electronic monitoring of medication intake, biochemical testing, and analysis of secondary data pertaining to the effects of ongoing medication use.
Similar to this, social networking sites can help people gather vital health data on hypertension and the best ways to guarantee strict medication adherence. Online interactions between people and medical professionals have provided excellent opportunities to spread important knowledge about various behavioral interventions for strict medication adherence (Shukla et al., 2020). Short message services (SMSs) are used in this, which quickly update the necessary steps to finish the dosage for hypertension. Additionally, evidence-based management of hypertension (HTN) improves blood pressure and medical adherence (Wilson-Anumudu, 2022). It does, however, call for the integration of a home-measured blood pressure strategy along with comprehensive medical assistance and lifestyle changes.
Techniques for gauging the success of implementation
An initial practical method for assessing the success of strict adherence mechanisms is adequate BP among hypertensive men aged 30-45 years. It would demonstrate that the patients approved of the prescribed medications (Sarato et al., 2021). Second, coordinating evaluation activities with implementation processes would offer persuading insights into anticipated key plan components and the degree to which each must be carried out. As a result, the strategy would determine whether the program was followed the rules. Thirdly, the availability of adequate track records on daily medication response rates would offer crucial and reliable information about the effectiveness of the implemented program. The program's success would ultimately be determined by how well patients understand the value of adherence as a result of improved education on how to use improved hypertension medications.
In conclusion, male patients with hypertension have low medication adherence rates, necessitating strict medical compliance monitoring through effective adherence-enhancing strategies. The interventions may involve increased public support, equitable access to medications, elevated patient awareness and empowerment, as well as education of clinicians in the use of individualized hypertension treatment. The means for taking hypertension medication would also be improved by consistent screening programs, efficient health policies for hypertension-related problems, and increased research on medical adherence.
References
Oh, T. (2022). (2022). In geriatric patients, blood pressure control is improved by action planning combined with self-monitoring. University of St. Augustine for Health Sciences in the United States, 4 (7). https://doi.org/10.46409/sr.EHSY8886
The following individuals are involved: Pallangyo, P., Komba, M., Mkojera, Z. S., Kisenge, P. R., Bhalia, S., Mayala, H., Kifai, E., Richard, M. K., Khanbhai, K., Wibonela, S., Millinga, J., Yeyeye, R., Njau, N. F., Odemary, T. (2022). A cross-sectional study examined medication adherence and blood pressure control in hypertensive outpatients visiting a tertiary cardiovascular hospital. 10(15), Integrated Blood Press Control, 97–112. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9390787/ .
In addition to Shukla, Tejus, Vishnuprasad, Pradhan, and Prakash, M. S. (2020). An investigation into the medication-adherence patterns of hypertensives and the effectiveness of text messaging on mobile devices to promote medication compliance in tertiary healthcare facilities. 52(4):290-295 in the Indian Journal of Pharmacology. IJP 498 19, DOI: 10.4103
Simegn, B. K., Alamirew, B. D., and Chelkeba (2021). Adult hypertensive patients at Jimma University Medical Center's prescribing patterns, medication adherence rates, and factors affecting those rates: prospective cohort study. 16 PLoS One (11). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592482/
The following individuals: Sorato, M. M., Davari, M., Kebriaeezadeh, A., Sarrafzadegan, N., Shibru, T., and Fatemi, B. (2021). Examining the 4Ps (primary care, professionals, patients, and public health policy) for improving blood pressure control: a scoping review, we can examine the causes of poor blood pressure control in Eastern Sub-Saharan Africa. BMC Cardiovasc Disease and Stroke 21, https://doi.org/10.1186/s12872-021-01934-6
Wilson-Anumudu, F. Quan, R. Cerrada, C. Juusola, S. C. Castro, J. C. Bradner, & M. Turken. Single-arm nonrandomized trial results of a digital hypertension self-management program for adults who are overweight. http://formative.jmir.org/2022/3/e33057/PDF JMIR Form Research, 6(3)