Responsibilities of the Nurse Related to Health Promotion
Early medical pioneers like Florence Nightingale, described health as the absence of illness or diseases. With time, that definition has evolved in that institutions such as the world health organization (WHO) defines health as a state of conducive mental, physical, and social well-being. The organization also regards health promotion as a process that enables people to have control over and improve their health conditions. With these two explanations, there are many implications for people working in a healthcare setting, especially the nurses who play a vital role in ensuring there is preventive care for patients across the lifespan. A more focused area that enhances health promotion is public health, which provides the population at risk receives the best care possible to enhance well-being. The aim of this paper is to evaluate the role of nurses in promoting wellness and how evidence-based practice is integrated into addressing diseases like hypertension.
Part1. Responsibilities of the Nurse Related to Health Promotion
Nurses have significant responsibility for disease prevention and the promotion of health.
Nurse processionals resume the role of ambassadors of wellness through care, and this helps reduces the number of times people have to visit healthcare facilities. Since the promotion of health means enabling individuals to have control over and improve their health, nurses have a role of facilitating information regarding that through teachings. Nurses are highly educated and experienced professionals, hence people can access them through various means, for instance, the use of Telehealth to call in for questions or concerns. Access to nurses through platforms like Telehealth is useful in a situation where people seek child information, smoking cessation, nutrition information, or mental health resources. Typically, there is an increase in information available to the general public, like the Healthy Ontario website. When working closely with patients, nurses have opportunities to discuss more a particular illness. The practice of health promotion is constant to these professionals, from healthcare facilities to home visits.
Responsibilities of Nurses Related to Risk Reduction
Nurses are vital resources in risk reductions, especially when it comes to responding to a disaster that influences people’s health. Being the most trusted profession, nurses step in time of risk to help develop response plans for particular disasters, provide education, assist in delivering fast aid gears and medications. Population patients such as new mothers, pregnant women, or infants face numerous health-related risks, and nurses have a responsibility to attend to them to maximize the care experiences. The role in such a case extends to addressing the need of women or infants and re-assure families that patients are free from the risks. The professionals do this by facilitating effective communication and coordination within the health care unit.
Responsibilities of Nurses Related to disease management
When it comes to disease management, nurses have roles in caring and preventing, coordinate across the health care team, conduct family or patient education, carry out research, and contribute to evidence-based. Nurses play vital role in making follow on for patient with particular diseases problem such as heart failure. Through such responsibility, patients’ conditions are well monitored and the practice impact a reduction of re-hospitalization. Typically, disease management is a holistic approach towards providing healthcare services to a population that exhibits symptoms of certain illnesses. Providing patient education is a central responsibility for od nurses when it comes to managing diseases. For effective patient education, nurses need to be competent in evidence-based research, prevention, psychological aspect, and clinical study.
Nursing process in plan care, promote health, risk reduction, and disease management
A nursing process is a scientific approach employed by nurses to make sure that quality of care is provided. The process can be broken down into steps which include assessments, diagnosing, planning, implementation, and evaluation phase. When planning for care to promote health, nurses must first come up with an assessment and determine the challenging health issue in a given population. Once an assessment is done, diagnosis is carried to confirm specific illness that needs to be addressed. When a disease is identified, health care professionals determine as a team through research work, the various intervention to be applied, which may include medications, recommending particular diets as well educating patients on specific healthy lifestyles. Interventions are implemented based on the needs of patients and evaluation carried after a particular period to determine the outcomes or anticipated health goals. In reducing associated health risks, nurses use the nursing process to increase awareness of health conditions and various approaches that can be adopted in curbing the conditions. Clinical assessment and evaluation are integrated afterward to monitor the health of individuals.
Benefits of Using Evidence-Based Practice in Planning Nursing Care
Using evidence-based practice (EBP) in the nursing care plan is essential because it helps aim the most effective care available with the goal of promoting health and individual well-being. Patients usually expect nurses to provide the most effective care and professionals much integrated best possible evidence to meet those needs. When planning nursing care, nurses have to be sure the course of action in addressing a particular health issue is the best solution supported by valid research. EDP is vital as it promotes an attitude of inquiry in health professionals and challenges nurses to think about an approach and what evidence guides to effectively planning care. As healthcare providers, part of delivering professionals services is making sure that the best available information informs the practice.
Strategies for Including Evidence-Based Practice in Planning Nursing Care
To integrate EBP in planning nursing care, some steps can be followed, starting with asking the question. The need for patient information such as prevention, prognosis, diagnosis, or causation can be converted into answerable questions by nurses. For example, a nurse may consider asking what the best available preventions for a particular disease like hypertension. Nest, information or evidence may be obtained to answer the question. Finding evidence include efforts such as consulting or interacting with clinicians, use of clinical guidelines as well as seeking information from the databases. Once information is obtained, it should be clinically appraised for validity and applicability. Appraising includes determining the barriers and strategies to overcome those obstacles. Appraised evidence is then integrated with the use of nurses’ expertise and adherence to patients’ values. Lastly, evaluation for effectiveness is carried out while seeking ways for any improvement need.
Part2: Hypertension- pathophysiology, and etiology
Hypertension is considered a chronic elevation of blood pressure, which in the long-term could cause organ damage and induce increased morbidity or mortality. Blood pressure (BP) is usually the product of cardiac or vascular resistance. The scenario follows that a patient with arterial hypertension can have increased cardiac output or vascular resistance. In young people, cardiac output is elevated, but in old adults, vascular resistance plays a dominant role. Vascular resistance occurs due to adrenoceptor stimulation or increased release of peptides. Increased vascular stiffness or resistance impose load on the left ventricle, causing a dysfunction.
Impact of Age on Risk Factors
In youths, the pressure of pulse generated in the left ventricle is low hence causing an increase in pressure in the early part of diastole and improve coronary perfusion. With aging, stiffening of aorta and elasticity of arteries increase pressure of pulse. Widening of pulse pressure with age is a predictor of coronary heart problems. Aging in human is a continual and progressive process that cause decreased physiological function in the organ systems. Physiologic decrements cause increased vulnerability to illnesses and infections. The impact of age is that it increases risk factors of high blood pressure as an individual age. Until the age of 64, men have high blood pressure, while women are more likely to develop blood pressure after 65 years.
Diagnostic Processes of Hypertension in young and Old Population
In countries such as the US or Europe, the diagnosis of persistent hypertension in childhood is made when repeated blood pressure values on three distinct visits are higher than the 95th percentile for age. Diagnosis in children is dependent on the accurate routine measure if BP, through childhood using a standard procedure. According to American heart association (AHA), the guidelines for screening BP for children I measured at three years of age during supervision visits, BP measurements can fall into normal, elevated, stage 1 or 2 hypertension. Just like in children or young people, diagnosis of hypertension is made through a repeated measurement. However, chances of misdiagnosis might occur in adults due to factors anxiety, coffee, tobacco, or alcohol use.
Treatment of the Disease(S), Based on Age
Scientific and evidence-based information guide that antihypertensive treatments are cautionary about drug treatment in adults. Evidence support that drug treatment is beneficial to people at old age, and the category of drugs prescribed depends on the level of blood pressure measurements or other medical conditions. At the age of 65, the use of medication produces low systolic blood pressure, and medicines may not need to be changed unless they have adverse effects. Types of drugs used include Thiazide diuretics, angiotensin receptors, or calcium channels, alpha, or beta-blockers. As with adults, therapy for hypertension in both children and the elderly population include exercise and diets. Weight loss for obese children prevents the addition of pharmacological therapy. Non-pharmacology dietary recommended for adults includes intake of fruits and vegetables and the use of a low-fat diet, which can also apply to children. Research medication that can be used to treat hypertension in children includes beta or calcium channel blockers, angiotensin receptors, and diuretics.
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