NURS FPX 4900 Assessment 2 Assessing the Problem: Technology Care Coordination and Community Resources Considerations

How a Patient Problem impacts the quality of care and safety

The issue of hypertension in young adults is becoming a menace in the United States (Carthon et al., 2019). Many people face several stressful situations in life; their cultural, economic, social, economic, and personal factors matter in shaping the lifestyle of hypertension patients. The current case relates to Mr. Ahmad Ul Hassan, a Somalian male who resides in Wisconsin and has a history of consuming extensive alcohol and tobacco. Due to neglecting his cholesterol levels and rising health blood pressure, the individual has been suffering from hypertension and also showing signs of cardiac pain. The current healthcare plan related to hypertension focuses on hypertension prevention and intervention to help the patient improve his wellbeing. Similar to many hypertension patients, Hassan has failed to meet his glycemic targets set by the National Standard Guidelines for Hypertension Management which has boosted the threat of hypertension.  The patient also faced some vascular problems; nurses felt that due to the rising number of hypertension patients, the healthcare system is facing high-cost challenges. 

NURS FPX 4900 Assessment 2 Assessing the Problem: Technology Care Coordination and Community Resources Considerations

In the 2-hour practicum session, the primary nurse found out that the particular patient has been hospitalized twice in the past two months due to his cardiovascular and chest pain issues. The ineffective treatment of this patient also led to hypertension. The professionals plan to help the patient use the best treatment according to the best standards and rely on Healthy People 2030 goals. The patient received hydrochlorothiazide twice, however, the night nurse had no information of this intervention due to a lack of communication issues with the day-time nurses. Since medication and drug errors significantly influence patients’ health, there is a need for reducing the communication gap (Carthon et al., 2019). The practicum hours also showed that the patient has been using beta-blockers with high salt levels and was relying on hypoglycemic oral medications.  The patient had to buy glucose strips for completing his medical tests and without medical insurance, his medical bills were too much for him to bear. This shows that the management of hypertension requires nurses to create a plan to invest more in the medication and diet of the patient. Several prescription charges for the patient increased his costs which had a determined health impact. Appropriate care is, therefore, necessary to reduce the economic burden on patients’ minds and their families to improve drug adherence and reduce hypertension symptoms (Kashani et al., 2019). 

Moreover, due to high blood pressure and hypertension, damage to blood vessels and arteries is also done. Blocked arteries in the body of Hassan can prevent blood flow and can cause a stroke. This can also lead to heart failure and kidney failure. The best protection is the knowledge and management of hypertension and blood pressure. Therefore, there are several safety threats caused by hypertension. The self-monitoring blood pressure cannot help the patient significantly. In terms of cost, wrong medication and treatment are increasing costs for healthcare organizations. This issue is also resulting in many readmissions and operating expenses of hospitals. This shows that the issue of hypertension is not related to nursing performance.