Quantitative Critical Appraisal

The participants in the home-based educational interventions will be encouraged to purchase automated home blood pressure monitoring devices. All the patients will use similar devices and will be taught how to take BP readings and record the readings correctly. A registered nurse will visit the patients on a weekly basis to validate the BP monitoring techniques and review the recorded BP readings. The participants will also be educated on the importance of adherence to medications even when HTN symptoms seem under

A critical appraisal was completed to assess the value of the research study conducted by Batch & Windsor (2014). This was completed through the Critical Appraisal Skills Programme (CASP), which is a tool used to evaluate different research articles (CASP, 2014). I assessed that this article has significance, particularly for the nursing profession. Nevertheless, sections of this article could have been further developed by expanding the topic through using a greater variety of hospital settings and more diverse patient populations. Ethnography in the healthcare setting has been examined in the Nursing 1028 course. This article used an ethnographic framework to develop further assessment on such elements such as culture, disparities and gain comprehension of how nurses communicate (Batch & Windsor, 2014).

The purpose of this report is to conduct a critical appraisal of a published article.

The purpose of the research review was to attempt to answer the question, does monitoring naturietic peptide twice a month for a month post discharge and altering treatment plan vs. monitoring naturietic as standard practice and altering treatment plan decrease readmission rates in Heart Failure patients after discharge from the hospital? The dependent variable was readmission of Chronic Heart Failure patients (CHF). In order to answer this question, the Cochrane Database was searched using the keywords natriuretic peptide, CHF and readmissions with no limits. The search provided 8 results. According to research naturietric peptide aids in showing the probability for readmission and can therefore

Hypertension (HTN) is a chronic illness that serves as a main risk factor for cardiovascular disease (Hanus, Simoes, Amboni, Ceretta, & Tuon, 2015). Although medication can manage HTN appropriately, lifestyle modifications make a substantial difference as well. However, many patients go through behavior stages in which he or she contemplate on making the necessary changes to improve their health. One solution to the problem is the development of an educational Hypertension Intervention and Follow-Up program (HIFP). Studies have shown that active educational interventions that incorporate small groups are more effective than passive delivery of educational materials (Pimenta, Caldiera, & Mamede,

Over the past years, heart disease has constituted one of the leading causes death in America. In fact, statistics show that one in every seven deaths is as a result of heart-related diseases (American Heart Association, 2016). Conversely, most deaths reported are of elderly individuals aged above the 65 years. However, there are also other underlying conditions that elevate the risk of developing heart diseases. According to the American Heart Association (2016) 62% of men and 67.8% of women have high blood pressure that are aged between 65-74 years of age. High blood pressure exposes older people to high-risk chances of developing cardiovascular diseases, characterized by high rates of mortality, morbidity, and disability. Cardiovascular

"In a study based on theory, the framework is usually referred to as theoretical framework" (Fain, 2017, p. 103). The theoretical framework was presented clearly in the objective statement of the article, “To identify factors that influence adherence to guidelines for prevention

Multifactorial risk reduction interventions can have a superior effect on risk reduction plans compared to single intervention risk reduction strategies. The use of these multifactorial risk reduction interventions has resulted in improved outcomes for problems involving the geriatric population (Colon-Emeric et al., 2013). Unfortunately, attempts to train nursing home staff to implement multifactorial risk reduction interventions have not typically been successful (Colon-Emeric et al., 2013).

American Heart Association quotes that Hypertension is an important public-health challenge worldwide. Importance should be focused on its detection, treatment control and prevention. The infectious diseases such as malaria and tuberculosis which once were the reasons for leading the causes of deaths have been replaced by non –infectious diseases which are mostly the NCD’s such as diabetes, heart diseases, and other vascular conditions. Hypertension is an important worldwide public-health challenge because of its high frequency and concomitant risks of cardiovascular and kidney disease [78][79]. Heart attacks and strokes are major–but preventable–killers worldwide. More than 80% of cardiovascular disease related deaths take place in low-and

Another health concern that is affect my community is hypertension. It is important to note that over 70 million people in the united states are diagnosed with high blood pressure (MacGill, 2016). And as a result, the members of the community in which one lives are not taught the importance of normalizing their blood pressure.

I am in agreement with your process of critical appraisals; identifying the steps in the research process, determining the strengths and weaknesses in the studies and evaluating the validity and credibility of the studies seem to be the root elements of critical appraisals. I appreciated the scholarly article you chose linking depression and mortality among diabetes mellitus patients, particularly because of the straightforwardness of the article. it seemed the conclusion and points of the article were straight forward and the article was easy to understand. If I could suggest any addition, it would be a way to verify the credibility of the study. maybe in this study in particular there is not much incentive for lack of credibility, but in

Studies evaluating hypertensive patients’ perceptions of causes prompting their self-management have demonstrated that obstacles are multifactorial. Studies have shown that family members often play a vital role in patients’ hypertension self-management, including providing support with food choice and preparation, helping patients to follow the behavioral recommendations (for example, smoking cessation), and supporting patients with medication and medical appointment adherence. Family members may also play a central role in easing patient–provider thoughts about hypertension care (Wassertheil et al,

American seems to be caught in the trendy lifestyle of fast food, soda and stress.

Hypertension is characterized by chronic elevated blood pressure1. It can be a predisposing factor or secondary to heart failure. In the US, there are 75 million individuals who have hypertension with two thirds of individuals 65 years or older diagnosed. Various factors can contribute to the development of hypertension including renal disease, thyroid disease, dysregulation of hormones, and alcohol consumption. The disease also highly correlates with age as even individuals 55 years old with normal blood pressure have a 90% lifetime risk of developing hypertension with age. Left untreated, hypertension can result in retinopathy, cardiomyopathy, and stroke with the most common cause of death being coronary artery disease. The diagnoses of hypertension is primarily done by the monitoring of blood pressure with multiple readings of systolic pressure greater than 140 mmHg and diastolic pressure greater than 90 mmHg indicating stage one hypertension1,2. The evaluation of the eyes, heart, thyroid, and renal system are also important in understanding the cause and extent of hypertension. Initial treatment involves lifestyle and diet modifications such as exercise, smoking, cessation, and limited sodium intake. Patients unresponsive to lifestyle and diet modification or have a blood pressure greater than 160/100 mmHg are recommended by the American Heart Association to begin drug therapy. Current JNC-8 guidelines dictate the goal of treatment to reduce blood pressure

The sample technique used was noted by the author as a convenience method. Although this is the most common and economical type sampling it does come with flaws such as atypical population and the risk of bias (Loiselle, Profetto-McGrafth, Polit, and Beck, 2011). Although the author noted that this was a sampling by convenience the subjects need to be an eligible to meet the criteria and sub group categories. Therefore, this most likely was done with a quota sampling method (type of non-probability sampling). The sample group consisted of both genders and were between the ages of 60 to 85 years of age and fit all criteria to be in the study. The study was divided into three categories (Acute, Rehab and Maintain). The participants were either going to enter a