One of the biggest global health issues
High blood pressure or associated consequences, such as hypertension, caused by increased pressure within the heart. The ability to control blood pressure by following prescribed procedures is a crucial factor of the success of heart-related treatment in the elderly. Adherence failure is a severe problem that impacts both individuals and the overall healthcare system. Noncompliance with high blood pressure control procedures results in extensive illness deterioration, mortality, and increased healthcare costs inside the healthcare facility. However, a variety of cost that ranges from the staff, resource to patients affects the availability of these procedures.
Antihypertensive therapy of non-compliance
One of the major problems is antihypertensive therapy of non-compliance amongst patients, a problem that has been considered a major draw back that prevents the ability to achieve the desired blood pressure control goals. Erie County Medical Center (Buffalo, N.Y.) ensures patients have reduced sodium intake, showed up to appointment at the required time, and adhered to their medication as required. The hospital uses antiplatelet medication to prevent the formation of blood clots in the arteries. The hospital uses anticoagulant medications to prevent the growth of blood clots in the arteries and clot-dissolving medication which have an aim of opening blocked arteries.
Training sessions and counseling advice sessions
Erie County Medical Center (Buffalo, N.Y.) has training sessions that teach nurses and medical stuff on the most effective ways to maintain compliance to blood pressure control. The organization has a counseling advice session for all the patients with a history of tobacco, and, additionally, the group ensures all patients with a history of tobacco attended these sessions (RN.com 4). The hospital also controls there is 100% documentation of any contraindications for the prescription with patients having better results. Myocardial infarction management has high financial stress to an organization in the scenario that the team is adopting the compliance measures for the first time. However, after the adoption of the management techniques, the team saves a lot of resources due to the improved services (Conway 1). The primary challenge associated with compliance rates in these hospitals is the spaces for the change in most occasions: there is a limited resource for securing sufficient space for the changes. On the same note, the increased use of technology might lead to financial strains within this hospital as in most occasions the implements tend to be costly.
The importance of blood pressure control
Blood pressure control is critical because it reduces rates of death by a significant percentage. Percutaneous transluminal coronary angioplasty decreases the risk of mortality by 10% to 25% if performed in less than the first 90 minutes after arriving at the hospital (RN.com 4). Administration of thrombolytic drugs reduced death 30 minutes after hospital arrival by 18% within in instances that angioplasty is not possible. Beta-blockers reduce the risk of mortality by up to 23%. Aspirin reduces the risk of a serious vascular event by 30%, while smokers who quit the habit after having myocardial infection lower their risk do dying early (Masica et al. 104).
Actions to improve compliance
Actions change that would improve compliance with the measure includes post-hospital actions and measures taken while within the hospital. The post-hospital measure entails an arrangement of the emergency ambulance that can easily transport patients with AMI to the hospital. The organization should also advise patients as well as the general public who are known or expected to have coronary heart diseases to call on the emergency ambulance as fast as possible. The hospital should practice cardiopulmonary resuscitation and defibrillation in the event of a cardiac arrest. The management within the hospital should ensure the access intravenous blood for taking blood tests (Masica et al. 105). The hospital will continue close clinical monitoring for any changes within the patient to ensure the patient is stable at all times.
Impact of the change
This shift within the organization will affect the entire workforce, the patients as well as the general public. The change will affect patients by making them alert to any possibility of coronary heart diseases or attack and hence will reduce the scenarios patients are attacked without their knowledge. Due to continued motoring of patients and improved care, death rates will reduce by a significant percentage. The hospital staff affected are physicians, doctors, and nurses. The personnel will ensure that patients are stable at all times and, at the same time, receive a high quality of care.
Implementation plan and barriers to change
The implementation plan will involve searching for an appropriate amount of tools for carrying out the change within the institution. The next step will include involving the staff, clinicians, nurses, and the middle managers. Then, monitoring the implementation progress and then the sustenance off the management support will be implemented (Conway 1).
The first and foremost barrier to change in an organization is likely to come from the resistance presented by the workforce. Another barrier will appear from workforce issues, such as shortages, which will affect the effectiveness of the new measure. Financial challenges are also likely to be another matter that will prevent change within the organization. Lack of leadership support and uncertainty in roles is a possible barrier as well.
Effective solutions to these challenges include facilitation of contract with a peer to promote the use of successful strategies. Proper communication may reduce resistance while stakeholder analysis will lead to the development of the effective communication technique. Another measure entails the adoption of management systems and structures that will connect projects and performance and overall project strategies.
Works Cited
Conway, Patrick. The Core Quality Measures Collaborative: A Rationale And Framework For Public-Private Quality Measure Alignment. 2015. http://healthaffairs.org/blog/2015/06/23/the-core-quality-measures-collaborative-a-rationale-and-framework-for-public-private-quality-measure-alignment/
Masica, Andrew, Kathleen M. Richter, Paul Convery & Ziad Haydar. Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. Baylor University Medical Centre Proceedings, vol. 22, no. 2, 2009, pp. 103-111
RN.com. Core Measures: The Nurse's Role. 2013. https://lms.rn.com/getpdf.php/1859.pdf
