Running Head: HYPERTENSION CLINICAL PATHWAY
Table of Contents
Hypertension Clinical pathway. 2
Medical Intake/ History Review.. 2
Chief Complaint and Subjective History. 2
Effects of Injury/ Illness on Daily Living. 3
Current Physical Complaints. 3
Current Medical and Rehabilitation Situation. 4
Hypertension Clinical pathway
Medical Intake/ History Review
In the past year, 2011, reliant on the information on the BNF 60 the cheapest ARB was 25.94 pounds per year while the cheapest ACEi was 20.73 yearly (Cooper, F., 1999). Patients with a risk reduction with a pre-treatment of blood pressure lower than 140/90 mmHg had the history of cardiovascular disease. The strain when working, which shows a high level of stress that, integrates high psychological excess work and low decision latitude leading to psychological consequences (A. & C., 1996). The expectations aim to give realistic expectation and reduce the life expectancy.
Medical Records Providers
The medical records are used by decision maker providers to keep track of the patient’s blood pressure and progress. They regulate the expenses that will be involved in the tests. Patients are advised to make records of their blood pressure so as to be used during treatment. This is more applicable when going to sleep or waking up. The medical records established that there were high positive health expectations on the impact caused on survival of the patients with hypertension.
Chief Complaint and Subjective History
This has been direct costs of health care among other resources that are applied when treating the patients. Economists are wary of the increasing level of health in the population with the limited resources. Psychosocial factors that lead to hypertension have been linked to the family history, the genes, race, personality and specific habits like taking alcohol, smoking and salt. As a result the patient suffers from diarrhea, headache among other symptoms that are the common complaints. The organizational reforms of the general practice are in no way establishing the requirement that most are concerned about. There initially, there was consultation process between the doctors which has recently died out, presently there is support offered in medicine taking.
Effects of Injury/ Illness on Daily Living
The patient is totally reliant on the daily activities. He does little or even nothing to help. An increase in the economic aspects of life has led to the risk factors like high blood failure, vascular diseases, heart failure and renal failure among others (Clinical Guide, 2011). An increase in the economic aspects of life has led to the risk factors like high blood failure, vascular diseases, heart failure and renal failure among others. Psychological issues leads to headache, diarrhea and skin rush among others. Stress leads to an increase of pressure in the pulmonary artery and vascular resistance. The patient is expected to develop a well versed coping with the illness as time goes by. This is after a traumatic experience by the patient. He is also approved for the use of wheelchair to help with the daily activities.
Current Physical Complaints
There is a low level of productivity and earnings as well as disability pension from the indirect cost. In the developed states there is a premature loss of life that levels to 18 percent (T. G. et al, 2011). Families give up their work for the purpose of taking care of the elderly (Organisation, 1995). Physical complaints are jaw pain, diarrhea, nausea, flushing, headache. The physical complaints are expected to decline with the use of proper medication provided to the patient by the health practitioner.
Past Medical History
Past medical shows that the cost for the treatment and taking care of the people suffering from hypertension has increased with time both in the developed and developing countries. The family’s medical history is used to in the treatment of hypertension. Certain symptoms are common in some family members while lacks in another member. The medical history has been of the patient has been attributed to a family line with the disease and is expected that it will be so for the coming families. The head more or less if he suffers from the disease will leave the family crippled; the relatives have no financial support to help otherwise.
Current Medical and Rehabilitation Situation
Some of the patients are acquiring nursing visits weekly. Currently strategies are being employed to influence the level of blood pressure. The range from food policy legislation to media communication is for the purpose of offering advice to the patients. Experiencing stroke affects family and patient. The patient suffers from losing the role they had in the family, social isolation, depression and communication issues. The psychological trauma is quite intense (Falvo, 2005). The family has a form of uncertainty of the forth coming days. The current medical and rehabilitation situation is expected to improve for the benefit of the patients especially with the emergence of technology in the medical arena. The patient may lack rehabilitation services due to the termination of the insurance benefits.
Financial Summary
A hypertension cost-effective mode of handling it has been employed that attempts at reducing the mortality and disease mobility, the cost of managing the disease as well as averting the morbidity. The family faces an uncertain future that is brought by a change of role and prevailing financial worries and changes and a new situation being experienced by rehabilitation and medical matters. The financial affiliation of the disease is expected to become cheap especially with the governments attempting to make services available to the patients in the rural areas. This would lead to efficient health management.
Family / Community Support
Family members are giving up their jobs and work so as to take care of the people suffering from this disease. This care has been has been cost but on the other hand it is a saving of the public expenditure. The support is necessary for a smooth transformation from a rehabilitation center to home so as to get ready or adapted to the home conditions. The survivor is supported through the emotional and psychological transformations. The family is expected to play a vital role in supporting and becoming conversant with the situation. Roles will have to change and coping with the disease becomes a part of life.
Expected Outcomes
The most important results or outcomes are hindered by cost per QALY or per DALY estimates. For a positive outcome of the condition they go through individual and family therapy one is bale to acquire resources that help to handle with the life conditions leading to communication and solve problems. The expected outcomes are ventured towards managing the disease in the most appropriate way possible in addition to making the services available to the less capable.
Conclusion
The form of treatment to be used will be dependent on the quality of life estimates. Like the least expensive drugs are more preferable. The family as well as the patient is adversely affected by the condition. They both have to undergo a healing program to enable them cope with the situation successfully. The expectations of the health situation are meant to be adaptive as a large transformation and changing of roles is expected.
Recommendations
It is recommended that for older patients that are under antihypertensive treatment as they reach 80 years there is meant to be a continuation of the treatment. A person with hypertension is recommended to avoid too much sodium to decrease the level of hypertension. Consequently, one is advised to eat more of the calcium more so for the pregnant mothers as this is vital for bone strengthening. For a mother who is pregnant it is recommended an early delivery as the high blood pressure may harm the baby (J. G. et al, 1998). Foods that are rich in vitamin c are recommended like oranges, raw greens, tomatoes and red pepper among others. Constant checking of the blood pressure would be recommended for the patient to watch the levels blood pressure.
Appendix
Future Medical care routine
| Routine Medical Care Description | Therapist |
| Frequency of Visits | 2 x annually |
| Purpose | Monitor and treat hypertension |
| Cost Per Visit | $254 |
| Cost Per Year | |
| Non-Recurring Cost | |
| Growth Trend | Be determined by economist |
Surgical interventions or aggressive interventions Treatment plan
| Recommendation (Description) |
| Frequency of Procedure |
| Per Procedure Cost |
| Cost Per Year |
| Age initiation |
| Non-Recurring Cost |
| Growth Trend |
Drug Needs
| Drugs (Prescription) | Diuretics (“water pills”) |
| Purpose | Increase the amount of sodium and water excreted by kidney. |
| Per Unit Cost | |
| Cost Per Year | |
| Non-Recurring Cost | |
| Growth Trend | To be determined by physician |
Supplies
| Supplies | Needles, bed bags |
| Purpose | weekly |
| Per Unit Cost | |
| Cost Per Year | |
| Non-Recurring Cost | |
| Growth Trend | Determined by economist |
Diagnostic testing/Education Assessment
| Diagnostic/ Development Recommendation |
| Age/ Year initiated |
| Age/ Year Suspended |
| Per Year Frequency |
| Base Cost per Year |
| Non-Recurring Cost |
| Growth Trend |
Project Evaluations
| Evaluation |
| Age/ Year initiated |
| Age/ Year Suspended |
| Per Year Frequency |
| Base Cost per Year |
| Non-Recurring Cost |
| Growth Trend |
Projected Therapeutic Modalities
| Therapy | Psychological counseling/intervention to include marital counseling |
| Age/ Year initiated | |
| Age/ Year Suspended | |
| Per Year Frequency | |
| Base Cost per Year | |
| Non-Recurring Cost | |
| Growth Trend | To be determined by economists |
Aids for Independent Function
| Equipment | Environment Systems Control Center |
| Age/ Year purchased | |
| Replacement schedule | |
| Purpose | |
| Base Cost per Year | |
| Non-Recurring Cost | |
| Growth Trend | Determined by economist |
Orthotics/ Prosthetics
| Equipment Description |
| Age/ Year Purchased |
| Replacement procedure |
| Purpose of Equipment |
| Base Cost per Year |
| Non-Recurring Cost |
| Growth Trend |
Wheelchair Needs and Accessories
| Wheelchair Type and accessories | Power Tilt with Chin Control Electric, Manual Tilt and Shower: Flip-Arm Swivel Shower/Commode Chair |
| Age/ Year initiated | |
| Replacement Schedule | |
| Purpose of Equipment | |
| Base Cost per Year | |
| Non-Recurring Cost | |
| Growth Trend | To be determined by economists |
Orthopedic Equipment
| Equipment |
| Age/ Year purchased |
| Replacement Schedule |
| Purpose of Equipment |
| Base Cost per Year |
| Non-Recurring Cost |
| Growth Trend |
Home Care/ Institutional Care
| Facility Recommended |
| Home Care/ Services Recommendation |
| Age/ Year initiated |
| Per Year suspended |
| Hours/ Shifts/ Days of Attendance or care |
| Base Cost per Year |
| Non-Recurring Cost |
| Growth Trend |
Transportation
| Equipment Description |
| Age/ Year Purchased |
| Replacement Scheduled |
| Purpose of Equipment |
| Base Cost per Year |
| Non-Recurring Cost |
| Growth Trend |
Home Furnishings and Accessories
| Equipment |
| Age/ Year purchased |
| Replacement Schedule |
| Purpose of Equipment |
| Base Cost per Year |
| Non-Recurring Cost |
| Growth Trend |
Architectural Renovations/ Housing Options
| Renovation / New Home | Option 1: Purchased of barrier Free Home
Option 2: Center for independent home. |
| Age/ Year Accomplished | |
| Purpose | Accessible housing |
| Base Cost per Year of Plan | |
| Growth Trend | To be determined by economist |
| Other | For option 1: Purchased price for barrier free housing in the geographical.
For option 2: rental fees for accessible housing |
Leisure Time and/or Recreational Equipment
| Equipment description |
| Special Camps or
Programs |
| Age/ Year Purchase or
Attendance |
| Replacement or Attendance Schedule |
| Base Cost per Year |
| Non-Recurring Cost |
| Growth Trend |
Potential Complications
| Complication | Estimate Cost per year | Estimate Non-Recurring Cost |
| High Blood Pressure | ||
| Headache |
Bibliography
A., P., & C., M. (1996). Psychosocial Work stress and pregnancy induced hypertension. Epidemiology resources Inc.
Clinical Guide, (2011).Hypertension: The Clinical Management of primary hypertension in adults. St. Andrews Park London.
Cooper, F., (1999). Life Care Plan. Richmond, VA.
- G. et al (1998). Hypertension management: clinical pathways, guidelines, and patient education. Maryland, USA: Jones & Bartlett Learning.
- G. et al, (2011). Hypertension. American Hearts Association.
Falvo, D. R. (2005). Medical and psychosocial aspects of chronic illness and disability. Mississauga, Canada: Jones & Bartlett Learning.
Organization, W. H. (1995). Economics of hypertension control*. Bulletin of the World Health Organization.
