Critical Analysis of Hypertension Protocol

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Critical Analysis of Hypertension Protocol

Part of the key role of a Primary Care Nurse is the monitoring of blood pressure and the detection and management of hypertension (high blood pressure). “High blood pressure (hypertension) is one of the most important preventable causes of premature mortality in the UK” (Nice 2011). Hypertension is often detected during a routine medical examination as many people do not suffer any symptoms. Occasionally, people may complain of suffering from headaches, dizziness and vision disturbances. Hypertension, if left untreated can cause long-term damage to the cardiovascular system, the renal system and the eyes. It can also be a significant risk factor for myocardial infarction, cardiovascular accident, renal failure and loss of sight. “The number of people with hypertension continues to rise in the UK and worldwide, placing enormous social, economical and health burden on the sufferers, their dependants and statutory health care providers” (Chummun 2011). As a nurse, detecting hypertension and appropriate management can improve a patient’s life. Hypertension can be treated and controlled through lifestyle changes and/or medication, thus reducing the risk factors. “It was estimated that 58,000 major cardiovascular events per year could have been avoided if blood pressure had been to target levels”. (Standing et al 2005) The hypertension protocol (Appendix 1) outlines the detection and management of hypertension within a Primary Care setting. According to the Royal College of Nursing (2008), a protocol is an agreed framework outlining the care that will be provided to patients in a designated area of practice. They do not describe how a procedure is performed, but why, where, when and by whom the care is given. It is important to have an appropriate clinical protocol in place to provide the most current, evidenced based nursing

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