NURS FPX 4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations

NURS FPX 4900 Assessment 2 Assessing the Problem: Quality, Safety, and Cost Considerations

In order to create a long-term solution for Ezekiel Taylor’s hypertension, it is essential to evaluate the situation from three angles: It basically focuses on factors such as cost, safety, and quality. In the United States of America, 48% of the population is reported to have hypertension among adults. 1%, or 119. Of the population, about 120 million or 47% of the 9 million people in the United States, have a systolic blood pressure of 130 mm Hg or a diastolic blood pressure of 80 mm Hg or higher or are taking drugs for hypertension (Centers for Disease Control and Prevention, 2021). Complications such as heart disease, stroke, and renal failure may result from uncontrolled hypertension; these diseases have a significant effect on patients’ well-being and put a significant burden on the healthcare systems. Healthcare providers may be able to identify some evidence-based practices that enhance patients’ well-being, decrease adverse events, and optimize the use of resources in the context of Ezekiel if they focus on three core aspects: quality, safety and cost. Impact of Patient Problem on System ● Quality of Care Uncontrolled, Ezekiel Taylor’s treatment is therefore limited as it is evident that he suffers from hypertension as well. Hypertension raises the odds of cardiovascular diseases such as heart attacks, stroke, and heart failure which can potentially decrease the quality of life and increase mortality. Another challenge is a bad health status caused by a lack of access to health insurance as well as the workload of a truck driver, which does not allow Ezekiel to get proper treatment and have regular visits to doctors and other health care providers. His uncontrollable blood pressure measurements are indications of possible failure to manage his sickness when the treatment is partitioned into small portions. Fuchs & Whelton (2019) identified a lack of patient-centeredness, low quality of the treatment, falling short of patient needs, being hospitalized often, and having complications with daily living. Lapses may mean that Ezekiel, in one instance, gets a hypertensive crisis when he is travelling, he will need to be hospitalized for treatment that he could have otherwise averted with proper management of the disease. ● Patient Safety Ezekiel also suffers from uncontrolled hypertension, another strong threat to his health. Known by the medical and healthcare practitioners as the ‘silent killer,’ hypertension poses a big challenge to those like Ezekiel struggling with the condition as they are not fully aware how worse off they are as there is no visible symptoms. There are sequels that can be as severe as aortic dissection, stroke in patients with uncontrolled or poorly controlled hypertension (Hu & Wu, 2023). Moreover, since Ezekiel is a truck driver, it is worse to be in his shoes currently. In his case, untreated hypertension may cause him to have to drive while having vertigo, headaches, and vision problems, thus, compromise his safety while driving. Ezekiel exposure and endangering himself and others on the road when driving during hypertensive emergency. Besides, his hypertension status and risk of adverse events could be aggravated by the nature of his job, which involves sitting for most of the time, and inadequate availability of healthy foods. ● Costs to System and Individual Costs incurred in this healthcare shall greatly be influenced by unmanaged hypertension of Ezekiel. According to Commodore-Mensah et al. , (2022), it is estimated that, $131 billion on the health of the inhabitants of the United States is utilized each year because of hypertension. Due to frequent healthcare visits for patients with uncontrolled hypertension, along with drugs, and diagnostic work that they need to do, not only Ezekiel bears a higher cost but also the health care system itself. Since Ezekiel is not insured, this means that he can be forced to cater for all his medical expenses that may be occasioned by his disease and this would definitely stretch his already stretched budget. Because of money issues, patients can decline or do not attend to clinics visits and delay treatment, which, as a result, becomes more severe and costs more (Biddell et al. , 2023). Take Ezekiel’s case in point: hypertension might have devastating social and economic impacts in terms of rehabilitation and long term care that he would require which would be very expensive for him and his family. Importance of State Board Nursing Practices and Policies Ezekiel Taylor’s hypertension and the treatment he receives may be as varied as approaches that depend on the state board nursing practice acts and other organizational or governmental norms. The ANA formulated the Scope and Standards of Practice for Nursing to distinguish what is acceptable nursing care delivery the ever-changing nursing world (ANA, 2021). In the case of patients such as Ezekiel, these guidelin