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Adherence to Hypertension Management Recommendations for Patient Follow-Up Care and Lifestyle Modifications Made By Military Healthcare Providers

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Technical Report

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Uniformed Services University Of The Health Sciences Bethesda United States

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The purpose of this study was to describe military healthcare providers adherence to nationally recognized hypertensive patient guidelines concerning lifestyle modifications and follow-up instructions after an initial diagnosis of hypertension. The importance of monitoring high blood pressure follow-up and maintaining blood pressure control was examined. Research has shown that while hypertension follow-up is being performed, physicians are not following established guidelines aggressively enough in identifying situations in which more robust management may be appreciated. Neumans Systems Model was used as the conceptual framework to guide this study. Data was collected utilizing a checklist developed by the researcher according to national treatment recommendations. Using a descriptive quantitative design, eight research questions were investigated during a retrospective chart review on a convenience sample of 35 medical records at an Air Force medical treatment facility located in the northeast United States. Military Healthcare Providers fared well 94 in maintaining oversight of their hypertensive patients by providing excellent follow-up management. However, lifestyle modification prescriptions to their patients, were less favorable. There was a low compliance with weight loss instruction 36, the limitation of alcohol use 57, and need to increase physical activity 38, reduce sodium intake 6, and maintain adequate potassium 3, calcium 9, and magnesium 0. Patients in this study were also not provided with adequate information about decreasing dietary fat 17. However, Military Healthcare Providers were exceptional in both identifying and counseling cigarette smokers 100.

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