TOPIC: HIGH BLOOD PRESSURE
I have already completed PART 1 which is attached , for guide. This is Part 2 and must be as continuation of Part 1 , NOT A SEPARATED DOCUMENT
INCLUDE IN PART 2 FROM SECTION 5-9
5. Propose a health promotion program using an evidence-based intervention found in your literature search to address the problem in the selected population/setting. Include a thorough discussion of the specifics of this intervention which include resources necessary, those involved, and feasibility for a nurse in an advanced role. Be certain to include a timeline. (2 paragraph. You may use bullets if appropriate).
6. Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. (1 paragraph).
7. Provide a detailed plan for evaluation for each outcome. (1 paragraph).
8. Thoroughly describe possible barriers/challenges to implementing the proposed project as well as strategies to address these barriers/challenges. (1 paragraph).
9. Conclude the paper with a Conclusion paragraph. Don’t type the word “Conclusion”. Here you will share your insights about this strategy and your expectations regarding achieving your goals. (1 paragraph).
Paper Requirements :
Remember, your Proposal must be a scholarly paper demonstrating graduate school level writing and critical analysis of existing nursing knowledge about health promotion.
-3 PAGES PART 2
-REMEMBER THE ASSIGMENT MUST BE A CONTINUATON OF PART 1 NOT A SEPARATED DOCUMENT
-DON'T BE MORE THAN 10 % PLAGIARISM IN PART 2 SECTION
-DUE DATE OCTOBER 12, 2023
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Topic: High Blood Pressure
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Health Promotion Program Proposal
Addressing High Blood Pressure in Older Adults in Miami, Florida
having high blood pressure is a severe public health problem affecting many people, especially in
Miami, Florida. According to Mathew et al. (2023), hypertension in Miami is very prevalent,
with approximately 35% of people aged 50 and above having this health problem. The intended
health promotion program seeks to tackle this issue by implementing treatments grounded in
empirical research while employing a theoretical framework to guide the endeavor (Mathew et
al., (2023). This health promotion program's main objective is to decrease blood pressure levels
within the target group, reducing hypertension's consequences.
Vulnerable Population
The target demographic for this health promotion initiative consists of those aged 50 and
older who reside in Miami, Florida. This particular demographic is deemed susceptible owing to
various risk factors, encompassing physiological alterations associated with aging, patterns of
behavior and lifestyle, and probable coexisting medical conditions. Elderly individuals
frequently have difficulties with the accessibility of healthcare services, adherence to
prescription regimens, and adopting healthy practices (Zheng et al., 2021). Moreover, it is
essential to consider socioeconomic issues, such as constrained financial resources and lower
levels of educational achievement, as these elements can intensify an individual's vulnerability to
developing high blood pressure.
PICOT Question
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In adults aged 50 and above residing in Miami, Florida (P), implement a comprehensive
health promotion program targeting lifestyle modifications, medication adherence, and
community engagement (I) compared to standard care (C), cause the systolic and diastolic blood
pressure to drop significantly its levels (O) over six months (T)?
Review of Literature
The extensive study by Oliveros et al. (2020) explores the complex terrain of evaluating
and controlling hypertension in the elderly population. The study sheds light on this population's
intricate difficulties in managing blood pressure levels within optimal ranges. Evidence-based
strategies are systematically delineated using thorough scrutiny, presenting a potential trajectory
toward proficient management. The study places significant importance on the essential
significance of customized therapies, acknowledging that personalized strategies are crucial in
enabling older persons to attain and maintain optimal blood pressure regulation. This observation
holds excellent significance, representing a notable advancement in improving this susceptible
demographic's cardiovascular health and general well-being.
Seah, Zheng, and Lim (2020) thoroughly investigated and synthesized prior research
using systematic review and meta-analysis approaches. Seah et al. (2020) study examined the
effectiveness and efficacy of community-based self-care interventions tailored for older adults
with hypertension. The study explored the potential benefits of community-based therapy in
helping improve older adults' physical, psychological, and behavioral well-being. The findings of
this study are significant as they help highlight the implication of community involvement in
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fostering favorable health results for elderly adults. The research highlights the capacity of
customized community interventions to improve the overall welfare of elderly individuals by the
aims and objectives of the suggested program (Seah et al., 2020). This study offers significant
findings regarding the efficacy of community-based strategies in enhancing the health and well-
being of older individuals, hence strengthening the justification for incorporating these
treatments within the planned health promotion initiative.
Theoretical Framework
The Health Belief Model (HBM) will be employed as the foundational theoretical
framework for this health promotion initiative. The Health Belief Model (HBM) proposes that an
individual's health-related behaviors are shaped by their perception of their vulnerability to a
particular health concern, their assessment of the seriousness of the condition, their
comprehension of the advantages associated with engaging in preventive measures, and their
evaluation of the obstacles hindering the adoption of such actions. The program seeks to increase
participants' awareness of their susceptibility to hypertension by utilizing the Health Belief
Model (HBM) (Naeemi et al., 2022).
Moreover, this study aimed to highlight the crucial significance of unregulated
hypertension while advocating for the advantages linked to the adoption of suggested
modifications in lifestyle and adherence to prescribed therapeutic interventions. Therefore, the
Health Belief Model (HBM) is expected to empower people to make knowledgeable decisions
about their health and take proactive measures to avoid and manage hypertension effectively
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(Naeemi et al., 2022). This theoretical framework will help empower older persons to proactively
manage their blood pressure and mitigate the risk of problems associated with hypertension by
integrating evidence-based interventions and employing the Health Belief Model as a theoretical
framework.
References
Goldberg, A., Madan, N., Kyung, S., Patel, H., Oliveros, E., Patel, H., Fugar, S., & Williams, K.
A. (2020). Age-related hypertension: Assessment, management, and challenges. p. 99–107 in
Clinical Cardiology, 43(2).
Lam, B. L., McCollister, K. E., et al. (2021). Feaster, D. J. Feaster, D. J., Christ, S. L.,
Loewenstein, D. A., and others. Mortality and multimorbidity tendencies in the US population of
older adults. PLoS One, 16(1), e0245053.
Mathew, A., Mesa, R. A., Nahodyl, L., Tremblay, J., Rundek, T., Zeki Al Hazzouri, A., &
Elfassy, T. (2023). Diastolic Blood Pressure and Cognitive Functioning: Differences by Systolic
Blood Pressure Among US Adults. American Journal of Alzheimer's Disease & Other
Dementias®, p. 38, 15333175231172283.
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Naeemi, L., Daniali, S. S., Hassanzadeh, A., & Rahimi, M. (2022). The effect of
educational intervention on self-care behavior in hypertensive older people: Applying the health
belief model. Journal of Education and Health Promotion, 11.
Seah, S. J., Zheng, H., & Lim, R. B. T. (2020).
An exhaustive study and meta-analysis of the benefits of community-based self-care
interventions for improving biophysical, psychological, or behavioral outcomes in older people
with type 2 diabetes living in the community. Diabetes Research and Clinical Practice, p. 169,
108411.
