Quality Evidence Search: High Blood Pressure
Answer:
Introduction
The quality of evidence suggests the extent to which one can have confidence that the approximation of impact is correct in return makes assessment of recommendations and evidence is difficult (Guyatt et al 2011). The clinician has to make a decision on which results to consider, he/she must decide on which way to measure the quality of evidence, the evidence to be left out and how to ascertain that a certain form of treatment is more suitable than other. For instance use of DASH diet in treatment of hypertension may not be very effective compared to DASH diet combined with light exercise.
Clinical guideposts are only of equal goodness with the evidence they are founded on. The aim of the GRADE approach is to make it easier for clinicians to evaluate the assessments behind recommendations. There is need for clinicians and other clinical guidepost users to know to what extend they can be confident about the recommendations (Balshem et al 2011). For example in this case, for effective treatment of individuals suffering from high blood pressure is depended on the type of hypertension the person is suffering from, clinicians need quality evidence research to be able to decide on the form of treatment that is more effective for treatment of specific type of hypertension. For instance individuals with blood pressure of 130/80 mm/Hg can manage the blood pressure by use of medicines such as angiotensin receptor blockers, vasodilators and peripheral adrenergic blocker among others (Guyatt et al 2011)
Quality evidence search
High blood pressure also known as hypertension is a longstanding health condition in which the blood pressure insistently raises. Over 85 million people across the world suffer from high blood pressure while over 10million people die yearly due to hypertension, (Polgar & Thomas 2013). The standard blood pressure is commonly 120 over 80mm of mercury. This condition is brought about by various factors such as lifestyle and genetic disorders and risk factors such as age, sex, alcohol and tobacco use, size and weight ethnicity and existing health conditions such diabetes, high cholesterol and chronic kidney disease. Stress is a renowned cause of acute high blood pressure. Medical conditions such as strokes and heart attack can come as a result of untreated/unmanaged hypertension.
Blood pressure is best controlled through diet in advance, before it reaches the stage of hypertension there are other treatment options lifestyle adjustment are the first-line treatment for hypertension. Doctors highly recommend that patients with high blood, pressure engage in at least 30 minutes of light exercises. These may include jogging, cycling swimming or walking on at least five days a week. Some types of hypertension can be controlled through lifestyle and dietetic adoptions (DASH diet) such as reduction of alcohol and tobacco consumption and avoiding foods with elevated sodium contents. The major outcome measure is plasma pressure measured in the hospital and by ambulatory blood pressure monitoring. Subsidiary outcome comprised throb surge velocity, blood flow facilitated dilation of the brachial artery, ventricular mass and baroreflex sensitivity, (Greenhalgh, 2014).
]change in diet/use of DASH(dietary approaches to stop hypertension) diet has been proved to lower blood pressure in high blood pressure patients paralleled to exercise alone, its considered more effective when combined with light exercise. Patients with unsophisticated hypertension attain BP control<140/90 mm/Hg while patients with infections such renal disease attain <130/80 mm/Hg, (Aveyard & Sharp 2013). Generally it reduces the incidence of heart disease and associated illness and death. Hospital measured blood pressure dropped by 16.1/9.9 mm/Hg when patients used DASH diet and exercise;11.2/7.5 mm/Hg when patients used DASH diet only and 3.4/3.8 mm/Hg when they used normal food control, (Hoffman, Bennett & Del Mar, 2017).
Conclusion
For obsess people with hypertension there will be huge drop in blood pressure when DASH diet is combined with light exercises. There would be great improvement in autonomic and vascular mass
References
Hoffman, T., Bennett, S., & Del Mar, C. (2017). Evidence-based practice across the health professions (3rd ed.). Sydney, New South Wales: Churchill Livingstone.
Balshem, H., Helfand, M., Schünemann, H. J., Oxman, A. D., Kunz, R., Brozek, J., & Guyatt, G. H. (2011). GRADE guidelines: 3. Rating the quality of evidence. Journal of clinical epidemiology, 64(4), 401-406.
Polgar, S., & Thomas, S.A. (2013). Introduction to research in the health sciences (6th ed.). Edinburgh: Churchill Livingstone.
Guyatt, G. H., Oxman, A. D., Vist, G., Kunz, R., Brozek, J., Alonso-Coello, P., … & Norris, S. L. (2011). GRADE guidelines: 4. Rating the quality of evidence—study limitations (risk of bias). Journal of clinical epidemiology, 64(4), 407-415.
Greenhalgh, T. (2014). How to read a paper: The basics of evidence-based medicine (5th ed.). Chichester, UK: Wiley-Blackwell.
Aveyard, H. & Sharp, P. (2013). A Beginner’s Guide to Evidence-Based Practice (2nd ed.). Glasgow, U.K.: Open University Press.
Use the following coupon code :
SAVE10