Case Study Scenario:
Mrs. Greenwood, age 62 years, was diagnosed 5 years ago with hypertension. Her body mass index (BMI) is 33.8 (weight, 185 lb; height, 62 inches). Her blood pressure readings at the physician's office range from 220/104 to 176/92 mmHg despite treatment with valsartan-hydrochlorothiazide (Diovan-HCT 160/25). The RN who works with the physician has taught the patient about modifiable risk factors and set short-term goals with the patient at each clinic visit for the past 6 months, but Mrs. Greenwood has not lost any weight. She acknowledges that she continues to drink a couple of beers a day and smokes a pack of cigarettes each day.
1. What is evidence-based practice? What are the three components of evidence-based practice? Need Assignment Help?
2. What conflicts exist between the best research evidence and the patient's circumstances and values in the given scenario?
3. Consider your own clinical expertise and situations you have encountered that are similar to the scenario given. What steps would you take to assist Mrs. Greenwood in improving her health?