According to the AHRQ, while leadership has typically been associated with the highest levels of an organisation, frontline staff and their direct manager play critical leadership responsibilities in acting as agents of change and supporting patient-centered care. Population health and longevity enhancement are also driving transformative change, which must count on clinician leadership to achieve its objectives. Today’s nurses are also constantly questioned to illustrate current administration competencies, such as the order to sustain a broad outlook or attitude universal health care and clinical nurse issues; innovative technological abilities that enhance portability and flexibility of associations, relations, and process management; expert judgement skills ingrained in scientific inquiry; and traditions that pervade medical services and improved patient.
The first line of treatment for hypertension is a two-pronged strategy, with an emphasis on lifestyle changes and add-on pharmacological control. Because essential hypertension is thought to be the consequence of interactions between genes and environment, treatment is most effective when several elements in the patient’s life are addressed. The environmental impacts are substantial and explain the majority of the BP variations between people and communities, and their regulation is critical in the treatment of high BP. Dietary excess of salt and fat, dietary deficit of potassium and fibres, alcohol use, physical inactivity, and psychosocial stress are all important lifestyle or environmental variables. Numerous short-term experiments have shown that people can implement these lifestyle modifications to decrease their blood pressure. Dietary changes are the cornerstone of hypertension prevention and therapy.
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