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Blood Pressure Measurement
Everyone doctoral or other nursing student takes their own path and has their own reflections when it comes to their college journey. One of the common facets of nursing and the associated research that nursing students tend to ponder to varying degrees is what is known as evidence-based practice, or EBP. Even with the common sense behind EBP, there are a number of students and even practitioners that are not fully versed in the best practices and such of their job that have come from the EBP. One such nagging habit that many people have is the improper measurement of blood pressure. Indeed, if the measurement of blood pressure is done incorrectly, it can cause shoddy readings and this is something that can be avoided so easily. While it seems like a simple problem to fix, the improper measurement of blood pressure remains a nagging issue that needs to be addressed within the nursing field and paradigm.
Analysis & Reflection
To provide the context for the observations and reflections that are to come in this brief essay, it is important to cite and point to one example of the EBP material that is cited in the introduction of this report. The abstract...
Wexler notes that the "accurate assessment and appropriate management of blood pressure (BP) is critical for primary care physicians" (Wexler, 2010). Wexler also notes that the blood pressure measurements typically done in office-based and clinical settings are especially prone to be erratic, incomplete and inaccurate. The solution to this problem, as suggested by Wexler and many other sources in the EBP paradigm, is ambulatory blood pressure monitoring, or ABPM. This is when blood pressure readings are done at specific and fairly precise intervals over a full day. The interval-style measurement of blood pressure helps smooth out variances and outliers so as to give a more realistic and complete picture of what a person's blood pressure actually is. This stands in contrast to the readings (and the reactions to the same) that tend to occur when only one measurement is done. As noted by Wexler and many others, treatment plans should not be based on a lone reading in a vacuum due to the variations that occur due to movement, time since sleep, time since eating and so on (Wexler, 2010).
When it comes to the reflections and…
References
Wexler, R. (2010). Ambulatory Blood Pressure Monitoring in Primary Care. Southern Medical
Journal, 103(5), 447-452. http://dx.doi.org/10.1097/smj.0b013e3181d82404
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