“Using the Evidence” in Practice

In my clinical setting, I have observed our medical director used the Eight Joint National Committee (JNC 8) in diagnosing and managing high blood pressure. The medical director gave me a hard copy of the JNC 8 recommendations, but at the same time, I was given a privileged to study more of the guidelines in further details by accessing it online. I accessed it at National Guideline Clearinghouse website in which it provided me detailed recommendations of when to initiate treatment to a certain population (non-black or black population), certain age group (over 18 years and over or less than 60 years old), and to patient with different kinds of comorbidities (chronic kidney disease, diabetes mellitus, congestive heart failure, coronary artery disease, or history of stroke). (National Guideline Clearinghouse, 2014). To apply it in practice, one example I can cite is a 51-year-old male black patient who has a blood pressure of 158/90. With his blood pressure, he is obviously diagnosed with hypertension and treatment should be initiated. Using the JNC 8 recommendations, the patient should be started with either a calcium channel blockers or a thiazide medication to manage his hypertension. (National Guideline Clearinghouse, 2014). I find JNC 8 recommendations very straightforward, easy to follow and understand. In my part as a clinician, the thing I am responsible for knowing is his blood pressure, age, race, and comorbidities (if any) by doing a thorough history and assessment. From the information I gathered combined with the most up to date JNC 8 recommendations, I would be able to treat my patient correctly and safely. I believe that JNC 8 recommendations’ goal is nothing but a manageable blood pressure to everybody. Its main goal is to prevent future cardiovascular, renal, pulmonary or renal complications. Overall, national guidelines like JNC 8 are being followed at my clinical setting at all times as their way of mastering their mission of health care that is safe, high quality, and effective using evidence-based practices.

Reference:

National Guideline Clearinghouse. (2014). Evidence-based guideline for the management of high blood pressure in adults. Report from the panel member appointed to the Eight Joint National Committee (JNC 8). Retrieved from https://www.guideline.gov/summaries/summary/48192/2014-evidencebased-guideline-for-the-management-of-high-blood-pressure-in-adults-Report-from-the-panel-members-appointed-to-the-Eighth-Joint-National-Committee-JNC-8

 

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