NUM1204 : Performing a Cardiovascular Assessment on Elderly Patients - Nursing Assignment Help

Assignment Task :

1. While performing a cardiovascular assessment on elderly patients, is manual blood pressure reading more accurate than automatic one?

Argue the importance of your PICO topic (500 words).  Why does it need to be searched (could be more than one reason)?  Is it because there is not much evidence already?  Is it because it is a safety issue? Is it an emerging issue?  All arguments must be supported with reference to scholarly literature.  

 The main reason this question needs to be researched is getting accurate measurement of blood pressure (BP) is essential for the diagnosis and management of hypertension which is most common in older patients. Population who are 65+ are at risk of suffering not only cardiovascular disease but also chronic kidney related problems. Miscalculation of the readings of blood pressure can be fatal to some. Especially elderly people are topmost concern. Along with risk of coronary heart and ischaemic and haemorrhagic stroke there are also chances of heart failure, peripheral vascular disease, renal impairment and visual impairment when a person is suffering from hypertension and remains undiagnosed or the level is not concise (Shahbabu, Dasgupta & Sahu,2016).  Traditional manual sphygmomanometers are still used in some of the areas where it is difficult to get the automatic reading. Elderly people are more likely to be suffering from hypertension than young individuals. By achieving accurate readings for geriatric patients, appropriate risk calculation while surgery, appropriate drug treatment and its effectiveness can be allowed (Victoria, Christensen, Guy & Dodd,2019).Myocardial infarction, haemorrhage, hypoventilation, etc can be detected at an early stage by determining if it is hypertension/hypotension according to Victoria et al., 2019.  
The second most important reason is lack of evidence on this topic as it is absolutely underrated. It is a big debate on accuracy of measurements using different cuff sizes but as per search done there is not much evidence regarding conciseness of the readings in terms of geriatrics. Even if there is some literature addressing this issue their results are not same. Discrepancies in readings from sphygmomanometer and automated one were noticed in the past in common population and in an elderly person it can be even poles apart. It is understandable that manual blood pressure measurement would be more quantitative approach. Although convenience of automated ones is good in healthcare but surrendering hands to hands practice can be misdiagnosed or not quite accurate Research on this question is essential as the use of automated machines is increasing (Hussain et al., 2019). There are several studies which show relationship between automated and manual ones, but they haven’t come to one outcome. Questions do arise and there should be a research where it can be proven which one is best for old patients. In this litigious age, it is unbelievable how there can be consequences for providing inaccurate blood pressure measurement to patients (O'Brien, Alpert & Stergiou,2018). It is crucial for health and protection of people that they are assured to be given measurement accuracy and validation. Hence this mere subject needs to be given some attention and a specific outcome should be derived as many sources offer varying information. Another main reason would be the research specific to older patients is insufficient in literature world.

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