NURS6015 - Evaluation and Management of Orthostatic Hypotension Assignment

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Assignment Task

Problem Statement Research Topic

Inpatient orthopaedic rehabilitation assumes significance in the comprehensive management of patients following surgical interventions. Postural hypotension frequently emerges as a prominent complicating factor in the rehabilitation process (Veronese Demurtas 2020). Orthostatic hypotension affects 20% of elderly patients undergoing rehabilitation in a hospital setting. Patients with orthostatic hypotension exhibit low levels of physical performance functional independence and prolonged hospital stays (Christopoulos et al 2021). This study aims to investigate evidence-based non-drug therapies that can optimise the management of orthostatic hypotension in older adults admitted to orthopaedic geriatric wards. Identifying practical non-pharmacological approaches enhances patient safety reduces fall risks and improves overall outcomes for this vulnerable population (Duval et al., 2023)

Research Question

What are the most effective nonpharmacological methods for managing postural hypotension within an orthopaedic geriatric rehabilitation ward?

Research Hypothesis

Implementing nonpharmacological interventions can effectively reduce postural hypotension cases among inpatient rehabilitation patients, enhancing their overall recovery and reducing reliance on medical-based treatments.

Aim

The aim of this study is to systematically identify nonpharmacological methods for managing orthostatic hypotension in inpatient rehabilitation patients and determine their effectiveness in improving patient outcomes.

Objectives

  • To review the literature on non-pharmacological postural hypotension treatments in inpatient rehabilitation.
  • Identify and categorise non-pharmacological treatments currently used for postural hypotension in clinical settings.
  • Evaluate the efficacy of these pharmaceutical therapies in diminishing the frequency and intensity of postural hypotension episodes among patients undergoing inpatient rehabilitation.
  • Investigate the impact of non-pharmacological interventions on functional status and overall rehabilitation outcomes.
  • Assess the viability and effectiveness of incorporating these strategies in inpatient rehabilitation facilities.
  • To provide recommendations to healthcare practitioners regarding the integration of nondrug approaches in managing postural hypotension in rehabilitation settings.

Research Design: A combination of quantitative and qualitative methods will be utilised to gain information on the effectiveness of non-pharmacological interventions. Qualitative methods will be implanted to explore patient experiences and perceptions of the interventions. Quantitative methods to assess outcomes such as blood pressure changes.

Data Collection:

  • Structured questionnaires will be used to gather information from patients and staff members.
  • Clinical assessments for orthostatic hypotension symptom assessments.
  • Interviews with patients, caregivers, and healthcare workers.
  • Medical records review
  • Observational studies during physio sessions.
  • Patient diaries.
  • Blood pressure monitoring devices.

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