This assignment provides an opportunity for you to strengthen your understanding of how to plan and negotiate the coordination of care for a particular healthcare problem. Include physical, psychosocial, and cultural considerations for this healthcare problem. Identify and list available community resources for a safe and effective continuum of care

There are multiple best practices for improving the health of patients with high blood pressure. The major best practice for health improvement for an HBP patient is a total lifestyle change. This includes a change in eating and activity habits. The WHO recommends avoiding fast foods and substituting such foods with healthy alternatives such as vegetables, home-cooked organic foods, and increasing physical activity (World Health Organization, 2023). The lifestyle changes further focus on losing extra weight and engaging in lifestyles that help maintain healthy body weight. There is also a need to support the patient to quit smoking and limit the amount or total elimination of alcohol in the patient’s life.

A high number of people with HBP are not yet diagnosed (World Health Organization, 2023), which makes HBP further an issue of concern. A best practice for improving the health of HBP patients is to improve the rate of people checking their blood pressure status. It is also important to keep track of blood pressure readings. As a best practice, providing HBP patients with tools and education help monitor their blood pressure at home. A combination of regular screening and monitoring of HBP can help detect blood pressure fluctuations and support early management to reduce the risk of complications. Educating the patient on the benefits of adhering to their medication plans is also important.

The analysis of HBP to support the development of this care coordination plan is based on available data. However, there are underlying assumptions and points of uncertainty that can affect its effectiveness in delivering well-coordinated care to patients. For instance, due to factors such as income level, education, and access to healthcare services, some elements of the plan may not be generalizable across the general population. Additionally, due to differences in stages of hypertension, the plan will require to be individualized to fit specific patient needs.

Specific Goals Established to Address High Blood Pressure

The goals established to address the problem of HBP are guided by the SMART (specific, measurable, achievable, relevant, and time-bound) goal-setting process. There are five SMART goals set for this care coordination plan for HBP.

The specific goal of the care coordination plan is to improve the patient’s HBP outcomes and overall well-being. The measurable goal for addressing HBP is to increase the level of awareness of HBP, risk factors, and associated risks and improve the rate of screening and monitoring for blood pressure among the patients and th