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"The body of knowledge that serves as the rationale for nursing practice determines the areas of specialty to develop as well as the manner in which that knowledge is organized, tested and applied." -Carper, 1978

Hypertension and Angina > Coping

Coping

Homecare patients should receive screening for depression and psychosocial concerns.
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Hypertension and Chronic Stable Angina - Coping

Best Practice

Homecare patients screening should include attitudes about illness, expectations for the medical management and outcomes, affect/mood, related quality of life, resources (financial, social, and emotional) and psychiatric history. A repeat of the depression scale may be needed in the presence of unexplained decline in clinical status or when adherence to the medical regimen is poor.

The approach to the assessment of coping mechanisms and the presence or absence of depression must:

  • Not significantly increase the time involved in the overall assessment
  • Be similar to assessment used for other conditions
  • Not stigmatize depression
  • Rely on nurse's knowledge and clinical judgment

(The best practice recommended approach listed above is based upon research from the Martha Bruce, Weill Cornell Homecare Research Partnership.)


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Assess (5 documents)
Question patients' and/or caregivers’ attitudes, expectations, adherence to medical regime and what resources they might have available to them to assist in coping.
 
Plan (6 documents)
A patient centered plan includes acceptance and understanding on the part of the patient and caregiver and considers culture, ethnicity, tradition, individual preferences and economic circumstances.
 
Implement (22 documents)
Ongoing communications among all professionals, patient and caregivers is essential to improving and maintaining stability. This is particularly true when communication involves assisting in building coping strategies and trust.
 
Evaluate (3 documents)
Minimizing risk factors and maintaining or improving symptoms can assist in the evaluation of coping mechanisms.
 
 


The development of the hypertension and chronic stable angina project was made possible by a grant from the New York State Attorney General on behalf of the Attorneys General of all 50 states, DC and Puerto Rico from litigation settlement funds to benefit the healthcare needs of consumers with high blood pressure and angina. Original funding for the site was provided in part by US Congress and CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.