Nurs FPX 8004 Assessment 4 Literature Review

Nurs FPX 8004 Assessment 4 Literature Review

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Lisa Hanley

Capella University

Nurs FPX 8004

Dr. Carmen McDonald

3rd May, 2025

Introduction

The ongoing query of no longer on-time prognosis of pulmonary immoderate blood strain (PH) needs a proof-based query prompted by the use of the scientific PICOT question: “In sufferers with pulmonary high blood pressure (P), how does the administration of early diagnostic and treatment protocol (I) in place of common now not on time evaluation and treatment (C) impact costs of disease improvement and hospitalizations (O) over a duration of one year (T)? to reply to the query, clinical literature seek become carried out throughout databases along with PubMed, CINAHL entire, Scopus, and MEDLINE, with a focus on peer-reviewed studies within the years 2020 to 2025. The foremost keywords had been “pulmonary immoderate blood pressure,” “early prognosis,” “treatment consequences,” “disorder enhancement,” and “hospitalization charges.” Nurs FPX 8004 Assessment 4 literature review is preliminary yield of 412 papers was reduced through the application of relevance filters to have an examination sketch, target early intervention, and effects towards hospitalization and medical worsening. The following literature evaluation synthesizes proof showing the clinical application of early prognosis and the onset of remedy in pulmonary hypertension, portraying the software of prepared early diagnostic pathways to be accompanied through low costs of disorder enhancement, lower hospitalizations, and improved lengthy-term repercussions, therefore bearing witness to the need for lively manipulate of the affected individual.

Thematic Synthesis of Literature

Theme 1: The Impact of Delayed Diagnosis of Pulmonary Hypertension

Website behind agenda research of pulmonary arterial severe blood pressure (PAH). It is a main obstacle to better-afflicted person outcomes because of increasing evidence. Clinical end results, healthcare utilization, and cost. Retrospective analysis with the help of Kubota et al. (2023) affirmed an immoderate correlation between no longer on-time examination of pulmonary high blood pressure and suitable ventricular (RV) illness, diagnosed with the help of the use of biomarkers and echocardiographic variables. Individuals diagnosed in the past 3 months of symptom onset had significantly poorer prognoses and belonged to excessive-threat corporations based on EU indicators. Evidence is backed up by literature for no longer an on-time diagnosis of pulmonary excessive blood stress.

Nurs FPX 8004 Assessment 4 Literature Review

Backing up the evidence, a skip-sectional analysis of large US digital fitness data and insurance claims data through Didden et al. (2023) reported a mean diagnostic forget of more than 2 years from the start of chronic unexplained dyspnea to actual pulmonary arterial excessive blood strain analysis. Patients were destined to accumulate numerous professional evaluations, clinic visits, and imaging tests some time down the course continuum, frequently with considerable gaps between symptom detection and receiving appropriate interventions such as transthoracic echocardiography. The findings no longer account for inefficiency in the diagnostic process but also for the colossal cost to patients remaining in limbo and awaiting testing. Financially, the impact of a delay in evaluation is another fundamental issue for both patients and the company.

DuBrock et al. (2023) estimated the cost of delayed diagnosis and stratified pulmonary arterial elevated blood pressure patients through the rule-out from symptom onset to testing. Those with greater delays (i.e., >24 months) had considerably improved rates of hospitalization, ICU admission, and 30-day readmission at some point within the top priority three hundred and sixty-five days of diagnoses. Nurs FPX 8004 Assessment 4 Literature Review is clinical burdens were staggering and consistent with patient per-month health expenses, particularly in acute care. The findings make clear how diagnostic inefficiencies are one reason for systemic monetary pressure on healthcare providers and patients.

Theme 2: Health Disparities and Socio-economic Factors

Previous impact printings of inner pulmonary arterial excessive blood pressure (PAH) are closely associated with socioeconomic status (SES) and ethnicity. Dalton et al. (2024) studied a cohort of state-wide virtual health documents and discovered that patients with pulmonary arterial high blood pressure with more elevated social deprivation index scores had reduced hospitalization charges and emergency visitation charges, but Hispanic patients also had reduced mortality charges, possibly as a result of unmeasured kinship or cultural care. Supported by the precious resource of implementing those findings, Ong (2020) concluded that lower socio-monetary recognition, especially rural, was previously associated with decreased affected women and guy survival costs with severe pulmonary arterial blood pressure, meaning. 

 Additionally, Bernardo and Perez (2023) established that underrepresented racial and ethnic minorities encountered elevated positive expert prices of better illness prognosis and lower exposures to pulmonary arterial severe blood pressure-specific treatment or medical trials, hence propelling care disparities and survival. Collectively, the articles synthesize a common explanation for delineating that socioeconomic adverse and structural inequality overlap to restrict the availability of superior pulmonary arterial immoderate blood pressure treatment, which continues in disparate fitness outcomes amongst firms. Addressing the inequalities could require guided intervention in initial screening, professional referral, and culturally appropriate care protocols.

Theme 3, Clinical Predictors and Risk Stratification

Evolutionary processes in pulmonary arterial high blood pressure (PAH) technology have highlighted the importance of green risk stratification procedures to optimize outcomes. Vraka et al. (2023) are an addition to the evolution of multiparametric fashions that integrate medical, hemodynamics, and imaging data into low-, intermediate-, or high-threat bins. They are an addition to the body of thought that stratification devices are firmly at the center of treatment decision-making. In parallel, Celestin et al. (2024) mention the need to maximize echocardiographic thresholds and encourage that most duration markers and signs and symptoms, such as right ventricular loose wall pressure, are suitable, non-invasive measures of disease severity. Nurs FPX 8004 Assessment 4 Literature Review mandate stricter standardization of risk quantification to enable medical software program packages and provide uniform care in institutions.

Recommendations for Future Research and Practice

Fate research on a number of degrees within the three issues of non-well-timed evaluation, fitness disparities, and threat stratification in pulmonary arterial high blood pressure desire to shift after an inclusive and fairness-based methodology. Research must be completed to identify distinctive systemic and business corporation agency-degree issues for diagnostic elimination, specifically for most of the underserved and minorities (Barwise et al., 2021). Number one, care and symptom interest research on the impact of premature sickness on the reduction of time to assessment can be undertaken for instruction. Research also has to actually define the process by which socioeconomic determinants, in addition to paying, coverage, and gaining access to appropriate sources of the network, intersect with racial and ethnic differences to inform the timing of exploration and corresponding gain access to remedy and outcomes (Flaubert et al., 2021).

Nurs FPX 8004 Assessment 4 Literature Review

Aside from that, fate threat stratification education cannot be clinically and biologically derived information alone, but also social determinants of health in trying to make relevancy look more cute and specific for a lovely range of populations. Banding disciplinary partnerships with epidemiology, health insurance, and data organizations, technological knowledge is most likely to be located at the core of devising predictive, equitable, and clinically large tools. ultimately, efforts at evaluation conflict with staying committed to applying these conclusions to actionable recommendations and time-intensive, high-quality strategies that constrain inequities and maximize effects on the care continuum for pulmonary arterial high blood pressure.

Conclusion

The Nurs FPX 8004 Assessment 4 Literature Review highlighted the urgent necessity of early examination, scientific risk stratification, and socioeconomic variations in outcomes among patients with excessive pulmonary blood pressure. Outcomes attest to the effectiveness of early intervention and targeted manipulation measures to retard the development of the condition, reduce hospitalization, and bring beauty to positive lives has been documented in the literature. Removal of systemic barriers and facilitation of evaluation through the software of studies and coverage updates can be pivotal to the improvement of equitable and effective treatment for pulmonary excessive blood pressure.

References

https://doi.org/10.1097/PTS.0000000000000817

https://doi.org/10.1016/j.ccm.2023.03.010

https://doi.org/10.1002/pul2.12361

https://doi.org/10.1002/pul2.70041

https://doi.org/10.1002/pul2.12188

https://doi.org/10.1007/s41669-023-00453-8

https://www.ncbi.nlm.nih.gov/books/NBK573923

https://doi.org/10.1183/23120541.00587-2023

https://doi.org/10.1016/j.jjcc.2023.08.004

https://doi.org/10.3390/jcm12134349

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