Please write a response to the post. Article Critique.

In your experience in the clinical practice setting as a professional nurse, identify one top priority health issue you have encountered among older adults or individuals with disabling chronic health conditions. Identify this priority issue in your community and discuss each of the three prevention levels as it pertains to the disease you chose.
In my clinical practice setting, I often encounter older adults with hypertension upon admission to Day Surgery and PACU. A majority of the patients often state their blood pressure is high due to stress related to surgery, and also state that their blood pressure will lower once discharged from Day Surgery/PACU. I often ask the patient if they are aware of their usual blood pressure, how often they check their blood pressure, and if they’ve taken their medications as instructed. I encourage the patient to keep a log of their blood pressures to ensure that their blood pressure medication is effective. In the surgical setting, it is important to consider if a patient is experiencing white coat hypertension or white coat effect. White coat hypertension affects patients with normal blood pressures, and white coat effect impacts patients with a history of hypertension (Pioli, Ritter, deFaria, & Modolo, 2018). According to Pioli and colleagues (2018), it is crucial to identify white coat hypertension to prevent unnecessary initiation of treatment Similarly, white coat effect should be considered to avoid intensification of treatment (Pioli et aL, 2018). Primary prevention of hypertension includes maintaining a healthy weight and heart healthy diet, limiting alcohol, and exercising regularly (Carey, Muntner, Bosworth, & Whelton, 2018). Smoking cessation should also occur, if applicable (Hennekens, 2020). Secondary prevention for hypertension would include initiation of aspirin therapy to reduce the risk of stroke or myocardial infarction along with fish oil to prevent cardiovascular disease (Hennekens, 2020). This is in conjunction with medication management for hypertension (Rosendorff et al., 2007). Another secondary prevention of hypertension includes screening few blood pressure either at home or in an ofece setting (U.S. Preventative Services Task Force, 2016). Lastly, tertiary prevention of hypertension would include cardiac rehabilitation or participating in a hypertension disease management program (Babu & Grace, 2016). Having a conversation with patients regarding their blood pressure may be impactful for preventing hypertension or identifying worsening hypertension. Lastly, encouraging patients to take charge of their health can be crucial for ■ prevention of new or worsening high biood pressure.
References
Babu, A.S., and Grace, S.L. (2016). Cardiac rehabilitation for hypertension assessment and control: Report from the International Council of Cardiovascular Prevention and Rehabilitation. Journal of Climcai Hypertension, 77(11), 831-836. Doi: 10.lll.jch.12663