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In clinical practice Tarik Cohen Balck Jersey , every advanced nurse practitioner adheres to certain guidelines that help them to deliver standard care to the patients as required. For some years, the Women Health Initiative (WHI) study has had several research trials to examine the factors that affect risks and development of the conditions that impact women. The common conditions include heart disease, breast Mitchell Trubisky Balck Jersey , and colorectal cancer, and osteoporotic fractures in the postmenopausal women. The health care providers utilize the results from the trials and develop the guidelines for delivering care to the patients. The guidelines are subject to change, and every practitioner nurse requires having a clear understanding of them. Best practice for today may not be appropriate for the future. The research paper provides a comparison of the guidelines outlined in the WHI study to the current best practices for assessing and managing the conditions.
The selected disorder from the Women Health Initiative Study is the management of heart disease by use of hormone therapy and dietary modification. The Women health Initiative conducted Scientific Clinical Trials and Observational Studies to seek for answers to the concerns of the benefits and risks of hormone therapy Anthony Miller Balck Jersey , dietary pattern changes and calcium supplements in disease prevention. The focus of the research is in the heart disease. The use of hormone therapy is common in the prevention of coronary heart disease and osteoporotic fractures. Dietary modification is also an appropriate method for the prevention of breast and colon cancer as well as coronary heart disease. In the United States, one in every four women dies from heart disease. The common cause of heart disease is narrowing or blockage of the coronary arteries that supply blood to the heart. The more aged a woman gets, the high the likelihood of getting the heart disease (Department of Health and Human Services Roquan Smith Balck Jersey , National Institutes of Health, & National Heart, Lung Khalil Mack Balck Jersey , and Blood Institute, n.d.).
There are several best practices for the assessment and management of heart disease as postulated by different research studies. According to the American College of Obstetricians and Gynecologists, menopausal hormone therapy should not be used for the primary or secondary prevention of coronary heart disease. The author suggests that there is insufficient evidence to conclude the long-term estrogen therapy or hormone therapy use in the improvement of cardiovascular outcomes. However Walter Payton Balck Jersey , the women in early menopause and good cardiovascular health are at low risk of the adverse cardiovascular outcomes upon using the hormone therapy. According to the research, the clinicians ought to encourage the use of heart-healthy lifestyles and other strategies to reduce the cardiovascular risk in the menopausal women. The use of hormone therapy should be individualized by each woman health risk-benefit ratio. The use of hormone therapy for the management of heart disease has several concerns that may affect the general outcomes of the prevention plan (American College of Obstetricians and Gynecologists, 2013).
The best practices on the management of the heart disease from the article and that of the Women Health Initiative are comparable. According to the WHI Authentic Riley Ridley Jersey , the use of hormone therapy and dietary modification has effects to the management of the heart disease. The possible adverse effect of the use of hormone therapy is the likelihood of breast cancer and venous thrombosis which is a condition associated with heart failure. Dietary modification is also likely to cause coronary heart disease as a secondary outcome. On the other hand, the Committee on Gynecologic Practice states that menopausal hormone therapy should never be use for primary or secondary prevention of coronary heart disease at present. Its use should only be for the healthy women who have not recently experienced menopause. The article also suggests that timing hypothesis can benefit the cardiovascular effect when hormone therapy is used close to the onset of menopause. Thus, the relationship of the duration of therapy to the cardiovascular outcomes awaits further study.
The differences in the best practices for the management of heart disease might impact women health. The WHI suggests that use of hormone therapy and other methods has primary outcomes for the prevention of coronary heart disease and does not have direct adverse effects on the health condition. However Authentic David Montgomery Jersey , the Committee on Gynecologic Practice suggests that the use of hormone therapy should be selective. The differences affect the nature of care delivery to the women suffering from the heart disease or those at risk. The health care provider does not have clear guidelines on the use of the method in the management of the heart disease. There is a likelihood of having undesirable health outcomes due to the differences in the best practices regarding the management of heart disease for women.
I think that the current best practices in the selected article should be used in clinical practice since they are more specific as evidence by research. The practices have a consideration of the age and duration of use of the hormone therapy in the management of coronary heart disease. The study has a basis on a review of different trials and makes conclusions with support data. As such, the information is reliable. According to the study, the practice of the use of Menopausal Hormone therapy is not appropriate for the primary or secondary prevention of CHD. Women above 65 years are likely to be carcinogenic and lack a cardio-protective effect and cognitive protection (American College of Obstetricians and Gynecologists Authentic Akiem Hicks Jersey , 2013). Thus, the best practice should be the use of heart-healthy lifestyles and other strategies to reduce cardiovascular risk.

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American College of Obstetricians and Gynecologists (2013) Hormone Therapy and Bein. Cheap Jerseys China Cheap Wholesale Jerseys Cheap Jerseys China Cheap Jerseys Cheap Authentic Jerseys Cheap Jerseys Free Shipping Cheap Jerseys China Free Shipping Cheap Wholesale MLB Jerseys Wholesale Jerseys From China Wholesale Jerseys From China