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In United States, the Card Vascular Disease (CVD) has become a serious cause of death, especially dangerous for the diabetic patients. The Card Vascular Disease (CVD) correlates with the different levels of plasma cholesterol and triglyceride contained particles. To increase the Card Vascular Disease (CVD), there are many types of lipids by containing those particles, which promote the plaque formation between the tissues (only transporting lipids are not harmful for the tissues) to increase the risk factors of diseases. Cardiovascular diseases are due to high level of low-density lipoprotein cholesterol, elevated level of triglyceride and low level of high-density lipoprotein cholesterol (HDL-C) (Runhua Hou, 2009).
LDL-C level should be lowered to avoid CVD. The patients are treated with multiple drugs to achieve the goal of reducing its level 30% below the baseline. Some patients can be treated with single drug, but other needs more drugs including statins, bile acid sequestrants (BAS) and ezetimibe.
Medical research has proved that there is positive relationship between Low Density Lipoprotein and the coronary heart disease. The nursing process to treat the patients has proved that the Statins drug is very beneficial for the heart patients to lower the disease risks. Statins are safe to use by mixing it with other drugs to benefit the patients for cholesterol-lowering therapy (Lawrence Baruch, 2008).
Ezetimibe is mainly used to reduce the amount of lipids so also known as cholesterol absorption inhibitors. It blocks the passage of lipids through the intestine. Ezetimibe is used as monotherapy or it is combined with smvastatin (Lawrence Baruch, 2008).A high concentration of LDL-c causes hypercholesterolemia (hFL) and premature coronary heart diseases (Christos Pitsavos, 2008).
Decreasing the level of LDL-C is the first requirement to reduce the risk of cardiovascular diseases. The National Cholesterol Education Program Adult
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This paper explores the pros and cons of evidence-based practice in nursing. It analyzes the concepts of clinical expertise, patient preferences, and caring in the context of evidence-based nursing. It also examines the impact of these practices on the art of nursing as a practice.
“Evidence-based practice is the integration of best research evidence with clinical expertise and patient values to facilitate clinical decision making.” (DiCenso, Guyatt, and Ciliska, 2005, p. 4). Therefore, evidence-based practice in nursing makes use of the best research evidence in clinical practice, i.e.
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The introduction of an evidence-based practice such as hourly rounding can be complex in any hospital setting. Hourly rounding represents a systematic, proactive nurse-driven evidence-based intervention that seeks to anticipate and respond to the needs in hospitalized patients. Purposeful rounding pursues to enhance the patient experience.
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15 Pages(3750 words)Research Paper
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