Conceptual frame work on bundle care therapy on hypertension

Abstract

Present health studies show that the world is heading for heart diseases of worldwide segment. The number of people at high risk from cardiovascular disease is increasing recent studies suggest that only 2 to 7 percent of the common population have no risk factors at all, and less than 70 percent individuals have multiple risk factors. Non-communicable diseases (NCDs) are a cluster of diseases with long duration, and are generally slow in progression that affect individuals over an extended period of time causing socio economic burden to the nation. The good result of a bundle comes from the body of science behind it and the way of execution. A bundle bounds the changes together into a package of involvement which people know must be followed for every patient, every single time. Bundles may resemble a checklist but it is more than that. Bundles are different from a checklist as the latter contains many elements (more than five usually), all are not necessarily evidence based. The hypertensive safety bundle care therapy (HSBCT) on cardiovascular disease was followed. HSBCT includes Diet - DASH diet with low carbohydrate, salt restricted and high fiber diet, physical activity, spiritual practices by prayer, stress management with Pranayama, reduction of Habits like alcohol and smoking, Obesity management regular intake of Medications and regular Follow up. Thus, a multimodal care so called hypertensive safety bundle care therapy on prevention of risk for CAD (cardiovascular disease) among hypertensive patients may yield a good result by reducing the CAD risk factors.