A Research Study On The Blood Pressure Change For Non Hispanic White And Aas Patients

Modern medical advancements have significantly decreased the prevalence and severity of infectious disease as well as the treatment of acute, traumatic conditions. Pharmacological research has also gained insight into the management of chronic disease. Still, there is an epidemic of chronic, treatable diseases like stroke, heart disease, and kidney disease. Hypertension proves to be the underlying factor associated with these diseases. Hypertension is often referred to as the silent killer because of its indication in deadly disease, and the importance of monitoring ones blood pressure is vital. Lifestyle, diet, and genetic predisposition are all factors of high blood pressure. Chronic high blood pressure above safe levels, known as hypertension, puts elevated physical stress on the renal and cardiovascular systems. By controlling this factor in patients, healthcare providers can decrease cardiovascular events, improve health outcomes, and decrease overall mortality. Patient education is often overlooked in its role in the control and prevention of high blood pressure. This paper analyzes the causes and physiology behind high blood pressure as they relate to the current nursing interventions. The role of nurses is discussed in relation to patient education regarding high blood pressure, and educational approaches are analyzed.

Unhealthy lifestyle behaviors account for 50 percent of preventable death in the US. As the diversity of the US population increases, health care providers are expected to provide services that are reasonable and responsive to the unique cultural and ethnic identity, socio-economic condition, emotional and spiritual needs, and values of patients and the population. In this class, I have learned various diseases and conditions of all ages and ethnicities (American Association of Colleges of Nursing, 2017). Through case studies, I was able to apply broad, organizational, client-centered, and culturally appropriate concepts in the planning, delivery, management, and evaluation of evidence-based clinical prevention and population care and services to individuals, families, and aggregates/identified

Blood pressure measurements on adult males 30-39 years of age were obtained in a survey of a representative sample of Twin Cities households. To compare the frequency of hypertension in the white and non-white population surveyed, the most appropriate measure is the

Cooper L.A., & Roter D.L., & Carson K.A., & Bone L.R., & Larson S.M., & Miller E.R. III, & Levine D.M. (2011). A randomized trial to improve patient-centered care and hypertension control in underserved primary care patients. Journal of General Internal Medicine, 26, 1297 â[euro]" 1304. 10.1007/s11606-011-1794-6

Latino Americans are the largest growing population in the United Stated and with the rising number of Latinos, we have also been seeing a disparity on health care especially in heart related conditions. Heart disease is the number one killer in the United States along with strokes and Latino Americans are at higher risks for coronary heart disease which accounts for 23.9 % of all deaths in the United States and heart disease is the nation's leading cause of death among Hispanic adults. In 2015, approximately 85.6 million or more which is greater than 1 in 3 adults in the United States are diagnosed with at least one type of coronary heart disease. Hispanic Americans are 8.3 % of the total number who have been diagnosed with some kind of coronary

K.H. is a 67-year-old African-American man with primary hypertension and diabetes mellitus. He is currently taking an angiotensin-converting enzyme (ACE) inhibitor and following a salt-restricted weight loss diet. He is about 30 pounds over his ideal weight. At his clinic visit his blood pressure is noted to be 135/96. His heart rate is 70 beats/min. He has no complaints. His wife brought a blood pressure cuff and stethoscope with her in the hope of learning to take her husband’s blood pressure at home.

For men, preventive care should be focused on cessation of smoking and alcohol using and diet for men. Males in this target group told me that they work long hours on physically demanding jobs each day, but their diet is unhealthy because of financial issues and they smoke and drink a lot because of great pressure on them. Men who were checked had generally high blood pressure and BMI. For women in this population, they told me they spent much time at home taking care of their children and purchase cheap fast food. Their blood pressure and BMI both were also very high. I asked them whether they purchased health insurance, but many of them just slipped away or did not want to tell me, but some of them did have interest in free clinical service. Many of them told me that they like spicy food and Cola, so for them, they should be encouraged to cook healthy food with low sodium and more vegetables, eat less fast food and maintain regular exercise everyday. For those men who smoke or drink a lot, they need to be encouraged to cut down on them as soon as possible. According to the research of Otiniano et al. (2003), Mexican Americans were reported to have a greater incidence of heart attack related to high blood pressure and obesity, but had a decreased prevalence of self-reported heart attack than Non-Hispanic whites due to the low socioeconomic status and less education. It seems that low socioeconomic status and less education are the major

High blood pressure (hypertension) is a major health condition which affects many Americans. This health condition may increase the risk of cardiovascular disease and stroke. A normal blood pressure consists of systolic blood pressure divided by diastolic blood pressure, 120/80mmHg (millimeters of mercury). High blood pressure is defined as systolic pressure which is greater than 140mm Hg, and diastolic pressure which is over 90mm Hg. Hypertension influences the health outcomes of black Americans more than other races in the United States. Racial discrimination and socioeconomic status are two major factors which influence the rate of high blood pressure in the black American population.

Hypertension is a developing problem worldwide associated with an increased risk of cardiovascular morbidity and mortality. In 2020, the world population will be approximately 7.8 billion people, and there will be 1 billon people who may be affected by hypertension (Tomson & Lip, 2005). One in three adults in the United States has high blood pressure. According to the report “Health, United States, 2010 with Special Feature on Death and Dying,” the prevalence of hypertension among adults 20 years old or older increased from 24% to 32% during 1988-1994 and 2005-2008. The African-American population has a higher prevalence of this health condition than white Americans do. In 2005 to 2008, the prevalence of hypertension among black males (41.4%) was more than 10%,

Centers for Disease Control and Prevention defines High Blood Pressure as the force of blood pushing against the walls of your arteries, which carry blood from your heart to other parts of your body. Blood pressure normally rises and falls throughout the day. But if it stays high for a long time, it can damage your heart and lead to health problems. High blood pressure raises your risk for heart disease and stroke, which are leading causes of death in the United States. One out of every three adults over the age of twenty- that’s nearly eighty million Americans have high blood pressure. What’s more interesting is that nearly twenty percent don’t even know they don’t have it. Consequently, African American suffer more from this disease than any other race. According to the American Heart Association, forty percent of African American men and women have high blood pressure (AHA, 2016). Notably, adults twenty years and older consist of 42.6 percent are men and 47.0 percent are women that have this illness. For years’ researchers, have tried to understand why High Blood Pressure affect the African American at a higher rate than others. As a

The community used in this project is Prince Georges County Maryland. The population of interest used will include African American Males and Females ages 18 and above. This project is about organizing a health fair in Prince Georges County in which the selected population was educated about health care outcomes for high blood pressure; diabetes and obesity. Majority of the populace who attended the fair were either low income residents or uninsured. Diabetes, obesity and high blood pressure is known to have increased risk of stroke and heart disease (Sowers, Epstein, & Frohlich, 2001). Hypertension in African American population is considered to be highest across the globe as compared to white population. It is a silent killer as it

African Americans are known to struggle with hypertension more than any other race. The social problem described by the Centers for Disease Control and Prevention (2010) stated, African American men are more likely to have high blood pressure than whites, Hispanics, or Mexican American men and are more likely to be known as having high blood pressure. This difference steadily persists over time, from approximately 1988 through 2006 (pg.12). Studies have consistently reported a higher frequency of hypertension in blacks than in whites. In relations to these studies as mentioned by Fuchs (2011), There is a long list of putative causes for this higher prevalence proposes that the real reasons African Americans are rated higher with hypertension issues are still unknown. Biological differences are viewed in the mechanisms of blood pressure control or in the environment and habits of whites and blacks are named as the potential causes. Socioeconomic status plays a part in the outcomes of health and wellness and is measured mainly by health behaviors (education), health status (income), and health inequities. Income has been identified as a crucial factor affecting

The convenience sampling that was used in recruiting all male patients who were on blood pressure medications is a glaring bias in this study. There was no information provided addressing why the patients were presenting to the clinic. There are many interventions that can raise blood pressure. For example, the study conducted by Marshall, Anantharachagan, Choudhary, Chue and Kaurhis, (2002) investigated the effect of situational anxiety on blood pressure experienced in anticipation of a blood test. Marshall, et. al., (2002) found that anticipation of a blood test can raise blood pressure. Foster-Fitzpatrick, et. al., 1999 did not address the purpose of the patient’s visit to the clinic.

I have use evidence base practice often in homecare. I had a homecare patient who has hypertension and don’t check his blood pressure regular. I explained to him the important of checking blood pressure daily. Evidence based practice shows self-management of blood pressure is a useful tool in monitor hypertension and preventing stroke (McNamar, Versace, Marriott & Dunbar, 2014). I requested the family to buy an electronic blood pressure cuff. I encouraged patient to record blood pressure daily and record. I also instructed patient to take results to next doctor appointment.

Factors that contribute to hypertension are age, ethnicity, gender, and lifestyles as shown in Figure 1 (Yoon, Burt, Louis, & Carroll, 2012). While the prevalence of hypertension is relatively equal among men and women, certain ethnicities have a higher propensity for developing hypertension. The prevalence of hypertension in African-Americans is among the highest in the United States for a single ethnic group (Ferdinand & Armani, 2007). In the United States, around 78% of people suffering from hypertension are aware of their condition, with only 68% using hypertensive medications to control their blood