Ability Of Maintaining Blood Pressure Control Essay

The lack of knowledge and confidence of obtaining a manual blood pressure is an ever growing issue in the healthcare field. This paper will outline the importance of taking a manual blood pressure accurately. Providing the proper blood pressure measurement can determine a patient’s care and outcome when in a healthcare facility. I will talk about the pros and cons of manual blood pressures and personal experience of this vital skill in the healthcare field. I will also provide some simple but effect ways to increase confidence and knowledge by just basic education. All of my information and numbers will be supported by using references and studies in the use of manual blood pressure monitoring.

Efficacy is defined as the ability to produce the desired result (“Efficacy,” n.d.). One way to establish efficacy is to test the knowledge of the health care providers. The blood pressure program will be ineffective if the providers lack HTN knowledge. The author will plan to evaluate fluctuations in employee knowledge, attitudes, and viewpoints about blood pressure screening and control. Furthermore, the health care team members need to understand how to measure a manual blood pressure adequately. Accurate blood pressure readings will facilitate more validity in the results (CDC, 2014). Efficiency distinctly represents the ability to accomplish tasks in the least amount of time and effort (“Efficiency,” n.d.). Measurement tools used for determining efficiency will be proper staffing, working equipment, various sizes of blood pressure cuffs, and acceptable space for the program. Quality is the characteristic or feature that something possesses (“Quality,” n.d.). Trained health care providers will aid the program in obtaining good quality. Also, new sphygmomanometer that are calibrated and education pamphlets will serve as increasing the quality of the program.

Bosworth, Olsen, Grubber, Powers, and Oddone (2012) conducted a three-arm randomized controlled trial to determine the differences in AAs and Caucasians in two self-management hypertension interventions (N=636; non-whites n=328, and whites n=308). The subjects were randomly placed in the usual care (UC), home BP monitoring (HBPM), a tailored behavioral self-management intervention (TBSMI), and the two groups combined (TBSMI + HBPM). Data collection was done at the initiation of the research, 12 months, and 24 months from the control and intervention groups. BP results on whites at the baseline and intervention groups did not differ, but there was significantly reduction in the systolic BP of 7.5 mm Hg in AAs. This study denotes that a home BP monitoring in combination of nurse-administered telephone behavioral intervention was most effective in BP control in AAs.

Blood pressure in our blood vessels is monitored by the baroreceptors. These receptors send messages to the cardio regulatory center of the medulla oblongata to regulate our blood pressure every minute. In order for blood to be delivered to all organs and tissues, our cardiovascular system must always maintain adequate blood pressure. If the blood pressure drops too low, these organs will not receive an adequate of nourishing blood. Also if the pressure goes too high, the walls of the arteries will stretch and increased activity within the baroreceptor, information will then be sent through the nerves to the cardio regulatory center within the medulla which will responds by initiating the mechanisms that decrease the blood pressure to a normal

Also, to improve patient compliance with medications, both the providers took extra time with the patient to clarify concerns. Additionally, a home BP monitoring system was installed to generate automatic BP readings to monitor improvements in blood pressure. Despite having well-planned processes, some hindrances happened due staff call-ins and home BP monitoring failure. Overall, in this cycle, a 10 to 15% improvement was observed in all four ramps (See Figure. 4).

The process of taking blood pressure bilaterally is a way to screen patients for subclavian artery stenosis. Hypertension is an important, preventable contributing risk to cardiovascular disease. 80 million adults in the US have been diagnosed with hypertension. This disease is commonly seen in adults aged 60 years and older. The rationale for taking bilateral blood pressure is that if a blood pressure is checked incorrectly or in an arm that has SCA stenosis but has not been diagnosed can lead to improper management of HTN, leading to cardiovascular risk factors presenting themselves.

After giving the patient a nursing diagnosis, the next step would be to make a plan of care for them. In planning, the nurse will set three short term goals for the patient to complete towards their healing process. In this case, three short term goals would be; first the patient will demonstrate understanding of underlying disease process and identify own risk factors that require modification within two days of nursing interventions. The nurse is aware that an intervention would be to encourage verbalization of patient and family concerns as well as their learning needs. After six hours of nursing interventions, the client will have no elevation of blood pressure above normal limits and will maintain blood pressure within acceptable limits. Monitor BP every 1-2 hours or every five minutes during active titration of

A weighing scale and a blood pressure monitor is wirelessly connected to a phone, which automatically transmits information to data center. The portability of the device gave patient more freedom and mobile. The study showed an improvement with self-maintenance (TM > UC, p=0.03) and better compliance with therapy; which then lead to improved quality of life QOL (TM > UC, p = 0.05). There is also an improvement in post- study in BNP decreased by 150 pg/mL (p = 0.02); LVEF increased by 7.4% (p = 0 .005); Self-care maintenance increased by 7 points (p = 0.05); management increased by 14 points (p=0.03); while the UC did not. No differences between the TM and UC in terms of hospitalization, mortality, or ER

The HBP-SCP is an English questionnaire containing 60 items categorized into 3 components that assess behavior, motivation and self-efficacy, that can be self-administered. A 4-point ordinal scale is used in each of the questions. Questions start with the phrases "(1) how often do you do; (2) how important you think it is to do; and (3) how confident are you in doing a particular task?" (Koh et al., 2016, p. 2). This questionnaire was specifically designed to addresses the primary aspects of hypertension self-care and management which are lifestyle modification, medication adherence, BP self-monitoring, regular visit to healthcare provider and reducing stress (Han, Lee, Commodore-Mensah, & Kim, 2015; Koh et al., 2016). This tool has construct and concurrent validity, and has been validated in the African-American population with age ranging from 30-95, 76.1% female and 61.5% High School education using 213 samples (Koh et al., 2016). A test-retest reliability assessment was done on this tool using 160 English-literate Asian population, out of which 71 completed the test-retest. The assessed scale had high internal consistency: the reliability coefficient was 0.83-0.93 using Chronbach's Alpha statistic

The mercury sphygmomanometer has been “gold-standard” for measuring blood pressure since it’s invention in 1881 (Ostchega et al, 2011). However, mercury is now considered to be an environmental risk and many hospitals and clinical practices worldwide have banned the use of mercury (Myers, 2010). There are now many mercury free alternatives to the sphygmomanometer such as the aneroid sphygmomanometer, digital monitors like the x or ambulatory blood

Blood pressure (BP) is the measure of force against the wall of the arteries as the heart pumps blood7. Blood pressure naturally rises and falls throughout the day. Blood pressure is read and recorded as two numbers, written as a ratio, 120/80 millimeter of mercury (mm Hg)7, the mmHg is the units used to measure blood pressure and the ratio is read as 120 over 80 millimeters of mercury. The top (120) number is systolic pressure which measures pressure in the arteries as the heart beats, the bottom (80) number is diastolic pressure which measures pressure in the arteries between heartbeats, as the heart is at rest7. According to the American Heart Association, systolic blood pressure rises progressively with age due to increasing stiffness of large arteries, long-term build-up of plaque, and increased rates of cardiac and vascular disease. Normal blood pressure levels are systolic, less than 120 mmHg and diastolic, less than 80 mmHg most of the time8. Prehypertension systolic levels are, 120 - 139 mmHg and diastolic, 80 - 89 mmHg8. Prehypertension are levels slightly elevated and may still increase risk for hypertension if left uncontrolled8. High blood pressure is defined as the chronic elevation in BP, therefore a repeatedly elevated systolic pressure of 140 or higher or a diastolic pressure of 90 or higher9 (p.1) . Hypertension stage one is systolic BP greater than or equal to 140 -159 mm Hg, diastolic

The patient would need to be lying down for approximately 15-20 minutes in order to enable them to rest and have no stress or activity to affect the reading. Next, I would take their blood pressure using a Doppler and sphygmomanometer, wrapping the cuff around the upper arm/brachial artery. The cuff would be inflated until the pulse stops, when the cuff is deflated the first sound made when the blood starts to come back through is when a reading will be taken. This is the systolic reading.

Blood pressure is the force exerted by circulating blood against the walls of blood vessels and usually refers to the arterial pressure of the systemic circulation. Blood pressure is routinely regulated in order to direct appropriate amounts of nutrients and oxygen to specific tissue types. For example, when exercise requires additional supplies of oxygen to skeletal muscles, blood flow to these muscles increases, while blood flow to the digestive organs decreases. Blood pressure can be altered in numerous ways, such as varying cardiac output by changing heart rate or stroke volume, or by changing the resistance to blood flow in the blood vessels. Altering peripheral resistance in the blood vessels is achieved by vasodilation or vasoconstriction, or also by changes in blood viscosity or blood vessel length. The cardiac center stimulates cardiac output by increasing heart rate and contractility. These nerve impulses are transmitted over sympathetic cardiac nerves. The cardiac center inhibits cardiac output by decreasing heart rate. These nerve impulses are transmitted over parasympathetic vagus nerves. The cardiovascular center obtains information about the body’s status through baroreceptors and chemoreceptors. Baroreceptors are sensory neurons that monitor arterial pressure. Major baroreceptors are located in the carotid sinus, the aortic arch, and the right

With the information found with what a patient’s blood pressure is, it helps health care

Approximately one in every three adult’s ages 20 years old and older are diagnosed with high blood pressure or hypertension. Hypertension affects 78 million people in the United States and is equally prevalent in both men and woman (Crabtree et al., 2013). Hypertension is a major risk factor for cardiovascular disease (Hajjar & Kotchen, 2003). It can lead to stroke, myocardial infarction, renal failure, heart failure, neurological issues, and death if not detected early and not treated properly (James, Oparil, Carter, & et al., 2014). Approximately 9.4 million deaths in 2010 were attributed to high blood pressure (Angell, De Cock, & Frieden, 2015). About 54% of strokes, 47% of coronary heart disease, and 25 % of other cardiovascular diseases are attributed to high blood pressure (Arima, Barzi, & Chalmers, 2011).