Ambulatory Blood Pressure Research Paper

The importance of manual blood pressure readings are often overlooked, even by experienced healthcare providers. Manual blood pressures closely approximate a person’s direct arterial measurements. However, there have been studies that

(Marieb and Hoehn, 2010, p 703) defined Blood Pressure (BP) as ‘the force per unit area exerted on a vessel wall by the contained blood, and is expressed in millimetres of mercury (mm Hg)’. BP is still one of the essential and widely used assessment tools in healthcare settings. Nurses generally record the arterial BP which is the forced exerted blood that flows through the arteries, to establish a baseline and to determine any risk factors. BP

However, due to the United States’ aging population, along with an increasing prevalence of obesity, diabetes is on the increase. Of the approximately 313 million population count in the United States, 97 million adults are overweight or obese. “Both excess body fat and physical inactivity predispose to type 2 diabetes. Several ethnic groups are particularly susceptible to Type 2 diabetes” (Scott 1134). Hispanics, blacks,

Due to discrimination, hypertension is widely dominating in minorities. Back in 2007, it had been reported that 24 million individuals suffering from this condition are African Americans alone (Hall 210). In a

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.

Evidence suggests that when compared to the other vital signs RR is considered to be inferior, and is consequently irregularly charted or neglected all together (Cooper, Cant & Sparkes, 2012). The perception of blood pressure as a first indication of patient deterioration it more highly regarded, while time restraints, lack of expertise and lack of monitoring equipment are the source to blame for why RR is not measured correctly by a Registered Nurse (Mok et al; 2015). This puts a greater emphasis on why nurses need to have a great understanding of the implications of inaccurately measuring patients RR, especially as they can lead to an adverse

life or death. Knowing the chances and the odds is important so we can become aware and

Ms.[Name] returns today. She relays that she is doing well. She is having troubles with her weight, as we discussed it.

America is in one of its most violent wars, and up to this point it is losing miserably. Our obsession with salt is killing us and the numbers will continue to rise unless we get a grip on sodium intake and deduce our levels substantially. We are not without hope there are various things we can do to lower High Blood Pressure (HBP). We will look at some of the recommendations that will help us to live healthier and productive lives well into our twilight years. It will take some radical lifestyle changes, but the sooner we start the better our quality of life will be.

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

The patient should be seated with the feet flat on the floor. The BP is obtained in both arms,

Puzzle of Hypertension in African-Americans” (Cooper, et al. 1999). One key piece of this puzzle is

Blood Pressure Similar to how researchers observed the short-term effects of resistance training on blood pressure, other researchers studied these effects for a longer period of time while varying the volumes, intensities, and duration of each exercise in the experimental exercise protocol. Because the studies took place for a longer duration of time, typically researchers utilized a lower to moderate intensity level in order to ensure that their subjects did not suffer any medical complications from a very high intensity exercise regimen for a long duration. Drenowatz et al., Kim et al. and Rondon et al. observed a decrease in blood pressure after the resistance training protocol. In addition to a drop in resting systolic and diastolic blood

The hypotension is a condition in which the blood pressure is much lower than the values considered being normal. Blood pressure varies from person to person. In general it is considered hypotension a condition in which the maximum pressure (or systolic) is equal to or lower than 90 mmHg and the minimum (or diastolic) is equal to or less than 60 mmHg. The hypotension causes are multiple and different significance: therefore vary from a trivial dehydration to more serious disorders. Low pressure is a disorder that can affect any person regardless of age.

Based on a gold standard guidelines developed for the definition of normal and EBP in children and adolescents, accurate diagnosis of EBP requires adjusting the values for age, gender, and height(9). This adjustment requires measuring the child’s height, determining the child’s height’s percentile based on national or international height tables, measuring and recording the child’s blood pressure (BP), and finally checking if his BP falls within or above the corresponding BP percentiles in the BP tables. This cumbersome process makes the interpretation of the BP level time consuming and too complex to be applied in everyday pediatric clinical practice(10,11). Providing simple approaches for interpreting BP levels in childhood and adolescence would encourage health care providers to include blood pressure