TEXILA AMERICAN UNIVERSITY
CAPSTONE PROJECT ON
PREVENTION OF HYPERTENSION THROUGH HEALTH EDUCATION BY THE UTILIZATION OF HEALTH INFORMATION TECHNOLOGY.
SUBMITTED BY: OGUNSUYI GLADYS OBIAGELI.
APPLICATION NO: 15112.
SUBMITTED TO THE: TEXILA AMERICAN UNIVERSITY
IN PARTIAL FULFILLMENT OF
THE REQUIREMENTS FOR THE DEGREE OF
MASTER OF SCIENCE IN NURSING.
APRIL, 2016.
ACKNOWLEDGEMENT I sincerely express my gratitude to all who have helped me in the completion of my CAPSTONE PROJECT. Firstly, I express my profound gratitude to the Almighty God and our management for giving me the opportunity to do my capstone project at Obafemi Awolowo University Teaching Hospital (Wesley Guild Hospital, Ilesa). I also thank the Medical and Nursing staff who assisted me in gathering information for this project.
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As many as 40 million Nigerians have hypertension defined as having a systolic B/P of 140mmHg or greater and having diastolic B/P of 90mmhg or greater. Huge amount of money is being spent annually for medications, hospital visits and laboratory test related to treatment of hypertension in Nigerians. The aim of this study is to emphasize the importance of health education in the prevention of hypertension by making use of Health Information Technology. The study was conducted using General Out Patient Department of OAUTHC Wesley Guild Hospital, Ilesa, Nigeria, integrating Health Education, Nursing Informatics and Ethical Issues in Nursing Practice from the 3 block studies. From the study, it is clear that improved lifestyle, physical activity, less intake of salt and processed fatty foods, avoidance of alcohol and tobacco intake, low fat, high fibre diet with fruits & vegetables and health education will help reduce the incidence of
This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role
The staff employed in a medical facility depends on many things to keep the quality of patient care in the positive and efficient. Physicians and nursing need the current and most
In the United States we are very fortunate. For the most part we do not live in fear of disease outbreaks from day to day. Our government along with the Centers for Disease Control and Public Health Departments have managed to have adults and children vaccinated and set up recommendations regarding those vaccinations. Despite all that is done our country allows freedoms. One of these freedoms is to not vaccinate your child from communicable diseases due to personal beliefs. With the worlds populations becoming more mobile, that sets your child up for dangerous encounters; because some countries are not as strict on laws regarding vaccinations and some
Measles was discovered in the 19th century by a Persian Doctor, but was not recognized until 1957 as an infectious agent in human blood by a Scottish physician. In 1912 measles became a notifiable disease and in the first decade that records were kept there was on average 6,000 deaths per year reported from the disease. (Center For Disease Control). There is no definite origination of measles but scientists believe that it dates back to the Roman Empire about the 11th and 12th century (NCBI, 2010). The first outbreak known in America was in 1657 in Boston,
Prevention can be found through your physician, and daily living, and by researching the internet.
Chesterfield County, Virginia has a population of about 328,000 as of January 1, 2014 with 752 people per square mile. There was a 3.6% increase in the population from April 1, 2010 to July 1, 2013. 65.4% of the population is white non-Hispanic, 21.6% are black non-Hispanic, 7.2% are Hispanic, 3.2% are Asian and 2.1% are two or more races. In 2012 there were 3657 births and 1654 deaths in Chesterfield County. They are rated as being safer than 50% of the cities in the US with 41 violent and 1049 crimes against property (Crime rates for Chesterfield, VA, n.d.).
The purpose of this paper is to identify one health problem that is most prevalent in my community. Residential demographic information will be provided. I will use Milio's framework for prevention to analyze this health problem. Then, compare the health problem to Healthy People 2020 national goals. Lastly, I will introduce one long term goal and three short term goals with their interventions.
The patient decrease the number frequent snacks and now she eat only one snack in addition she didn’t put sager in her tea cup also as mother of children she decrease the cariogenic food in the home and do for her children healthy meal like she do vegetable salad and fruit salad more she stop the juices that only contain flavor and sager in the home , more over the patient use xylitol gum three time a day and she keep use fluoride toothpaste twice a day and she receive office topical fluoride also the patient use chlorhexidine for one week and she go to take dental appointment for dentist for the cavity treatment and also she go to take appointment for dental hygienist and that increase the protective factors and that is good and patient
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%,
African American has been plague with hypertension, otherwise known as high blood pressure or the “silent killer” for decades. It is estimated that approximately 72 million Americans - almost 1 in 3 adults – are affected by this disease (National Heart Lung Blood Institute (NHLBI)). However, hypertension is more common in African Americans than Whites and other ethnic groups for the different classifications of blood pressure levels. According to Rosamond et al., 2007” African Americans have the highest prevalence rate of hypertension in the world. For example, a national survey in the US, found that the age-adjusted prevalence of hypertension was 78.7% for non-Hispanic blacks, 46.7% for non-Hispanic whites, and 41.8% for Mexican-Americans
A community health assessment is a fundamental instrument of public health practice. Its objective is to depict the health of the community, by presenting information on health standing, community health needs, resources, and epidemiologic and other studies of present local health problems. It seeks to recognize target populations that may be at augmented risk of poor health results and to increase a better understanding of their needs, as well as evaluates the larger community surroundings and how it relate to the health of people. It also identifies those areas where better information is desired, particularly information on health differences amid different subpopulations, quality of health care, and the incidence and severity of disabilities in the population. The Community Health Assessment is the foundation for all local public health development, giving the local health component the instance to recognize and network with key community leaders, businesses and concerned residents about health priorities and concerns. This information shapes the foundation of improving the health status of the community by way of a strategic plan (The Municipal Public Health Services Plan Community Health Assessment Guidance and Format, n.d.).
The community chosen for this health assessment is Odessa, Missouri. Odessa is located in rural Missouri, east of the Greater Kansas City area. The small population of Odessa citizens making up a tight knit community. This small community was chosen to look at the population diversity, health concerns for this community and other rural populations and how this community comes together, working together to battle these concerns.
This paper will identify the use of Electronic Health Records and how nursing plays an important role. Emerging in the early 2000’s, utilizing Electronic Health Records have quickly become a part of normal practice. An EHR could help prevent dangerous medical mistakes, decrease in medical costs, and an overall improvement in medical care. Patients are often taking multiple medications, forget to mention important procedures/diagnoses to providers, and at times fail to follow up with providers. Maintaining an EHR could help tack data, identify patients who are due for preventative screenings and visits, monitor VS, & improve overall quality of care in a practice. Nurse informaticists play an important role in the
Hypertension is widely considered to be one of the most important risk factors of cardiovascular diseases (angina, arrhythmia, etc.). It is the second leading disease that causes mortality in the world. Hypertension is the condition when there is an increase in the force of blood on the walls of vessels. It can also be defined as an arterial blood pressure that is raised above 140/90 mm Hg (systolic/ diastolic BP). Hypertension can be classified into Secondary hypertension and Essential hypertension. When specific cause is evident but heredity, and various physiological parameters play a role in increasing blood pressure is known as Essential Hypertension. Secondary Hypertension is one where the cause is known. According to WHO guidelines between 2006 and 2015, deaths due to cardiovascular diseases are expected to increase by 17% while the deaths from infectious diseases, nutritional deficiencies, maternal and prenatal conditions are projected to decline by 3%. The main causes of hypertension includes the age ,hereditary, gender, extra weight, alcohol consumption, stress life, lazy life etc.
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