2.2HYPERTENSION
2.2.1DEFINITION:
Hypertension has been defined as systolic pressure >140mmhg and diastolic pressure >90mmhg based on the average of two or more correct blood pressure measurement taken during two or more contacts with a health care provider (Chobania et al,2003).
2.2.2 CLASSIFICATION:
It has been classified by the seventh report of the Joint National Committee on Prevention ,Detection, Evaluation and treatment of high blood pressure(JNC, 2003)
TYPE MEASUREMENT(mmHg)
Normal 120/80
Pre-hypertension 120/80-139/89
1st stage 140/90-159/99
2nd stage >160/100
2.2.3 SIGNS AND SYMPTOMS
Hypertension is called "the silent killer" because often there are only mild symptoms and sometimes no noticeable symptoms at all.
Symptoms of high blood pressure include headache that worsens when bending over, general weakness and fatigue, bilateral swelling of the ankles, chest pain with occasional shortness of breath, palpitations and sweating. Often hypertension has no symptoms at all, and the only way to accurately determine whether you have a problem is to have your blood pressure checked regularly by a qualified health professional (Avenue Group, 2009).
2.2.4 FACTORS CONTRIBUTING TO HYPERTENSION IN POSTMENOPAUSAL WOMEN.
Genetic factors, environmental factors, and change in sex hormone levels have each been implicated in the development of hypertension. Interactions between gender, the genetic background, environmental factors, and changes in sex hormones have been
A normal blood pressure reading should be between 80-89 for the diastolic reading. A diastolic reading of the blood pressure being higher than 90 would be considered hypertension. A diastolic blood pressure reading below 80 is considered hypotension.
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.
Stage 2 hypertension is described as a Systolic blood pressure of greater than or equal to 160 mm Hg or a Diastolic blood pressure of greater than, or equal to, 100 mm Hg.
Because hypertension can be asymptomatic, it is necessary to increase awareness of such a harmful condition. The lack of symptoms in individuals who have high blood pressure is a serious challenge that public health officials in the United States must face. [1]. High blood pressure is a grave problem in the United States because it affects many
High blood pressure causes vary from person to person. Some of the main causes of high blood pressure are genetics, diet, family history, weight, and use of too much salt. Genetics and family history of high blood pressure go hand in hand. Since family members share lifestyles and genes, that can influence their risk for this disease. Some characteristics that are out of your control that can affect the risk for high blood pressure include, age, race, or ethnicity. Although African Americans develop high blood pressure more often than Whites, Hispanics, Asians, Pacific Islanders, American Indians, and Alaska Natives, the lifestyle one lives can
Hypertension is sometimes referred to as the silent killer (Aycock, Kirkendoll, & Gordon, 2013). Today it is a public health problem. According to the American Heart Association 2013 Statistical Fact Sheet (2013), one out of every three adults has high blood pressure, which is estimated at 77.9 million people (AHA, 2013). High blood pressure is also referred to as hypertension. Hypertension is a prevalent medical condition that carries with it the risk factor for increased chances of heart disease and stroke (Gillespie & Hurvitz, 2013). Hypertension remains one of the top 10 causes of worldwide disability-adjusted life years (as cited in Drenjančević-Perić et al., 2011). For the estimated 348, 102 deaths in 2009, high blood pressure was listed as the primary or contributing cause of death (AHA, 2013). Despite the health risk associated with hypertension, the diagnoses of high blood pressure continue to rise. By 2030, hypertension is expected to increase by 7.2% from 2013 estimates (AHA, 2013).
Hypertension affects 1 in every 3 adults in the United States. In addition, 25% of the adults have prehypertension (Whitt-Glover et al., 2013). The disease can go undetected for years until a stroke or any other cardiovascular related emergency occurs. This is because undetected and/or untreated HTN causes damage to blood vessels and other essential body organs like the kidney.
As the blood is forced throughout our body, there is a pressure that is exerted on the walls of our arteries, this is known as blood pressure. We see blood pressure represented as two numbers, the systolic (top) and the diastolic (bottom) numbers. The systolic blood pressure is the heart contracting and the diastolic is the heart relaxing. A normal, healthy, blood pressure would be written as 120/80 mmHg (millimeters of mercury) or verbally expressed by most individuals as 120 over 80. Our blood pressure can vary depending on many things. When the diastolic or systolic pressure is high, or significantly and consistently above 120/80 mmHg, this is what we call hypertension. There are different stages or degrees of hypertension. Lippincott Williams and Wilkins (2010) describes the stages as the following:
Blood pressure is taken in order to assess any precautions for treatment. An elevated blood pressure between the ranges of 130-139/85-89 mmHg is known as prehypertension. Prehypertension is a health concern due to an increase risk for cardiovascular disease and organ damage if continued left untreated. Cardiovascular related events associated with prehypertension include heart failure and myocardial infarction. Prehypertension can be caused by an increased amount of stress, lifestyle changes, or can be caused by a secondary disease. Factors that can influence high blood pressure include obesity, smoking, alcohol, excessive sodium intake, lack of physical activity, and diet. Secondary diseases associated with high blood pressure include diabetes mellitus and kidney disease.
High blood pressure AKA Hypertension is inflicting damage to the guts, kidney, and brain, despite the fact that there are not any visible indicators noticed nor the patient feels no symptoms.
Hypertension is the medical term for high blood pressure. A normal blood pressure is 120/80. A blood pressure reading higher or equal to 140/90 is considered abnormally high. Elevated blood pressure means your heart is working harder than normal, putting both your heart and arteries under great strain. High blood pressure is serious business.
Hypertension is a very common problem, affecting 1 billion people worldwide, with 50 million cases in the United States, and one third of cases going undiagnosed. 1% of the cases will experience a hypertensive emergency in their life. (1,2)
Hypertension is a common health problem especially among people over age of 60 years. This disease is diagnostic when a patient blood pressure is more than 140 to 159 over 90 to 99. Blood pressure refers to the pressure that blood applies to the inner walls of the Diabetes is an endocrine system disorder that occurs when the body is unable to control or balance the amount of sugar in blood and within bodily tissues. You know that the human body is like a machine, with organ systems that are specialized in certain functions, and interact with each other to allow all vital functions to happen. For the body to stay healthy, it is essential that its internal environment is stable and balanced despite the different changes that can occur inside
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.
Hypertension is defined a consistent elevation of the systolic blood pressure above 140mmHg, a diastolic pressure above 90mmHg or a report of taking antihypertensive medication. Early diagnosis and effective management of hypertension is essential because it is a major modifiable risk factor to cerebrovascular, cardiac, vascular, and renal diseases. The higher the blood pressure, the greater the risk for heart attack, heart failure, stroke, and kidney disease.