Hypertension in old age is one of the biggest issues that adversely impact on health and overall productivity of the human life (Cote, Gregoire and Moisan, 2000; Gabriel, et all, 2010). However still it consider a normal practice and as a part of old age. It is observed that 64% of men and 69.3 of women were facing high blood pressure level during 65 to 74 years age. While more than 75 years old age ration of blood pressure is 66.7 and 78.5 in men and women respectively (high blood pressure facts). The adverse effect of the blood pressure includes: first heart attack, first stroke, Chronic (heart failure) and kidney disease etc. Therefore there is need to have special medial consideration focusing on improving the treatment of the health …show more content…
Patient 's willingness, the ease or difficulty of methods, the exact use of information, the availability of means to provider - are some of the vital features on which such measures & clinical practices depends.
Various strategies, some general reviews of advantages, related issues with antihypertensive medication and restrictions of present methods that are usually used to evaluate such medication dependency are discussed as below.
Medicine pill count, pharmacy visits, various electronic monitoring system, self-management and reporting are included within indirect methods, that are used in evaluation of such medication adherence in patients who receives medical treatment without being admitted.
Direct methods consist of direct assessment or observing of the patient or use of bio-assays and laboratory tests of the drugs. All of the above methods obviously have certain advantages & drawbacks at the same time; hence, both methods are used simultaneously to obtain precise assessment of such medication reliance.
Question
The research question would be if the health care management programs are effective in reducing blood pressure in patients with hypertension so that they can live a healthier life.
Study Aim
The study helps in providing the effective solutions and contribution of the trained nurse focusing on supporting patient and help in improving the quality of life. It helps in
It is therefore advisable that the doctor should be sought to monitor the prescription. If the patient is feeling that he or she is
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.
Hypertension, also known as high blood pressure, has become a major risk factor for several types of heart disease across the globe. In the United States alone, nearly 70 million adults have been diagnosed with this condition [1]. Hypertension is a condition in which arterial walls experience extreme force from blood flowing through; long-term force against artery walls will lead to more serious health problems such as stroke, renal failure, and other cardiovascular diseases [2]. If the proper steps to treat hypertension are not taken, patients have a high risk of developing atherosclerosis, a condition that causes arteries to harden significantly. Smoking, obesity, lack of physical activity, high alcohol consumption, and high sodium intake are factors that may cause an individual to be diagnosed with hypertension [3] Detection of hypertension is crucial in order to reduce the incidence of death by cardiovascular disease [1].
The concern on whether anti-hypertensive’s should be withheld in patients who are hypertensive has been debatable in the recent past. Generally, the treatment of hypertension among hospitalized patients is basically an opportunity to enhance the recognition and treatment of blood pressure (Axon, Nietert & Egan, 2011, p.246). This is mainly because hypertension is a basic risk factor for heart diseases, stroke, and death whose impact is widespread to nearly 70 million adults in America. There have been numerous educational initiatives and publication of treatment processes to address this condition in the past few decades. Despite these measures, nearly 39 million Americans are at risk of hypertension because they have not reached their desired or optimal blood pressure.
Nursing care is focused on the assessment, nursing diagnoses, planning, implementation, and evaluation of patients. This nursing process can also be implemented in aspects outside of nursing and on the nursing field as a collective group. The nursing role is evolving, following the process the outcomes have to be evaluated and put into perspective. Research is being completed the conclusions are all the same, the higher education of nursing care the better the patient outcomes.
The two priority problems for Mr. George are Hypertension and Diabetes (hyperglycemia). It has been demonstrated that arterial hypertension is major important determinant of heart diseases. The pathogenesis of hypertension is linked with multiple factors that include dietary, genetic, and patterns of lifestyle. The biological factors that determine hypertension include: atherosclerosis, resistance to insulin; hyper-responsiveness towards adrenalin based stimuli and dysfunction of endothelial cells. It was studied that the evidence suggests that decrease in the ratio of prevalence of high blood pressure gives rise to reduced ratio of cardiovascular related mortalities. It can be achieved through intervention with suitable medical therapy (Villalpando et al., 2010).
The major health problem selected for this project was hypertension (Harrison et al, 2011). It is identified as a cardio vascular disease risk factor such as dementia, chronic kidney disease, coronary heart disease, and stroke (NICE, 2011). It can be missed easily, as in various instances it is asymptomatic as well as it is also known as a silent killer. The Hypertension is thought to be a disease of vascular regulation ensuing from arterial pressure control mechanisms malfunction (extracellular fluid volume, rennin-angiotensin-aldosterone system, and CNS) that results in elevation of BP by means of enhanced peripheral vascular resistance, and cardiac output. There are 2 basic hypertension types. Around 90 to 95 percent of the individuals have primary hypertension which is linked with change in lifestyle as well as needs medical treatment. On the other hand, 5-10% has secondary hypertension which is linked with various other diseases for instance pregnancy, thyroid, and renal (Haslam and James, 2005). It is estimated that around 1 in 20 adults will have increased BP of 160/100 mmHg and above that results in either more than one predisposing aspects (Gemmell et al, 2006).
The following section is broken into six subsections that will assess how each topic relates to JNC 6, 7, and 8. The subsections are organized into the following: algorithms, classification of hypertension, lifestyle modifications, pharmacological treatment, and management of care. It is important to note that JNC 6 and 7 have a greater correlation in format and the types of recommendations presented to clinicians. Contrastingly JNC 8 varies in format, as well as the type of recommendations presented to clinicians, therefore each of the subsections may not contain information on JNC 8.
Investigate and clarify how the patient meets criteria for the disorder(s) as per the patient 's side effects and the criteria sketched out in the symptomatic manual.
recognized. I believe that that all aspects should be assessed in order to make the best
According to Pepau the goal of nursing is to help the patient find their felt problem. The nurse and patient work together therefore they develop relationship between each other’s. These two individuals with common aim have interpersonal relation. Nursing is therapeutic in that it is a healing art, assisting an individual who is sick or in need of health care ( Pepau 1952). Nurse plays several roles in this relationship. As a resource person, nurse gives adequate information that help patient understanding of issues. As a counselor: a nurse helps patient to incorporate the sense of current life change event, and provides advice for change. Nurse plays role of leader by making sure patient undertakes maximum engagement to achieve treatment goals.
Reduction in the rate of cardiovascular events and total mortality has been accomplished by decreasing BP in hypertensive patients with the help of pharmacological treatment, however, it involves ambulatory elderly patients with few comorbidities and few medication use.
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.
Franklin et al., (2001) examined the association of diastolic blood pressure (DBP), systolic blood pressure (SBP), and pulse pressure (PP) among different age groups from 20 years to 79 years. Participants less than 50 years were at high risk of coronary heart disease (CHD), 50 to 59 years were at moderate risk and 60 years and older were at the highest risk of CHD. The study stated that DBP and SBP of people change as they aged. Participant’s high-density-lipoprotein (HDL) cholesterol was also measured and it indicated that older population has a higher risk of CHD than the younger population. It was concluded that the burden of cardiovascular disease begins to manifest before middle-aged. The use of preventive measures in early life
The two major types of hypertension are primary and secondary. Primary hypertension accounts for more than 90% of all cases and has no known cause, although it is hypothesized that genetic factors, hormonal changes, and the altercations in sympathetic tone all may play a role in its development. Secondary hypertension develops as a consequence of an underlying disease or condition. The prevention and treatment of hypertension is a major public health issue. When blood pressure is controlled, cardiovascular, renal disease, and stroke may be prevented. The JCN, reported more than 122 million individuals in American are overweight or obese, consume large amounts of dietary sodium and alcohol, and do not eat adequate amounts of fruits and vegetables; less than 20% exercise regularly. Both modifiable and non-modifiable factors play a role in the development of hypertension