Nursing Assessment
Mr. C. is a 57-year-old businessman who was admitted to the surgical unit for treatment of a possible strangulated inguinal hernia.Two days ago he had a partial bowel resection. Postoperative orders include NPO, intravenous infusion of D51/2 NS at 125 cc/in her left arm, nasogastric tube to low intermittent suction. Mr. C. is in a dorsal recumbent (supine) position and is attempting to draw up his legs. He appears restless and is complaining of abdominal pain (7 on a scale of 0–10)
Physical Examination
Height: 188 cm (6′3′′)
Weight: 90.0 kg (200 lbs) Temperature: 37°C (98.6°F)Pulse: 90 BPM Respirations: 24/minute Blood pressure: 158/82 mm Hg Skin pale and moist, pupils dilated. Midline abdominal incision, sutures
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Adolescents use new information to solve everyday problems and can communicate with adults on most subjects | Time:7:00am- 8:30amVenue-San Jose del monte covered courtResources:•Sample of nutritious food (e.g. vegetables, milk, wheat and meat.)and in nutritious food. (e.g. salted chips and soft drinks)•Picture or illustration of a meal plan. | Oral recitation regarding proper nutrition to promote a healthy lifestyle. Oral recitation regarding the importance of proper nutrition. Oral recitation regarding enumeration of six types of nutrients Pencil and paper test regarding the Dietary Guideline |
GENERAL OBJECTIVES:AFTER 1 HOUR OF VARIED LECTURE-TEACHING, THE X FAMILY WILL BE ABLE TO ACQUIRE BASIC KNOWLEDGE, DEVELOP SKILLS ANDPOSITIVE ATTITUDE IN THE CONCEPT OF HYPERTENSION
Specific objectives.
Specifically the students will be able to: 1. Define hypertension 2. Enumerate the classification of hypertension 3. Identify the classification of BP and categories of hypertension for adults 18 and older 4. Contributing factors
Content
hypertension, also referred to as high blood pressure,HTN or HPN, is a medical condition in which the bloodpressure is chronically elevated. Hypertension is defined as a sustained elevation in the mean arterial pressure. It is oftenan asymptomatic disorder characterized by persistentelevation of blood pressure associated with the thickening and loss of elasticity in the
Pt's appearance is consistent with that stated by dispatch and pt appears to be in moderate distress due to abdominal pain. With assistance, pt is able to ambulate to gurney from the residence. Pt tracks EMS personnel as they move around him and pt is found to be alert and oriented to person, place, time, and event. Pt's airway is found to be open and pt and he is able to communicate with EMS personnel in full sentences. Pt answers all questions asked by EMS personnel appropriately. Pt's pupils are found to be PERL and no secretions are noted upon inspection of the pt's ears, nose, or mouth. Pt's trachea is found to be midline and no JVD is noted. Equal chest rise and fall are noted upon inspiration and expiration. All four abdominal quadrants are soft and tender upon palpation. A strong radial pulse is able to be palpated by EMS personnel and the pt's skin is found to be warm, pink, and dry. Pt is able to move and has sensations in all four
The book describes a healthful diet as one that includes: consuming a variety of nutrient-dense foods within the food groups; limiting intake
Hypertension, most commonly known as high blood pressure, is a disease that occurs when the force of blood flow against the walls of the arteries is too great, causing an unhealthy stretching of the walls and strain on the heart. Approximately 80 million U.S. adults have been diagnosed with having this disease, making it extremely common. Although symptoms are typically not present, hypertension is a very dangerous condition and can have a deadly effect if not prevented or treated in a timely manner.
Nonetheless, this class encourages participation throughout the entire class. Class activities include health education, discussions about cardiovascular health, time for questions and answers, and blood pressure screenings. Information covered in the class include how to maintain a healthy blood pressure, lifestyle behaviors to adopt and dismiss, and hypertension management. Both the activities and information are crucial for older adults to fully understand the importance of cardiovascular health.
Hypertension related research could be assessed using meta-analyses and randomized control trials. A combination of both will be used for this narrative review, since all three have been useful in determining JNC guidelines. Much of the research conducted has been on different interventions that include lifestyle and pharmacological treatment that have been used to reduce blood pressure and control hypertension. JNC 6 focused its efforts on improving dietary habits to avoid developing hypertension or manage it once diagnosed. JNC 7 appears to be an intermediate of the other two guidelines. It contains information on the lifestyle modifications as well as pharmacological treatment. JNC 8 is formatted quite differently that the other two and appears to be geared towards proper and prompt diagnoses of the disease, as well as forms of treatment.
I am a Doctor of Nursing Scholar at Chamberlain College of Nursing, I am currently preparing for my DNP Capstone Project on hypertension management in an outpatient setting. I am writing to you to request permission to use your tool: Hypertension Self-Care Profile for which you hold the copyright.
Incidence, prevalence, morbidity, and mortality reports are crucial when planning a hypertension prevention program in a target community. Incidence and prevalence allow for a better understanding of exactly what diseases are present and if those numbers are growing or declining at a specific time (Grossman & Porth, 2014). Morbidity and mortality “statistics are useful in terms of anticipating health care needs, planning of public education programs, directing health research efforts, and allocating health care dollars” (Grossman & Porth, 2014, p. 8). Before planning a comprehensive prevention program it would be pertinent to have an idea of the amount of individuals suffering from hypertension, the frequency of newly diagnosed individuals, the effects of the disease process on the individual, and statistics related to survival and/or
There are various resources available in the community to control the overgrowing problem of hypertension and the Mississippi state department of health continues to develop policies and programs to help reduce this number. Firstly, there are free blood pressure stations available at the county health departments, fire stations and pharmacies, so the individuals can check their blood pressure, just to stand and what should be there numbers. Secondly, most of the physicians’ offices, hospitals, health departments have numerous handouts and pamphlets explaining the hypertension in the easy terms for the people to understand, as the literacy level very low in the state of Mississippi. Thirdly, there are various campaigns held by Mississippi state health department to increase the public awareness of high blood pressure as a risk factor for cardiovascular disease, and knowing the importance of numbers. Also Mississippi restaurant association is encouraged to increase the number of low salt options on the menus. Lastly, worksites are encouraged to get the insurance plans for their employees for wellness screenings, lifestyle
In this three-part worksheet, you identify the five components of health related fitness, critique a recipe for nutritional value, and respond to two short answer questions about nutrition. Completing this assignment is a step towards gaining the knowledge needed to better manage your physical fitness and nutrition.
Hypertension is characterized by chronic elevated blood pressure1. It can be a predisposing factor or secondary to heart failure. In the US, there are 75 million individuals who have hypertension with two thirds of individuals 65 years or older diagnosed. Various factors can contribute to the development of hypertension including renal disease, thyroid disease, dysregulation of hormones, and alcohol consumption. The disease also highly correlates with age as even individuals 55 years old with normal blood pressure have a 90% lifetime risk of developing hypertension with age. Left untreated, hypertension can result in retinopathy, cardiomyopathy, and stroke with the most common cause of death being coronary artery disease. The diagnoses of hypertension is primarily done by the monitoring of blood pressure with multiple readings of systolic pressure greater than 140 mmHg and diastolic pressure greater than 90 mmHg indicating stage one hypertension1,2. The evaluation of the eyes, heart, thyroid, and renal system are also important in understanding the cause and extent of hypertension. Initial treatment involves lifestyle and diet modifications such as exercise, smoking, cessation, and limited sodium intake. Patients unresponsive to lifestyle and diet modification or have a blood pressure greater than 160/100 mmHg are recommended by the American Heart Association to begin drug therapy. Current JNC-8 guidelines dictate the goal of treatment to reduce blood pressure
Life expectancy has grown over the last 100 years. This leads to a variety of health issues and problems that affect these elder generations quality of life. According to the United States CDC, one in three American adults suffers from hypertension. With so many Americans having high blood pressure it is no surprise that hypertension is one of the most dangerous conditions, leading to death, in the elderly. Doctors often skip directly to subscription, medications to help control elevated blood pressures, but other problems can arise from these medications, like dementia. The earlier the hypertension is diagnosed, the faster doctors can help create a treatment plan individually tailored to help the sufferer.
Hypertension (high blood pressure) is a common worldwide condition that is often asymptomatic and often undetected. When the left ventricle contracts it forces blood up and into the aorta distributing oxygenated blood throughout the body. The arterial pressures are exerted for this to occur effectively. Pressures rise and fall in response to baroreceptors that make note of the filling and emptying chambers of the heart. Systolic pressure should measure 120 mm Hg and diastolic 80 mm Hg. The difference between
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.
The presentation of unwarranted hypertension in any individual medically denotes recognition and should be monitored. To be recognized as “hypertension” different criteria need to be met for different individuals. According to “The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure” a patient is considered pre-hypertensive with a systolic BP between 120-139 mmHg or a diastolic BP between 80-89 mm Hg (Chobanian, et al. 2003). For individuals older than 50 years of age, reaching a systolic BP above 140 mmHg greatly increases an individual’s risk for cardiovascular disease
The participants were chosen from different academic, urban, and rural primary care clinics. Wisconsin Research & Education network helped them locate eligible candidates based on the electronic health records from primary care offices. Then the providers mailed out letters for the researchers inviting the candidates to join the study. They also put up posters in waiting areas of primary care offices to allow people who were interested to contact the research office directly. The inclusion criteria included young adults, 18–39 years old, with a diagnosis of hypertension within the past 12 months of joining the study. They should also be aware of their hypertension diagnosis. There were two focus groups, one for each age group (18–29