Blood pressure is the force exerted by the blood against the walls of blood vessels, and the magnitude of this force depends on the cardiac output and the resistance of the blood vessels. When the systolic blood pressure (SBP) which is the pressure as the heart pumps blood around the body is 140 mm Hg or more, or a diastolic blood pressure (DBP) which is the pressure as the heart relaxes and refills with blood, is 90 mm Hg or more, and the individual is taking antihypertensive medication, it is called Hypertension (Madhur, 2014). High blood pressure is a major risk factor for various other illnesses and even death due to several cardiac and vascular diseases. It is assessed that about 54% of strokes, 47% of heart attacks, 75% of hypertensive disease, 25% of other heart disease, 13.5% of all mortality, and 6% of morbidity are linked to Hypertension (Khraim & Pike, 2014). Hypertension affects about 70 million adults in the United States. Only about half (52%) of people with hypertension have their blood pressure under control. Nearly 1 in 3 American adults have prehypertension which means that blood pressure numbers are greater than usual, but not in the high blood pressure range. Hypertension costs the country about $46 billion annually. This comprises the cost of health care services, drugs to treat hypertension, and days of absence from work (CDC, 2015).
Pathophysiology of the disease
The pathogenesis of essential hypertension involves various elements and is extremely
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:
The Spirit Catches You and You Fall Down is a story that portrays the life of a young Hmong girl named Lia Lee and her battle with heritage and the medical profession. The novel displays two interchanging story lines. One story line exhibits the life of a young girl named Lia Lee and her family as they live as immigrants in the U.S, and the other story line displays the Hmong heritage history. Both of these storylines come together and the novel shows how the two are interchangeable.
Planning an anniversary party is a strenuous task. Joseph wants to plan the greatest party ever for his parents, but in order to accomplish this feat, Joseph is faced with a kaleidoscope of decisions including location, food, and people to invite. All of these are necessary elements of a party. Since Joe’s friends and relatives are helping him with the party, they offer suggestions on what they think these key elements should entail. Moreover, since Joe is in charge of the party, he has the right to say yes or no to these ideas. This ability for Joe to say yes or no is similar to the power of the United States President's veto.
The two works of art that have been chosen to compare and contrast are The Palette Of Narmer and Apollo of Veii. The Palette Of Narmer dates back to the Hierakonpolis Dynasty 1 in 3100 BCE. The Palette of Narmer is interesting because it is the oldest historic work of art that names a person, and is the earliest piece of art that uses hieroglyph. This artwork depicts the dawn of a new age of man and his use of writing and pictographs in art. The statue of Apollo, from Veii comes from the Etruscan art period Apollo was created around 500 BCE. It was created by a very popular sculpture of his time, by the name of Vulca. The delicate technique of firing clay is fascinating. A sculptor of Vulca’s ability was required to know how to construct
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.
Hypertension (HTN) is a chronic cardiovascular condition that is characterized by high blood pressure. The blood pressure commonly abbreviated as BP is a measure of the force exerted on the blood vessels as the blood passes through them. The amount of blood pumped and the narrowness of ones’ vessels are directly proportional to the blood pressure (Mayoclinic staff, 2014).
High blood pressure (hypertension) is a major health condition which affects many Americans. This health condition may increase the risk of cardiovascular disease and stroke. A normal blood pressure consists of systolic blood pressure divided by diastolic blood pressure, 120/80mmHg (millimeters of mercury). High blood pressure is defined as systolic pressure which is greater than 140mm Hg, and diastolic pressure which is over 90mm Hg. Hypertension influences the health outcomes of black Americans more than other races in the United States. Racial discrimination and socioeconomic status are two major factors which influence the rate of high blood pressure in the black American population.
High blood pressure increases your risk for heart disease and stroke, two leading causes of death for both Florida and the United States (Centers for disease control, 2017). High blood pressure, also called hypertension, is known as the “silent killer” because it often has no warning signs or symptoms, and many people do not know they have it. Hypertension damages blood vessels in the organs, reducing their ability to work properly (National institute of diabetes and digestive and kidney diseases, 2016). About 1 of 3 U.S. adults—or about 75 million people—have high blood pressure. Only 54% of these people have their high blood pressure under control (Centers for disease control, 2017). Hypertension education, which focuses on controlling the disease with medication, diet, and losing weight, is important in preventing or delaying the progression of serious complications. Most people diagnosed with hypertensive disease will need to see a medical professional who will recommend lifestyle changes to help you control and prevent high blood pressure (Ignatavicius & Workman, 2006, p. 1742).
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).
According to the Centers for Disease Control and Prevention (CDC) (as cited in Kear, 2015), hypertension is a common, long term health condition that affects over one billion people worldwide and 76.4 million adults in the United States. Hypertension is classified as having a systolic blood pressure of or greater than 130 mmHg and a diastolic blood pressure of or greater than 90 mmHg (Kear, 2015, p. 182). As a nurse you will encounter many patients that are hospitalized with hypertension and co-morbidities related to. As this is a chronic disease, patient compliance, prognosis, and future healthcare cost are contingent upon treating this issue as it can significantly affect the patient overall health status. Hypertension is a “silent killer” as many people are living with hypertension and are unaware of having this disease process. The cause of hypertension may be multi dynamically related to lifestyle risk factors such as, diet, exercise, familial history, stress, occupation, and the list goes on. Managing hypertension is a multifaceted approach as it consists of a collaboration with multiple healthcare providers the doctors, nurses, dietitian, the patient, the family, as well as other environmental factors that affect compliance and adherence (Kear, 2015). Hypertension can lead to several debilitating diseases such as heart attack, stroke, blindness, kidney failure just to name a few and it should be monitored and treated early to prevent any
High Blood pressure is very common; more than 50 million American adults have high blood pressure or hypertension that is one-forth of the adult population. That translate into, roughly one in every four American adult has some form of high blood pressure or they have hypertension. The segments of the population most affected by high blood pressure are males, diabetics, elderly persons, people of Hispanic origin, and people living in the southern regions of the United States. In addition, those persons with associated chronic illnesses such as emphysema; chronic stress syndrome, diabetes and similar illness are also in
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.
According to a recent Centers for Disease Control and Prevention (CDC) (2016) report, one out of three Americans suffers hypertension (HTN), and that accounts for 75 million or 29% of the adult population in the United States (U.S). All told, hypertension costs America 48.6 billion dollars in health care expenditures, medications, and missed days of work among the American population (CDC, 2016). According to the Texas Health Data (2013), death rate among 26,448,193 residents of Texas, 170.1 deaths are related to hypertensive heart disease (HHD). The AHRQ (2013) health expenditure data demonstrates that the southern region of the United States, which includes Texas, exceeded the average health expenditure of $805 per hypertensive person.
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.
Approximately one in every three adult’s ages 20 years old and older are diagnosed with high blood pressure or hypertension. Hypertension affects 78 million people in the United States and is equally prevalent in both men and woman (Crabtree et al., 2013). Hypertension is a major risk factor for cardiovascular disease (Hajjar & Kotchen, 2003). It can lead to stroke, myocardial infarction, renal failure, heart failure, neurological issues, and death if not detected early and not treated properly (James, Oparil, Carter, & et al., 2014). Approximately 9.4 million deaths in 2010 were attributed to high blood pressure (Angell, De Cock, & Frieden, 2015). About 54% of strokes, 47% of coronary heart disease, and 25 % of other cardiovascular diseases are attributed to high blood pressure (Arima, Barzi, & Chalmers, 2011).