Kristy's Hypertension: A Case Study

A COMPREHENSIVE HEALTH ASSESSMENT OF M. H. 4 Review of Systems M. H. states that she is generally in good overall health. No cardiac, respiratory, endocrine, vascular, musculoskeletal, urinary, hematologic, neurologic, genitourinary, or gastrointestinal problems.

Per grandmother, the client’s pregnancy, and delivery were normal. The grandmother recalls that Keisha’s developmental milestones were reached appropriately, including basic motor skills such as crawling, walking and fine motor skills such as writing. According to the client, she experienced an accident when she was nine years old. The accident affected her brain causing her to experience a coma for more than a month. It took her several months of rehabilitation to be able to return back to school. Keisha reports fatigue and/or loss of energy very often. Even after sleeping for more than twelve hours per day she feels tired every morning. She has been feeling this way for more than three years. Furthermore, the client reports that she has poor appetite, eating one or two meals per day. Due to her decrease in appetite the client reports that she lost about ten pounds since last year. Keisha mentions that her appetite has decreased since she started high school. Per client, her father abused drugs when he was younger, which included heroin and crack. She is unaware if father continues abusing drugs. Per client, her mother did not abuse any drugs while she was alive. The client reports no allergies, traumas or chronic diseases affecting her

| Review of Systems(Include both past and current health problems. Comment on all present issues.) | General Health State (present weight – gain or loss, reason for gain or loss, amount of time for gain or loss; fatigue, malaise, weakness, sweats, night sweats, chills ): She currently weighs 110lbs. No weight loss. She is well developed and nourished. No distress. States she has always been healthy, other than occasional constipation.

Stuti Patel Unitek College Ms.Brooks Classification Of Medication Sarah Jennings is a 45 years old female, 5 feet 6inches tall, 130lbs. Today she came in to see Dr. Wallace for 3-month appointment. She has been diagnosed with hypertension, diabetes, and cholesterol. Due her cholesterol medication she was asked to come in to get her liver function checked. During her visit today she mentioned to the doctor she has had knee pain for the past few days. It started after she tripped while hiking last week. Sarah also suffers with bipolar disorder, but she has been doing well with the anti-depressant she is on. She is a very sweet, tiny, determined lady who is trying her best to keep up with all her health issues. She has changed her diet and has been good with exercising daily.

Lisa is 5’4’’ tall and weighs 140 pounds. She has not been hospitalized recently and she does not have any chronic medical conditions. She explains that she does not have any health conditions that keep her from participating in activities that she does enjoy. She explains that she does not practice preventative health measures. Lisa does not have a regular physician. Lisa rated her health as a 7.2 because she believes she eats healthy. However, she is concerned because she has not been to the doctor since her twins were born eight years ago. Lisa’s health history is “excellent” because she has not had any issues since the last time she went to the doctor which was eight years ago. She states that she does not get sick easily. She explains that medical bills are very expensive and she does not believe it is necessarily important. Lisa explains that

CC Mrs. Lawson Boice is a 69-year-old female here today for a followup. HPI The patient was last seen in the office in February. Please see that note for complete details. She has several issues she would like to discuss today. She tells me that she has really been under a lot of stress of late. She had been caring for her sister, who has uterine cancer. In addition, her husband 's brother recently died, and there have been issues regarding a property they co-owned. She sold her house in New York and is now renting a house here in Portsmouth. She feels all that she has been doing is moving and cleaning. She feels that she is a little bit settled, however and is hoping that she can get back to her normal regimen. She has not been walking as much as typical, and she would like to lose a couple of pounds and plans to get back into that, as well as her physical therapy exercises that she has been doing for her neuropathy.

S.M. has been reading a lot of health promoting activities via magazines and books and has started to adapt them. She has never consumed alcohol and smoked her life. She visits the dentist twice a year and primary care physician once a year. Her last physical exam was December 18th, 2016. She visits her ophthalmologist every once a year. S.M. is up to date on all her screening exams such as mammograms. She said that she does not do self-breast exams because she doesn’t know how to perform them. Her medical history includes a hypertension, femur fracture at the age of twenty-four, and cataract. She told me that two years ago, May of 2015, she had corrective surgery to treat the cataract in India. S.M. manages her hypertension through medication, exercise, and diet. She states that she takes Valsartan (Diovan) 80 mg once a day for hypertension. She said that she is soon going to purchase a blood pressure machine so she can monitor her blood pressure daily. She says she knows what hypertension is through what the doctor tells her, but express the desire to learn more about it and its detrimental affects it can have on her health in the

She has tried multiple approaches to lose weight to include pharmacological treatment, with only short term success. She also has purchased a gym membership that she rarely ever uses. With review of systems she indicated that she does have fatigue and depression. She also had gallbladder disease that required a laparoscopic cholecystectomy. Her most recent blood sugars have caused concern for prediabetes. Her most recent attempt at losing weight was to simply reduce her serving sizes. She lost a total of 3 pounds in 2 month and has gained them back as of this

Karen just got from the hospital and it sounds like things are improving. Mike’s color has improved, they have his PH in check, he is off the blood pressure meds, and they identified one of the strains of bacteria, so they are changing his antibiotics to treat that. They still have him heavily sedated, but he has been shown some signs of responding. They are no talking about things in days, rather than hours. It sounds like he will most likely be in the hospital for 3

Physical functioning, health conditions and medical background Janet is at present in good health, although she has had to endure four surgeries: 1) quadruple bypass; 9yrs ago. 2) Operations (2014) on fractured fibula. 3) Esophageal (2012) and 5) Cesarean section in 1975, she is optimistic about her health but she lives one day at a time. She has monthly check ups with her general physician, who seems to believe that Janet is in good condition. She is currently managing her health without any medications, other than aspirin.

EVIDENCE BASED PRACTICE –PICO POPULATION INTERVENTION COMPARISON OUTCOME 112 patients were selected via systematic random sampling. Patient education programme designed to improve self-care in hypertension management (nurse-led education session plus patient information booklet)

Hypertension has been a prevalent chronic disease that has affected so many Americans. There has been approximately 35% of people who are not aware of their hypertension status (Lauziere, Chevarie, Poirier, Utzschneider, & Belanger, 2013). Hypertension has been linked to other diseases such as dementia, cardiovascular, renal and eye disease (Lauziere, Chevarie, Poirier, Utzschneider, & Belanger, 2013). Hypertension can be caused by high sodium intake, high alcohol consumption, low levels of physical activity, obesity, and smoking that could lead to complications (Lauziere, Chevarie, Poirier, Utzschneider, & Belanger, 2013). Patients who are non-adherence to the BP medications are contributing to inadequate HTN control. As a future nurse practitioner,

Consumer stated that her meeting with “KM” benefit specialist was “very good”. Consumer stated that her week was “ok”. Consumer reported that she is happy that her brother will be discharge from the hospital as of tomorrow. Consumer stated that she hopes that her brother will deal with his issues differently after his experience with the inpatient hospitalization. Consumer stated that she takes her medications as prescribe and that she does not have any side effect other than feeling “little tired” during the day. CM explained to consumer that she may experience some side effect with her medications in the beginning. Consumer stated that she is aware of that and that she understands that she has to wait for another couple of weeks before considering changing any of her medications.

After three consecutive measurements of Mr. Hightower's blood pressure with the same blood pressure machine, his BP remains in the range of 140's - 150's/80's -90. Mr. Hightower denies "white coat syndrome", a condition in which a patient's anxiety causes an increase in his/her blood pressure in a medical environment. Katzung (2015) defines hypertension as the most common vascular disease (p.169). It affects both men and women equally. According to Katzung (2015), 60-80% of men and women will develop hypertension by the age of 80 (p.169). Hypertension increases the risk of organ damage. Effective treatment is important to reduce overall morbidity and mortality. Edmunds (2009) reports that antihypertensive therapy has been associated with significant

Shock is common manifestation of EVD severity and possible lethal pathway45. This state require aggressive volume resuscitation and, when caused severe blood loss,