Regulating Hypertension Through and Activity and Exercise Intervention The nursing process is an array of steps that provides a formulated structure for the professional nursing practice to adhere by in order to provide exquisite care for every patient (Ackley, Ladwig, & Makic, 2017, p. 2). It is used in a variety of nursing situations. The author will use this process to gather information from her family to analyze a problem within her own medical history. The risk for a disease is found using a genogram. Hypertension was determined to be the most prevalent disease based on the assessment of each family member and through her strengths and risks. Through the steps of the nursing process, the author will assess the disease entity …show more content…
These patterns assess an individual’s health status to see if there is a possible problem the may need the assistance of a nursing intervention. It uses the strengths found in a situation to aid in solving the identified problems (Gordon, 2008,1). The health pattern that will be addressed in this paper to help with the hypertension prevention is the Activity-Exercise Pattern. Although the Nutritional-Metabolic Pattern could be used as a health promotion intervention, the Activity-Exercise pattern is a more realistic way for the author to maintain a healthy blood pressure. The reason in which it would be harder to follow the Nutrition-Metabolic Pattern for the author is that there is no access to a kitchen, meaning that all of her food must be prepared for her, making it difficult to monitor her food intake. According to Gordon (2008), the Activity-Exercise Pattern is important for the reason that it is “one of the major activities of daily living. When challenged by illness, it can affect nearly all other health patterns” (p. 45). Physical fitness correlates with lowering the rate of obtaining hypertension. (Faselis et al., 2014).
Current Practice and Intervention The Activity- Exercise pattern was chosen because it is the most realistic way for the author to monitor her blood pressure. Currently the author exercises for about 45 minutes, 2 times a week. Through a family practice, the author has
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* Physical exercise was recommended as well. Previous research has proven that physical exercise and good diet can efficiently control the patient blood pressure.
Closely linked to this decision-making model is the ubiquitous nursing process. The nursing process includes data collection and documentation, analysis of the data to determine current condition and real or potential health related issues, development of an individualized plan of care to deal with these issues, implementation of that plan of care, and evaluation of the plan of care to determine its effectiveness and adjust the plan as needed. (Blais, Hayes, Kozier, & Erb, 2006)
Kaakinen et a. (2015) states every family has a story about how the potential or actual health event influences its individual members, family functioning, and management of the health event. Nurses are charged with gathering, sifting, organizing, and analyzing the data to craft a clear view of the family’s story. Family assessment begins from the first moment that the family is referred to the nurse. It is important for nurses to filter data gathered in the story through different views or approaches, which affects how we think about the family as a whole and each individual family member.
The purpose of the research proposal is to test the effectiveness of a advanced practice nurse (APN)- led study focusing on physical exercise as a means to decrease blood pressure measurements in adults between the ages of 20 and 25 who were obese or overweight in childhood, and remain so, and have developed hypertension that can lead to early morbidity.
It would be at 6:00pm every other night. I would not do any big physical activity before measuring. I would measure on my right arm every time. I also kept my physical activity as a medium level. I didn’t change anything or do anything new or vigorous. My daily workout consisted of 1 mile running at a medium speed. And some pushups and sit ups followed my some weight lifting. This is a chart of my blood pressure readings over the course of these 2 weeks. The blood pressure didn’t change drastically but there was a lowering in blood pressure over the span of these two weeks. Our diets do have a great effect on our blood pressure and health. Looking at these results we can say that limiting your cholesterol intake and saturated fats and increasing intake of soluble fiber can lower your blood pressure and help prevent cardiac diseases. However because of the amount of variables that I did not take into consideration when creating the experiment makes it difficult to pin point exactly what is lowering your cholesterol. But your diet is still the important factor and this experiment confirms
Is a condition where your blood pressure is higher than normal. Frequent exercise can help reduce it. The body needs a set amount of blood when resting preferably around 5 litres per minute when the amount of blood ejected from the heart increases. Regular exercise of cardio vascular disease of hypertension because the heart is more efficient of pumping blood around the body reducing high blood pressure.
The article “Exercise training program based on minimum weekly frequencies: effects on blood pressure and physical fitness in elderly hypertensive patients”, written by Wilson M. De Moraes, Pamella R. M. Souza, Monica H.N.P. Pinheiro, Maria C. Irigoyen, Alessandra Medeiros, and Marcia K. Koike is a quasi-experimental non-controlled study. The study’s aim was to see how a twice-weekly exercise program, sometimes referenced as low frequency exercise program, affected elderly hypertensive patients. Previous studies have been done on exercise programs but have not been researched enough to determine how often they should be completed per week. By using several different
High blood pressure is a major health problem in the United States, with more than 50 million people that have fallen under the stimulations of this disease. Exercise has been one of the most recommended strategies in successfully reducing blood pressure. Weight loss, which accompanies exercise, is also recommended to reduce the risk of hypertension as well as to cure it. Exercise alone can reduce systolic blood pressure by 3.5 mmHg and diastolic blood pressure by 2 mmHg. By eating healthy and not exercising you can reduce systolic blood pressure by 8.5 mmHg and diastolic blood pressure by 6.5 mmHg for every 8 kg you lose. For those that do a combined intervention of exercise and weight-loss, they have been recorded to reduce systolic blood pressure by as much as 12.5 mmHg and diastolic blood pressure by as much as 7.5 mmHg (Bacon et al, 2004).
Yu et al. performed a quasi-experimental study in which they were able to evaluate the effect specific lifestyle interventions had on hypertension, diabetes, and one’s overall physical health (2014). Due to the increase in hypertension, diabetes, and obesity in the United States and multiple countries around the world, it is necessary to determine useful and practical interventions to combat these diseases. The study was performed in 5 community clinics in Tianjin, China, where 273 residents ages 45-75 were studied and all diagnosed with pre-hypertension to mild hypertension, and pre-diabetes to diabetes. The lifestyle intervention these subjects performed over a three month period of time was called Zhiji management. This program was delivered by trained health care professionals and designed to improve the quality of food eaten, and increase realistic exercise options. In comparison, the control group received the normal and usual health care that they have always received. The results of the study showed the intervention significantly increased the effectiveness and success of the physical activity performed by 54.6 kilocalories per day. It also showed a significant decrease in total dietary intake by 328.5 kilocalories per day. Finally, the differences in the intervention and control group were significant for weight, waist size, blood pressure, and blood sugar levels. The study concluded that in patients with mild diabetes and hypertension, health care workers trained
Hypertension (high blood pressure) is a major health issue worldwide, contributing to a large proportion of stroke, chronic kidney disease (CDK), and heart failure cases. However, organized hypertension prevention and control interventions have decreased the detrimental outcomes. Since the management of salt consumption also plays a role in decreasing of blood pressure in the population at risk, a global-based assessment of hypertension programs and salt consumptions was performed. This quantitative data provided geographical patterns, which were evaluated to identify and determine the countries in greatest need. Understanding which countries need additional resources will help promote and distribute hypertension and salt management
The literature published since 2010 indicates that the lifestyle modification can be used as an alternative to pharmacotherapy in the treatment of hypertension. Authors of the nine articles of ten articles utilized for this study has concluded that lifestyle changes, which mainly includes physical activity and dietary changes is very effective in the management of hypertension.
The nursing process is a five stage systematic framework, and based on the problem solving approach; it forms the foundation for nursing practice to facilitate focussed, individualised care planning for patients (Yildirim and Ozkahraman 2011). This assignment will serve to identify the five stages of the nursing process: Assessment, Nursing Diagnosis, Planning, Implementation and Evaluation. The skills: Communication, Observation, Critical Thinking and Reflection involved within the nursing process in partnership with the patient will also be highlighted.
Efforts to discover a non-pharmacological intervention/treatment for hypertension stems from the belief that prevention via lifestyle modifications (exercise) are not only an effective means of preventing and controlling hypertension, but also a cost effective health care strategy (Taylor 2014, p.478). Exercise as a preventative method has been known by researchers for a long time, specifically in terms of its ability to ameliorate hypertension, and subsequent cardiovascular disease (CVD) in at risk
Nursing is a complicated profession requiring a broad knowledge base, discipline, and a deep desire to understand and interpret scientific data with a goal of obtaining the best possible patient outcomes. This can be very difficult to achieve, requiring the nurse to process a variety of information, prioritize, and problem solve at a critical level (Wilkinson, Treas, Barnett, Smith, 2016). The nursing process is a scientific approach, utilized by nurses to systematically improve patient care by following five steps: assessment, diagnosis, planning, implementation, and evaluation (Wilkinson et al., 2016). A good nurse is someone who understands these phases, continues to build on them, and uses the information to create the best possible, individualized, healthcare plan for the patient. It is a mastery of art to find a way to include all of these concepts with so many diverse medical diagnoses. Having a structural way, such as the nursing process, paves a strong foundation for the nurse to maintain a patient centered approach to implement exceptional nursing care (Goncalves, Spiri, Ortolan, 2017).