Stress Reduction Techniques Potential for Improved Blood Pressure Control in Hypertensive Patients Rachel Ryan Parkland College NUR 215
Abstract:
Hypertension is a growing health problem with over one billion estimated cases worldwide. (Kumari, Kaur, & Kaur 2015) Kumari et al (2015)
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Stress reduction Techniques Potential for Improved Blood Pressure Control in Both Pre-Hypertensive and Hypertensive Patient
In patients diagnosed with hypertension or pre-hypertension would teaching stress reduction techniques improve blood pressure control verses the standard treatments, which consist of antihypertensive medication along with education about diet modification and exercise. The stress reduction and relaxation techniques examined within the studies included are biofeedback-assisted relaxation training, mindfulness-based stress reduction, and alternate nostril breathing exercise. A brief summary and evaluation will be given for each including results, validity of the study and ease of implementing patient education into nurse practice. For the purpose of this paper pre-hypertension is defined as systolic blood pressure (SBP) between 121 to 139 mm Hg and a diastolic blood pressure (DBP) ranging from 81 to 89 mm Hg. Hypertension is defined as anything above the previously mentioned levels for pre-hypertension. Review of Published Studies “Biofeedback assisted Relaxation training for Essential Hypertension Who is Most Likely to Benefit?” by Yucha, Tsai, Calderon, &Tian (2005) included 54 hypertensive patients aged 21- 65. All received 8 weeks of intensive training to apply Biofeedback-assisted relaxation training to daily life. Weekly blood pressure (BP) monitoring
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 participants in the home-based educational interventions will be encouraged to purchase automated home blood pressure monitoring devices. All the patients will use similar devices and will be taught how to take BP readings and record the readings correctly. A registered nurse will visit the patients on a weekly basis to validate the BP monitoring techniques and review the recorded BP readings. The participants will also be educated on the importance of adherence to medications even when HTN symptoms seem under
Hypertension is a very common problem, affecting 1 billion people worldwide, with 50 million cases in the United States, and one third of cases going undiagnosed. 1% of the cases will experience a hypertensive emergency in their life. (1,2)
Bosworth, Olsen, Grubber, Powers, and Oddone (2012) conducted a three-arm randomized controlled trial to determine the differences in AAs and Caucasians in two self-management hypertension interventions (N=636; non-whites n=328, and whites n=308). The subjects were randomly placed in the usual care (UC), home BP monitoring (HBPM), a tailored behavioral self-management intervention (TBSMI), and the two groups combined (TBSMI + HBPM). Data collection was done at the initiation of the research, 12 months, and 24 months from the control and intervention groups. BP results on whites at the baseline and intervention groups did not differ, but there was significantly reduction in the systolic BP of 7.5 mm Hg in AAs. This study denotes that a home BP monitoring in combination of nurse-administered telephone behavioral intervention was most effective in BP control in AAs.
The importance of manual blood pressure readings are often overlooked, even by experienced healthcare providers. Manual blood pressures closely approximate a person’s direct arterial measurements. However, there have been studies that
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
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.
An evidence-based intervention that was recently implemented at the clinic where I work was correct blood pressure assessment. We mainly use Dinamaps (automatic blood pressure machine) to obtain vital signs on our patients. We obtained manual blood pressure readings if the patient had a preference, if the patient had an irregular heart rate, or if the automatic reading was very out of range. Various methods were being used to obtain blood pressures on patients who either refused a bicep blood pressure or in the case that the blood pressure cuffs on the Dinamap didn’t fit properly. The main method that was used was the use of the automatic machine with the cuff on the forearm. This led to a variety of results and proper blood pressure assessment
Biofeedback is a process that allows patient’s to develop awareness over certain functions such as heart rate, blood pressure, muscle tension, and EEG rhythms. Patients are taught how to monitor and control these body responses, which results in relaxation, and a relief from certain types of pains. Biofeedback has been efficiently used to relieve headaches and hypertension. Relaxation and meditation techniques provide muscle relaxation and physical relaxation to the patient’s mind and body. The technique eliminates distractions allowing the patient to focus on one single thing to promote relaxation, and increase a sense of awareness. These techniques are known to be affective in stress related circumstances because, it encourages individuals
The focus of this paper will be presenting a general overview of the etiology of, global impact of, and compliance with treatment of hypertension. It will also cover
Hypertension is currently a major risk factor for heart disease and stroke, which are leading causes of death in the United States. It is estimated that by 2025, 1.56 billion adults will be living with hypertension. Hypertension affects nearly 1 in 3 adults, which is 67 million people. Hypertension is also known as the silent killer because individuals do not have warning signs or symptoms. There are about 36 million adults with high blood pressure who do not take preventative measures to control it. Children are also being affected by hypertension. An estimated 3% of children suffer from this condition, which is a risk factor for obesity and sleep apnea. Hypertension can be reduced by taking basic preventative measures like changing one’s eating diet, exercising daily and by taking medication if other preexisting conditions exist. However, new approaches of effective early prevention needs to be implemented through policies and curriculum in order for people to be educated and influenced to apply the techniques to their daily life.
6. Our goal is to inform our clients on the affects of caffeine, stress, and daily exercising on blood pressure. We discussed the healthy alternatives for caffeine, like juice or milk. We also informed the clients on stress-relieving activities such as adult coloring pages. Lastly, we demonstrated simple chair exercises that the clients can perform to help lower blood
Late studies demonstrate that a few patients can control their hypertension by natural procedures alongside professionally prescribed
Background- Hypertension is the major problem in developing countries. Blood pressure is usually maintained in a range by various regulatory mechanism involving hormones, nervous system and other local factors. Any rise in blood pressure above normal range for prolonged period is labeled as hypertension which is usually preceded by high normal blood pressure known as prehypertension. Various aerobic exercises and yoga may be beneficial in prehypertensive people. Of many yogic exercises, Pranava yoga seems to be simplest .Pranava yoga involves chanting of word ‘Aum’.