The Effect Of Hypertension On African Americans

African- American female, 71 years old, has been admitted to the hospital from her primary care provider ten days post-op following a right below the knee amputation. Her only complaint is that of abdmonial pain. Her vitals are as follows: BP 100/70, HR 122, RR 22, Temp 101.1, and oxygen level 96% on room air. Glucose level is 563mg/dl on glucometer and the patient states that she takes a round white pill for her diabetes. She has also been diagnosed with hypertension in the past and takes a white oval pill for it. Head to toe assessment that has been completed noted a foul smell omiting from the bandage where the leg has been amputated. Clearly this patient is exhibiting clinical signs of sepsis. The initial thought is that the source of infection is the surgical wound since the foul odor is present. The next few hours are critical in initating treatment for sepsis. Multi-organ failure can result if treatment is not received in

Many individuals have this malnourished ideal that HIV/AIDS is a disease based on race. “AIDS; which has ravaged minority community in disproportionately large numbers, must be viewed as racial issue, the national commission member on AIDS said yesterday” (Priest). Years ago Yale University law professor Harlon Dalton said this about HIV/AIDS, “We cannot approach the AIDS problem in a color blind fashion” (Priest). With this being said we need to stop pointing fingers at blacks’ for the disproportionate factor of HIV in this country. And also stop pointing fingers at black homosexuals.

Blood pressure measurements on adult males 30-39 years of age were obtained in a survey of a representative sample of Twin Cities households. To compare the frequency of hypertension in the white and non-white population surveyed, the most appropriate measure is the

The death rate from HIV/AIDS for African Americans is more than seven times higher for black AA than it is for Whites.

Despite vast advancements in healthcare African-American men lack appropriate necessities when it comes to health care. Continuous efforts to bridge the gap among African American men with prostate cancer still remains high in the United States. Evidence shows how disproportionate this ethnic population leads in both incidence and mortality rate concerning social determinants of health, as well as health disparities. Major key factors that contribute to this health disparity among African Americans men are low socioeconomic status (SES) and being medically offered inadequate services. According to Richardson et al. (2004), "Prostate cancer (PCa) is most common and the second leading cause of cancer death among American men." However, prostate cancer incidence and mortality rates are higher in African-American men, as compared to other race. One of the main barriers hindering the care of this ethnic population is the lack of knowledge. As an Advanced Nurse Practitioners, it is crucial to identify areas in SDoH and health disparities that affect African American men health. False perceptions, misunderstanding and improper information must be replaced with factual information, and communicated accurately (Richardson et al. 2004).

If everyone in the United States is treated equal, then why are Americans facing health disparities regarding to race? Race has always been an issue in this country. When it comes to the healthcare system, not all Americans receive the same outcomes or came services as others. Most Americans due to race receives unfair healthcare treatment because they’re not getting appropriate medical attention, they’re more likely to do die based on their illness, and if they’re uninsured they can’t receive any medical attention. This argument is going to be based on Americans who face these health disparities in the U.S regarding to mental health disorders, breast cancer, and the people who are uninsured.

Health disparities among African-Americans is a continuing problem that has been seen over many years. African-Americans have higher poverty rates, have lower rates of insurance coverage, and are more likely to be covered by Medicaid, than the White population (Copeland, 2005). This lack of insurance has led many of these individuals, to not seek treatment for illness, due to problem accessing health care (Kennedy, 2013). This leaves African-Americans with little to no treatment, which causes an increase of medical care that will be needed further on in their life or a sooner than expected death, caused by illness (Copeland, 2005).

African Americans are twice as likely to die of an illness such as cancer and heart disease as well as, less likely to have health access compared to any other race. African Americans are yet subject to racial discrimination and stereotypes in the health care, that leads them without the correct health screenings and treatments. The root of these racial disparities connects with the intersectionality of race, class, gender and education.

The American Medical Journal explains that the heart disease is one of the deadliest medical conditions. Medical experts reckon that heart disease is a lifestyle disease, which emanates from excessive consumption of the wrong dietary combination. Foods such as fats and carbohydrates often expose individuals to the threat of heart disease. Consuming fast foods from McDonalds also expose people to the threat of heart disease. The most plausible means of mitigating the risk of contacting heart disease is by observing dietary combination. Individuals must keep a balanced diet always in order to avoid dietary concerns later on in life. The most common symptoms include chest discomfort, nausea, trouble sleeping, breathing problems, and unusual tiredness.

On November 11th, 2004, NitroMed, a Massachusetts based pharmaceutical company published a study on the effects of a new drug called BiDil in treating heart failure among African Americans in the New England Journal of Medicine (Taylor 2049). Since announcing the study, NitroMed’s research has sparked controversy surrounding the ethical implications and scientific evidence of race-based medicine. This study marks a breakthrough in race-based drug treatments as the first pharmaceutical ever researched, endorsed and targeted for a

Epidemiology is the study of the relationships between disease and causation in human populations. It utilizes research and scientific methods to identify risk factors and approaches to decrease disease risk and to promote healthy habits. Community health nurses use this science to assess, diagnose, plan, and evaluate health improvement initiatives (Nies & McEwen, 2015-a). Ecosocial epidemiology is a newer, more complex approach as it focuses on the role of social, environmental, political and economic factors along with biological processes to understand health and illness (Nies & McEwan, 2015-b). In this post, I will discuss the rate of infant mortality among the African-American population in Franklin County and apply the ecosocial

An African American is considered residents of the United States and who have ancestry in any of the black communities of Africa. African Americans are the second largest minority population. A minority is considered the smallest of a group. Although African Americans had a hard time evolving in America their cultures, slavery, slave rebellions, and the civil rights movements have shaped African-American religious, familial, political, and economic behaviors in many ways (NCBI gov books).

Hypertension is widely considered to be one of the most important risk factors of cardiovascular diseases (angina, arrhythmia, etc.). It is the second leading disease that causes mortality in the world. Hypertension is the condition when there is an increase in the force of blood on the walls of vessels. It can also be defined as an arterial blood pressure that is raised above 140/90 mm Hg (systolic/ diastolic BP). Hypertension can be classified into Secondary hypertension and Essential hypertension. When specific cause is evident but heredity, and various physiological parameters play a role in increasing blood pressure is known as Essential Hypertension. Secondary Hypertension is one where the cause is known. According to WHO guidelines between 2006 and 2015, deaths due to cardiovascular diseases are expected to increase by 17% while the deaths from infectious diseases, nutritional deficiencies, maternal and prenatal conditions are projected to decline by 3%. The main causes of hypertension includes the age ,hereditary, gender, extra weight, alcohol consumption, stress life, lazy life etc.

Factors that contribute to hypertension are age, ethnicity, gender, and lifestyles as shown in Figure 1 (Yoon, Burt, Louis, & Carroll, 2012). While the prevalence of hypertension is relatively equal among men and women, certain ethnicities have a higher propensity for developing hypertension. The prevalence of hypertension in African-Americans is among the highest in the United States for a single ethnic group (Ferdinand & Armani, 2007). In the United States, around 78% of people suffering from hypertension are aware of their condition, with only 68% using hypertensive medications to control their blood

The two major types of hypertension are primary and secondary. Primary hypertension accounts for more than 90% of all cases and has no known cause, although it is hypothesized that genetic factors, hormonal changes, and the altercations in sympathetic tone all may play a role in its development. Secondary hypertension develops as a consequence of an underlying disease or condition. The prevention and treatment of hypertension is a major public health issue. When blood pressure is controlled, cardiovascular, renal disease, and stroke may be prevented. The JCN, reported more than 122 million individuals in American are overweight or obese, consume large amounts of dietary sodium and alcohol, and do not eat adequate amounts of fruits and vegetables; less than 20% exercise regularly. Both modifiable and non-modifiable factors play a role in the development of hypertension