The Importance Of A Advanced Practice Nurse

Effect of Exercise on Arterial Pressure and Vascular Resistance Abbie DeBerg Ms. Brantley May 30, 2012

* Physical exercise was recommended as well. Previous research has proven that physical exercise and good diet can efficiently control the patient blood pressure.

The advanced practice nurse is on the front lines of care being received or falling short within their community. By having direct asses to the success and failures of health care in the community, the advanced practice nurse (APN) can be the voice of patient to the officials having an impact on health care accessibility. The purpose of this paper is to address a current problem by evaluating multiple influencing factors and investigate a policy capable of changing and providing a more positive outcome.

Obesity in our youth has been identified as one of the most serious public health challenges of the 21st century. (Lobestein). Overweight children and adolescents are more likely to develop sleep apnoea, breathlessness on exertion and reduced exercise tolerance, some orthopaedic and gastrointestinal problems, non-alcoholic fatty liver disease, and early signs of metabolic and clinical consequences, such as hypertension, hyperinsulinaemia, hypertriglyceridaemia and type 2 diabetes. (WHO, DENNY W) A major long-term consequence is that overweight children are more likely to become overweight or obese adults, with an increased risk of chronic diseases and early mortality. (BRIO FM)

As the young and rapidly-aging population continues to increase, the demands of primary, acute and chronic disease management will also increase. As a result, more health care professionals who provide primary care will be needed to meet these demands. Thus, the emergence of Advanced Practice Registered Nurse (APRN) evolve. APRN is a nurse who has completed a graduate degree and has acquired advanced knowledge and skills. APRNs are grounded with theory, concepts and principles that enable them to assess, diagnose, treat and manage their patients. APRNs can work in conjunction with other health care professionals or independently. APRNs improve access to health care by providing care in the rural and underserved areas. APRNs also reduce the cost to health care (Joel, 2013).

Thomas Smith was the pharmacist I selected to interview. He works at the inpatient pharmacy at Chesapeake Regional Medical Center in Chesapeake, Virginia. He has a Bachelor of Science degree in Pharmacy. My questions to him were as follows:

In addition to these immediate health consequences, they are much more likely to develop weight-related problems as adults. Obese children often have risk factors for cardiovascular disease (CVD), which includes abnormal glucose tolerance, high cholesterol levels and elevated blood pressure (Bryan et al., 2013). In a sample of 5-to 17-year-olds, almost 60% of overweight children had at least one CVD risk factor and 25% of overweight children had two or more CVD risk factors (National Center for Health Statistics, 2011).

The survey that will be utilized is the High Blood Pressure IQ quiz questionnaire and the Health Promoting Lifestyle Profile. The questions were created by Dr. Henry Wells, a cardiologist at Jackson Memorial Hospital. He created questionnaires like the Health Promoting Lifestyle profile to gain research on reducing hypertension, to know how many people are aware of how to control and maintain a healthy lifestyle (“Health-Promoting Behaviors,” n.d.). One of the 50 questions is measuring the participant’s awareness by asking them to write down the last day they checked their bold pressure. A question from the Health promoting Lifestyle profile asked if they ever take part in a light to moderate physical activity in the last 6 months.

More than one third of U.S adults are considered obese and an increase in childhood obesity has been identified. With the removal of physical education in schools, increase sedentary lifestyles and increase in excess empty calorie intake, childhood obesity is only expected to increase. Research shows that childhood obesity is a major predictor for cardiovascular disease and premature mortality in adulthood (Batty, Calvin, Brett, Cukic, & Deary, 2015). Obesity impacts all major organs and is a driver to many chronic diseases, including high blood pressure, and high cholesterol levels (Raj, 2012). “…overweight and obesity in childhood and adolescence were associated with increased risk of both premature mortality and adult morbidity, particularly cardio-metabolic morbidity (Reilly & Kelly, 2011)." Therefore, it is important that childhood obesity be taken serious.

The research problem in this study is how often exercise programs need to be implemented, predominantly in hypertensive elderly patients, to their affect BP, physical fitness, and functional ability. The author of the study describes how important it is for elderly adults with arterial hypertension to adhere to the proper exercise programs to help reduce the longing effects of this disease. The author discusses that increased amounts of exercise are shown to decrease the adherence to the program in elderly

According to the data collected, diagnosed high blood pressure increased from 2010 to 2014. This rise in diagnosed hypertension can be attributed to varying combinations of genetic, environmental, and sociological factors (Blais, 2014). Specifically, dramatic increases in the prevalence of obesity and aging population demographics can account for a significant amount of reported high blood pressure. In Canada, severe obesity has increased 4-fold over the past 3 decades (Padwal, 2016). Particularly in industrialized populations, weight gain has been shown to yield several risk factors of hypertension, such as metabolic abnormalities and excess adipose tissue (Padwal, 2016).

The findings of this study show an increase in both SBP and DBP among the HWC group as compared to the MWC and LWC groups. Increased blood pressure (BP) is common among obese children in comparison to non-obese children of all ages [34, 35]. Higher BP during childhood can be predictive of sustained hypertension in adulthood [34]. Waist circumference was more positively associated with blood pressure than other anthropometric measures among children [36]. The findings of the present study demonstrate that an increase in WC was correlated with increase in BP. Similar observations were observed in other reports. Duncan et al. [37] reported that WC was associated with hypertension in their cross sectional study that included 445 children and adolescents (10–17 years), in addition Flores-Huerta and colleagues [38] indicated that the prevalence of increased blood pressure and risk of its presenting were significantly higher when using WC than BMI in a sample of 2029 children and adolescents.

Citation: Rigsby, B. D. (2011). Hypertension Improvement through Healthy Lifestyle Modifications. ABNF Journal, 22(2), 41-43 3p.

The participants for this project will be invited to the clinic and blood pressure at the baseline will be determined using a validated and automated blood pressure measuring device at the clinic on the first day of the meeting. The Omron (HEM-711AC) blood pressure monitor will also be used to measure the blood pressure of all the participants’ pre and post intervention. The OMRON (HEM-711AC) blood pressure device has been tested and validated for accuracy (Artigao, et al., 2000; Willis, Mohamed, & Taylor, 2013). The individuals in the intervention group will be coached on how to self-measure their blood pressures at home. The data collected prior to the beginning of the project will be compared with the data collected after the implementation of the project. The project will be implemented following the approval from Chamberlain Institute of Review Board to the end of February 2017.

The participants in this project will be invited to the clinic and their baseline blood pressure reading determine using a validated and automated blood pressure measuring device at the clinic on the first day of the meeting. The Omron (HEM-711AC) blood pressure monitor will also be used to measure the blood pressure of all the participants’ pre and post intervention. The OMRON (HEM-711AC) blood pressure device has been tested and validated for accuracy (Artigao, et al., 2000; Willis, Mohamed, & Taylor, 2013). The individuals in the intervention group will be coached on how to self-measure their blood pressures at home. The data collected prior to the beginning of the project will be compared with the data collected after the implementation of the project. The project will be implemented following the approval from the Chamberlain Institute of Review Board at the end of February 2017.