The Importance Of Regular Check Ups And Screenings With His Wife And Small Dog

year-old retired businessman, is married and has 3 grown children. As you take his health history, he

Hypertension is the leading cause of cardiovascular diseases, and its prevalence rate is approximately 1 billion in 2000 people around the world (Hanus, Simões, Amboni, Ceretta, & Tuon, 2015). Additionally, HTN is a major risk factor for kidney, brain, and eye complications. Complications from HTN cause an estimated 9.4 million deaths per year (Kjeldsen et al., 2014). To reduce high morbidity rates and complications related to uncontrolled high blood pressure, pharmacological therapy is warranted. Despite available medications, the compliance with HTN medications remains subpar (Polinski, Kesselheim, Frolkis, Wescott, Allen-Coleman, & Fischer, 2014).

Dairy should not be a primary food group on the dietary guidelines set by the government because of its many negative effects on human health (given that people care about their health and the health of those around them). Dairy and other animal products are the only food sources which contain cholesterol. Arguments have been made saying that humans need to consume cholesterol in order to have a healthy balance of fats; these arguments fail to acknowledge that our bodies naturally produce all the cholesterol that it needs. And many studies have been conducted to support the theory that consumption of dietary cholesterol overloads arteries and can cause heart disease, artery disease, as well as sudden heart attacks. The Department of Community Health and Preventative Medicine at Northwestern University Medical School worked to interpret an international study based on data from the Food and Agriculture Organization and the World Health Organization. The overall conclusion was that “…dietary cholesterol levels are consistently related to CHD (coronary heart disease) mortality rates” (Stamler). A study conducted by Lena Ohlsson at the Laboratory of Gastroenterology and Nutrition within the prestigious Lund University in Sweden also linked dietary cholesterol and milk fat with artery disease and other metabolic disorders. In short, the abstract of her lab report said that low-density lipoprotein (LDL)—“bad” cholesterol—was found to be directly associated with coronary artery

K.H. is a 67-year-old African-American man with primary hypertension and diabetes mellitus. He is currently taking an angiotensin-converting enzyme (ACE) inhibitor and following a salt-restricted weight loss diet. He is about 30 pounds over his ideal weight. At his clinic visit his blood pressure is noted to be 135/96. His heart rate is 70 beats/min. He has no complaints. His wife brought a blood pressure cuff and stethoscope with her in the hope of learning to take her husband’s blood pressure at home.

People with high cholesterol are at greater risk of developing heart disease, according to the American Heart Association. People with diets high in saturated fats---like those in meat, dairy and eggs---are more likely to have high cholesterol levels. To reduce cholesterol, the American Heart Association recommends limiting the intake of saturated fat, trans fat and cholesterol, and eating more plant-based foods.

Such lifestyle changes include weight loss, if he is overweight or obese, reduce or eliminate alcohol and drug use as well as smoking, and changing his diet so that it is more ‘heart healthy’. A heart healthy diet will include the following characteristics: 20-35% fat, 10-25% protein, 45-65% carbs, emphasizes healthy fats such as DHA, EPA, mono and polyunsaturated fats, limits unhealthy fats including saturated and trans fat, is high in fiber (25-35 grams per day), contains whole grains and nuts, limits added sugars, moderates alcohol consumption and includes plant stanols or sterols (Brown,

“You're more likely to have high cholesterol that can lead to heart disease if you have any of these risk factors such as smoking, obesity, large waist circumference, poor diet, lack of exercise and diabetes.” (Mayo Clinic Staff)

The concern on whether anti-hypertensive’s should be withheld in patients who are hypertensive has been debatable in the recent past. Generally, the treatment of hypertension among hospitalized patients is basically an opportunity to enhance the recognition and treatment of blood pressure (Axon, Nietert & Egan, 2011, p.246). This is mainly because hypertension is a basic risk factor for heart diseases, stroke, and death whose impact is widespread to nearly 70 million adults in America. There have been numerous educational initiatives and publication of treatment processes to address this condition in the past few decades. Despite these measures, nearly 39 million Americans are at risk of hypertension because they have not reached their desired or optimal blood pressure.

Patient states he is “in very good shape overall,” he has had some concerns in the past with his blood pressure which was too high, but it's been a long time since

Hypertension is sometimes referred to as the silent killer (Aycock, Kirkendoll, & Gordon, 2013). Today it is a public health problem. According to the American Heart Association 2013 Statistical Fact Sheet (2013), one out of every three adults has high blood pressure, which is estimated at 77.9 million people (AHA, 2013). High blood pressure is also referred to as hypertension. Hypertension is a prevalent medical condition that carries with it the risk factor for increased chances of heart disease and stroke (Gillespie & Hurvitz, 2013). Hypertension remains one of the top 10 causes of worldwide disability-adjusted life years (as cited in Drenjančević-Perić et al., 2011). For the estimated 348, 102 deaths in 2009, high blood pressure was listed as the primary or contributing cause of death (AHA, 2013). Despite the health risk associated with hypertension, the diagnoses of high blood pressure continue to rise. By 2030, hypertension is expected to increase by 7.2% from 2013 estimates (AHA, 2013).

Hypertension is predominantly a major problem for African Americans whose occurrence percentages are amongst the highest in the world (Heckler, Lambert, Leventhal, Leventhal, Jahn, & Contrada, 2008). Even though there have been meaningful progress in treatment of hypertension, the number of patients with well managed high blood pressure condition remain worryingly low, with the latest trends suggesting a high rise in the number of uncontrolled high blood pressure cases. This is

According to JNC 8 guidelines, close monitoring is essential when patients start on new hypertensive medication. Therefore, Mr. Hightower will require frequent visits to the clinic to ensure improvement in his health condition. His blood pressure will be monitored at each visit and blood work will be done to monitor his kidney and liver functions and to determine his adherence to treatment. In case of noncompliance, a third category of antihypertensive must be added to improve hypertension outcomes and prevent cardiovascular disease.

Cholesterol is a compound chemical that contributes to coronary artery disease, which have a various risk factors which includes poor dieting, smoking, and a family medical history. This disease is very high risks, its one which runs in my family, and family history.

Annual testing for abnormalities in fasting serum cholesterol, triglyceride, HDL cholesterol, and calculated LDL cholesterol levels (ADA, 2008)

Approximately one in every three adult’s ages 20 years old and older are diagnosed with high blood pressure or hypertension. Hypertension affects 78 million people in the United States and is equally prevalent in both men and woman (Crabtree et al., 2013). Hypertension is a major risk factor for cardiovascular disease (Hajjar & Kotchen, 2003). It can lead to stroke, myocardial infarction, renal failure, heart failure, neurological issues, and death if not detected early and not treated properly (James, Oparil, Carter, & et al., 2014). Approximately 9.4 million deaths in 2010 were attributed to high blood pressure (Angell, De Cock, & Frieden, 2015). About 54% of strokes, 47% of coronary heart disease, and 25 % of other cardiovascular diseases are attributed to high blood pressure (Arima, Barzi, & Chalmers, 2011).