The Six Minute Walk Distance ( 6 Mwd )

In struggling for civil rights, one last major event that was seen in Indian activism was the Longest Walk. The Longest Walk was a march in which hundreds of Indian activists and supporters marched from San Francisco to Washington D.C. to draw attention to Indian concerns. They wanted to prevent the passage of eleven bills that threatened Indian rights as well as raise awareness on Indian issues. Drawing from the ideas of African American activists, AIM leader Dennis Banks proposed a march from San Francisco to Washington. Many accepted his idea including those who were non-Native Americans. The march payed tribute to the Long Walk of 1864, in which thousands of Apache and Navajo Indians were forced to walk to their reservations. The march

A true story that shows two sides, each having an important message. Even in rough times in a troubled county, survivors may find the future they were looking for. In Linda Sue Park’s A Long Walk to Water, Salva Dut and Nya faced many difficulties, Salva had to face the loss of his parents, and the rest of his family, and learning to become a leader, and as for Nya she had no pure drinking water.

In “Walking Since Daybreak,” Modris Eksteins fuses personal narrative and wartime history, describing both the regional devastation and the ensuing refugee crisis that characterized post-war Europe. Expanding on a myriad of historical research of the era, he details the destruction, desolation, and disorder that not only illuminates the post-war position of Eastern Europe, but more specifically, the mental states of the Baltic peoples - devoid of direction. Through stunning prose often absent in historical analysis, Eksteins delves into a familial case study of eastern Europe, deftly honing in on the reduction of life “to [its] fundamental form, scurrying for survival” (pg. x).

Heart failure affects nearly 6 million Americans. It is the leading cause of hospitalization in people older than 65. Roughly 550,000 people are diagnosed with heart failure each year (Emory Healthcare, 2014). Heart failure is a pathologic state where the heart cannot pump enough blood to meet the demand of the body’s metabolic needs or when the ventricle’s ability to fill is impaired. It is not a disease, but rather a complex clinical syndrome. The symptoms of heart failure come from pulmonary vascular congestion and inadequate perfusion of the systemic circulation. Individuals experience orthopnea,

The Long Walk was the forced removal of the Navajo people, which began in January 1864 in the Arizona and New Mexico states. It was hardly recognized by Americans at the time because of the Civil War and the slavery issues that were so much more important in the North and South part of the country. The Long Walk is the Navajo Nation’s own “Trail of Tears”. More than 8,500 Navajo men, women, and children were forced to relocate to an internment camp in New Mexico called the Bosque Redondo Reservation. The Navajo and some Apache were gathered from Arizona and New Mexico and had to walk between 375-498 miles depending on which route they took (Remley, pg 230).

For as long as I could remember, I’ve always wanted to learn more about my people, where we came from, and how we are all still here today. I grew up listening to stories about my ancestors. So, as I’m typing this paper I will also be learning more about my people. One of the most tragic events that’s happen in Navajo history is The Long Walk. This tragic event changed the lives of many Navajo’s.

JNC 8 has a hypertension guideline algorithm. Patients older than 60 should be placed on pharmacological treatment if SPB is 150 mm Hg or higher and DBP is 90 mm Hg or higher. Target goal is 150/90 Patient less than 60 should be placed on pharmacological treatment if SPB is 140 mm Hg or higher and DBP is 90 mm Hg or higher. Target goal is 140/90. Initial drug of choice for nonblack patients is an ACEI, ARB, thiazide or CCB alone or in combination. Black patients should be started on a thiazide or CCB alone or in combo. It is recommended to start one drug titrate to maximum dose and then add another drug if target goal has not been achieved. Combination therapy is recommended if BP is greater than 20/10 mm Hg from target. I also gives a guideline for all ages if the patient is diabetic without kidney disease or the patient has kidney disease without diabetes (Armstrong, 2014).

The algorithm begins with an indication that is used for adults over the age of 18 and noted that lifestyle interventions should be continued throughout management. Goal blood pressures are separated by age and presence of chronic disease. The goal for patients over 60 is SBP < 150 mmHg and DBP < 90 mmHg. The goal for patients under 60 is < 140 mmHg and DBP < 90 mmHg. Different goal values are presented for patients with chronic conditions. Treatment with medication is categorized by: general population nonblack, general population black, chronic conditions black, and chronic condition all races. Based on the algorithm black patients should only be prescribed thiazide type diuretics and/or calcium channel blockers. While non-black patients can take all of the medications listed in JNC 8 (thiazide type diuretics, ACEI, ARB, and/or CCB). If patient does not reach goal blood pressure then three strategies are listed, along with lifestyle adherence. The algorithm also explains not to use ACEI and ARB together. The final option for patients not at goal blood pressure includes additional medications and/or referral to physician with an expertise in hypertension

Well written paper on beta blockers in controlling hypertension. In my experience, I had seen more than 80% of patients are prescribed with antihypertensive drugs in their medical chart. A beta blocker is one of the most common drugs in a geriatric setting especially atenolol. Beta blockers are the standard of therapy for many cardiovascular conditions and it is the main line of treatment in decreasing risk of stroke. According to Ladage, Schwinger, and Brixius (2013) beta blocker was more effective in decreasing mortality and morbidity rate in acute coronary syndrome patients. Atenolol is a water soluble and had longer half-lives with non-metabolized actions and excreted via the kidneys (Ladage et al., 2013). The exercise capacity increases in patients who are on beta-blockers, like bisoprolol, nebivolol, carvedilol (Ladage et al., 2013). A recent meta-analysis study showed patients who are untreated with hypertension, they are at risk of developing chronic kidney diseases, cardiovascular complications, and cerebrovascular complications (Butt & Harvey, 2015). In one study, mainly geriatric population who are taking atenolol had shown greater mortality rate and increase arterial pressure (Testa et al., 2014).

Borg Scale for shortness of breath and fatigue related to six-minute walks and activities of daily living, and for exercise stress testing.

“The lost boys. That was what they were being called in America the boys who had lost their homes and families because of the war and had wandered, lost, for weeks or months at a time before reaching the refugee camps”(91). Linda Sue Park wrote a novel based on one of these boys called “A long walk to water.” Salva Dut was a boy alone in Sudan and becomes a survivor by also becoming a leader, adapting to situations, and overcoming dangerous obstacles.

The human body is a very complex organism composed of different types of systems and functions. All the functions that each system has, is what makes possible for the body to obtain life. One of the most important systems in one’s body is the circulatory system, where the heart, the lungs, and the blood vessels work together to form the circle part of the circulatory system. The pumping of the heart forces the blood on its journey. The body’s circulatory system really has three parts: pulmonary circulation, coronary circulation, and systemic circulation. Each part must be working independently in order for them to all work together. However, when one of the parts of the circulatory system does not

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The purpose of this report is two discuss the Pharmacodynamics, pharmacokinetics, proposed benefits, research method, results of research, and possible-nursing implications of newly approved drugs for the treatment of hypertension. These drugs include Atacand HCT and Diltiazem HCL. All newly approved drugs from the FDA are either new drugs or new formulations of older drugs. The information contained in this report was derived from various web pages and online search engines.

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).