Use Of Manual Therapy Treatments For Patients With Neck Pain Essay

S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62; mother died of heart failure at age 79. Her height is 5’3 and weighs 118 pounds. She has a 50 pack year smoking history and denies alcohol use. She has severe Rheumatoid Arthritis (RA) and had an upper GI bleed in 1993 and had Coronary Artery Disease with CABG 9 months ago. Since that time, she has engaged in “very mild exercise at home.” Vital signs are 128/60, 98, 14, 99 degree farenheight (32.7 degrees C) SAO2 94%

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

and the information from this case to explain each of the following aspects of blood pressure and discuss

The hypertensive subjects are overweight so they are expected to have high neck circumference, abdominal obesity and arterial stiffness also the measurement of these variable will be taken by stretch resistance tape which will provide reliable and valid data for screening.

The risk factors associated with VTE are surgeries of general kind, orthopedic surgery, spinal cord injury, fracture caused in hips, long bones or pelvis, Trauma of multiple nature, malignancy, myocardial infarction, respiratory failure and congestive heart. In addition to this, another risk factor for the disease includes the past, age, immobility, pregnancy, puerperium and hereditary factor of the population. In order to avoid VTE, several preventive measures are

When a stroke occurs statistically speaking , 8 out of 10 people had high blood pressure when the suffered a stroke . Again with heart failure . Patients who have heart failure also had high blood pressure . The exact causes of high blood pressure are not known , but several factors and conditions may play a role in its development , including : smoking , being overweight or obese , lack of physical activity , too much salt in the diet , too much alcohol consumption (more than 1 to 2 drinks per day ) , stress , older age , genetics , family history of high blood pressure , chronic kidney disease , adrenal and thyroid disorders , sleep apnea . Although you cannot control all of your risk factors for high blood pressure , you can take steps to prevent or control high blood pressure and its complications . Even by changing your diet and reducing the foods that contain high sodium and salt and eating healtheir can reduce your blood pressure and risk for heart disease . Even by reducing stress from your daily life can help to lower blood pressure . Adequate exercise can help with lowering hypertension and lowering your risk for heart disease . However in today's nursing workforce it is important to inform our patients the steps they can take to live healtheir and to reduce their risk of heart disease and

These co-morbidities include, hypertension, diabetes, coronary heart disease, and taking certain medications. (Ostwald, Sharon K., et al., 2006). These stroke-related co-morbidities are important to recognize and understand before a stroke occurs. People must learn of and accept conditions they have and be aware of the complications, such as a stroke, that can occur. These co-morbidities are also some of the main causes of strokes. When someone experiences a stroke and survives, it is often difficult to recover, and many complications and risk factors can occur as a result. A study done by a group of registered nurses discussed the difference medical complications stroke survivors can experience. They stated:

• Severe Diabetics with advanced atherosclerosis (peripheral vascular disease documented ABI (ankle brachial index >2) or carotid artery atherosclerosis with narrowing more than 50 percent on carotid artery

Background: Joint mobilization (JM), such as lateral glides (LAT) & posterior pressures (AP) appears efficacious for non-specific neck pain (NSNP). The neurophysiologic system that modulates pain overlaps with blood pressure (BP) as observed in BP-related hypoalgesia. Nevertheless, evidence is sparse characterizing the cardiovascular response (CR) to LAT or AP in NSNP. 5 sets of (10 seconds on & 10 off) AP and LAT have evidently produced disparate CR in pain-free adults. What is indeterminate is whether these procedures, when dispensed in the same minimal regimen, yield comparable or divergent outcomes in patients with NSNP.

A 68-year-old female patient was confirmed with osteoporosis and hypertension. She began to feel exhausted when performing her outdoor activities since 2 months ago. She came to the emergency department due to a fall which was related to osteoporotic hip fracture. She underwent Hemiarthroplasty at right hip. Over the next 2 years, she still experienced some limitations of physical function such as sitting, bending, and hip flexion because of the post-surgery treatment recommendation. Furthermore, she reported moderate pain while standing and walking, but she could go to participate with her group at downtown. She also showed a slower walking pace, and she always has to use walking aids to maintain her balance due to her fear of the second falling.

Peripheral vascular disease is divided into subcategories of functional and organic. “Functional PVD does not involve physical problems in the blood vessels. It causes incidental or short-term symptoms. These are usually spasms that occur erratically. Organic PVD involves changes in blood vessel structure. This type of PVD causes inflammation, tissue damage, and blockages” (Giorgi 2015). The number one leading cause of peripheral vascular disease is atherosclerosis. “This is a gradual process in which a fatty material builds up inside the arteries” (emedicinehealth 2015). Other contributing factors to PVD include smoking, inactivity, diabetes, obesity, high blood cholesterol, hypertension, emboli from another location, inflammation of blood vessels, injury to blood vessels, and stress. (Giorgi 2015)

Numerous studies have shown a direct correlation of the carotid artery thickness and the cardiovascular risk in ESRD patients.

To start off the experiment, a baseline was needed in order to be able to compare the different variables through out the experiment. The subject was instructed to sit and relax quietly while the blood pressure cuff and pulse plethysmograph were placed properly. After the blood pressure was taken and analyzed, it was found that the subject’s blood pressure was 122/64 mm Hg and a pulse rate of 60 bpm. Now that the baseline was obtained, continuing with the changing variables could take place. Starting with the variable of postural changes, the subject first reclined for three minutes. After the two minutes, the

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

La Fondation des maladies du cœur recommande de mesurer la tension artérielle au moins une fois tous les deux ans. Cependant, si vous avez reçu un diagnostic d’hypertension artérielle dans le passé, si vous souffrez de diabète, d’embonpoint ou d’obésité ou si vous avez des antécédents familiaux d’hypertension artérielle ou de maladie cardiovasculaire, il pourrait être indiqué de faire vérifier votre tension artérielle plus souvent. En outre, certains groupes ethniques présentent un risque accru d’hypertension artérielle. Ce sont entre autres les Sud-asiatiques, les membres des Premières nations et des peuples autochtones, les Inuits et les personnes d’origine africaine. Si vous appartenez à l’un de ces groupes, votre médecin pourrait vous recommander de subir des tests de dépistage plus fréquemment.