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2.1 To have an blood pressure maintenance we should maintain a healthy lifestyle, doing some exercises daily and eating healthier,

Again I would not use any equipment I have not been fully trained on. I would ensure I am wearing correct clothing and footwear when moving and positioning an individual, to avoid risk of being harmed, for example I would not wear open shoes or sandals while using a hoist. I would need to check my surroundings (enough room, loose rugs, furniture in the way) and the equipment being used (enough charge, no loose wires, and sling clean and intact). Infection control also plays a part in this too, correct PPE (personal protective equipment) should be worn and hands washed. NEVER rush when moving and/or positioning an individual.

I will be using the patient initials (MK), throughout this paper when I reference her. I asked the patient a list of questions about her life and I will summarize the answers for you now. MK is an alert and oriented 84 year-old female who is happily married and lives with her husband of 56 years. MK is retired and worked as a high school secretary for 20 years in the town she lived in. She grew up in Pennsylvania with her parents and was the oldest of five children. Her family medical history includes cardiac disease and diabetes with all of her brothers and sisters still alive. MK has three of her own children who all live with in a 30 minute drive from her home and they speak frequently on the phone with her and her husband. MK and her husband are going on a vacation together this summer to South Carolina with her son and his family. MK still hosts holidays and family gatherings at her home with only a couple holidays hosted by her son at his home. MK and her husband receive social security and her husband’s pension as their income. They have Medicare and also a supplemental insurance through AARP. MK enjoys her exercise class, reading, her card club, traveling and is also very active in her church including being on the bereavement committee. MK still drives her own car around town to visit friends and shop but prefers not to drive at night

Patient is a high school counselor. He participates in physical activities by running 2 to 3 times a week, playing golf, and volunteering at a nursing home. The patient is married with one daughter and one son. He does not use tobacco and periodically drinks at

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.

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,

• As a care worker we must follow all the rules and regulations regarding the policy of social care or what so called legislation. We should practice the high quality standard of care, always make it appoint that we do our job safe and properly with the clients as well as to our fellow carers. As guide or one factor to do the right description of our work we need to follow all the standards , attend trainings and update all seminars.

The two priority problems for Mr. George are Hypertension and Diabetes (hyperglycemia). It has been demonstrated that arterial hypertension is major important determinant of heart diseases. The pathogenesis of hypertension is linked with multiple factors that include dietary, genetic, and patterns of lifestyle. The biological factors that determine hypertension include: atherosclerosis, resistance to insulin; hyper-responsiveness towards adrenalin based stimuli and dysfunction of endothelial cells. It was studied that the evidence suggests that decrease in the ratio of prevalence of high blood pressure gives rise to reduced ratio of cardiovascular related mortalities. It can be achieved through intervention with suitable medical therapy (Villalpando et al., 2010).

The American Heart Association also recommends a healthy diet, stating, “A healthy diet and lifestyle are your best weapons to fight cardiovascular disease” (2015). As the client has an elevated blood pressure, a healthy diet may be beneficial and aid in lowering the client’s blood pressure by reducing sodium, limiting caffeine and

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

He told me that he was diagnosed with type 2 diabetes in December 2010. Since his doctor prescribed rapid acting insulin for his diabetes, I asked him if it is acceptable to talk about his medical condition in front of his family. He gave me consent to talk about his medical problems in front of his wife and children. I suggested to him about the need to take his insulin shot right before eating a meal. I informed him about the insulin medications that he was taking which was lispro and have an onset of 10 to 30 minutes, peak time of 30 to 3 hours and a duration of 3 to 5 hours. Furthermore, I emphasized the need for him to eat a balanced diet, and the importance of exercise. I encouraged him to eat small amount of carbohydrates during 30 minutes of exercise to prevent hypoglycemia. I also taught him that the signs and symptoms of hypoglycemia are tachycardia, irritation, excessive hunger, restless, diaphoretic and depression. He told me that he did not like to work and do any activity besides going to his job. I brought some articles about how eating healthy, taking his medication, and how regular exercise has shown to prevent, and slow down the progressive process on type two diabetes. I suggested to him to start to work around his neighborhood, and later he could find a support group of friends can walk together with.

X.X. has been a very easy going resident throughout the course of our encounter with letting me do whatever is needed to give him the care he needs. X.X. came to Bay County Medical Care Facility on January 30, 2013 due to right hip replacement surgery that he never really gained much mobility back in, along with recurring UTI’s from urinary retention. Besides the hip replacement and the UTI’s that he was admitted for he was previously diagnosed with type II diabetes mellitus, sleep apnea, and bipolar disorder. After 2 years of being admitted into Bay County Medical Facility, roughly in July of 2015, was diagnosed with stage II kidney disease, which lead to him developing anemia and hypertension (HTN). According to the American Diabetes Association, diabetes starts to cause damage to the renal system by exerting lots of extra stress on the filters of the kidneys. After many years of stress being put on the kidneys, red blood cells and proteins begin to leak through into the filtration system,

I was born to a father with the history of Diabetic mellitus and on my mother’s side; there is a history of High Blood Pressure. Although my father is not diabetic, my mother has been diagnosed with blood pressure. Blood pressure has been a steady disease in my household which has affected four out my five uncles. In 2010, after a seven year long battle with infertility, I was diagnosed with High Blood Pressure which I was given medication for and shortly thereafter, I had a son after my aggressive treatment. Ever since, I have always link most diseases with food intake and I strongly believe that my nutrition and my health work hand in hand. According to Grodner, Roth &Walkingshaw (2012),

According to Pender, Murdaugh, and Parsons (2015), an individual client is assessed depending on the physiological fitness, nutrition status, social and spiritual health, lifestyle and life stressors. Therefore, a holistic approach to assessing health can lead to a better health promotion strategy and improved client outcomes. “High Blood Pressure Health Risk Calculator” tools developed by AHA and ASA successfully addresses the physiological aspect of the client health by considering height, weight, blood pressure, and by recommending regular physical activity as well as other lifestyle changes related to physical health. The tool also addresses the nutritional aspect of the client health by recommending the intake of

Mr. Trosack is a 72 year old man who fell down a long flight of stairs a month ago, underwent a total hip replacement and is in need of a discharge plan. He completed two weeks of rehabilitation in the hospital for his hip as well as diabetic teaching for his new onset of Diabetes. It was also discovered during this hospitalization that he needed to start taking medication for hypertension. Both he and his family are in denial about what it will take to get him home and deliver the care that is needed.