Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Pharmacotherapy of hypertension
Don’t take our word for it - see why 10 million students trust us with their essay needs.
Improving Health: One Patient at a Time
Patient Data
Mary is a 52-year-old woman with poorly controlled hypertension who came into the office today because she has become increasing inactive over the past 8 years as a result of work and life stresses, including chaperoning 2 teenage daughters to clubs and dance classes. Mary complains of persistent fatigue and a vague feeling of malaise. She denies having shortness of breath or chest pains but states that she "barely does anything more physical than starting the car." She has put on 42 pounds over the past 6 years. She reports taking her antihypertensive medication as prescribed.
During her interview, Mary revealed that her mother is 79 years old with no significant medical history. Mary’s father died in a motor vehicle accident when he was 65 years old. Mary has two younger brothers, 47 and 49, who have no reported medical problems. Mary has four aunts, one of which was diagnosed with breast cancer at age 49. There is no history of cardiovascular disease in her family. Mary lives with her two daughters and her husband in a golf community outside the city. Her husband is a chef and she was recently promoted to executive within the telecommunications company that she works.
Upon her review of systems Mary denies any recent vision changes, headache, shortness of breath, chest pain, dizziness or loss of consciousness. She also denies any abdominal pain, nausea, vomiting, or diarrhea. Rarely does Mary get constipated. She reports a normal appetite and eating pattern with occasional binges. There were no changes in motor strength reported, nor any sensory changes. It was revealed that she does complain of severe mood changes as well as hot flashes as a result of going t...
... middle of paper ...
...py debate. Austrailian Nursing Journal, 19(5), 30-33.
Dubrey, S. (2013). Hypertension in pre- and postmenopausal women. British Journal Of Cardiac Nursing, 8(10), 489-497.
Edmunds, M. W., & Mayhew, M. S. (2009). Pharmacology for the primary care provider (3rd ed.). St. Louis, MO: Mosby Elsevier.
Frisinghelli, A., & Mafrici, A. (2007). Regression or Reduction in Progression of Atherosclerosis, and Avoidance of Coronary Events, With Lovastatin in Patients With or at High Risk of Cardiovascular Disease: AÂ Review. Clinical Drug Investigation, 27(9), 591-604.
National Institutes of Health. (2003). The seventh report of the Joint National Commitee on Pevention, Detection, Evaluation, and Treatment of High Blood Pressure. Bethesda: National Institue of Health.
Woo, T., & Wynne, A. (2012). Pharmacotherapeutics for nurse practitioners prescribers. Philidelphia: F. A. Davis.
Vicki is a 42-year-old African American woman who was diagnosed with Hypertension a month ago. She has been married to her high school sweetheart for the past 20 years. She is self-employed and runs a successful insurance agency. Her work requires frequent travel and Vicki often has to eat at fast food restaurants for most of her meals. A poor diet that is high in salt and fat and low in nutrients for the body and stress from her job are contributing factors of Vicki’s diagnosis of hypertension. This paper will discuss the diagnostic testing, Complementary and Alternative Medicine treatments, the prognosis for hypertension, appropriate treatment for Vicki, patient education, and potential barriers to therapy that Vicki may experience.
Mrs. Andrews hypertension is mild at 146/96 which leads to the recommendation of lifestyle modification opposed to pharmacological treatment. In a study led by the American Heart Association, “lifestyle interventions received class I recommendations (Mosca et al., 2004, p. 675)” to prevent major cardiovascular issues in women. There are several useful tools and programs available to assist patients making lifestyle changes. A couple of examples of programs are the WISEWOMAN and Therapeutic Lifestyle Changes (TLC). WISEWOMAN is a “program funded by the CDC that provides low income uninsured women (40-64) with chronic disease risk factor screening, lifestyle modification interventions, and referral services to prevent CAD (Schroetter & Peck, 2008, p. 109).” TLC is “an effective lifestyle therapy recommended by the American Diabetes Association, the American Heart Association, and the Obesity Society ("Can TLC ...
As early as the 1800s clinicians began to take a closer look at elevated blood pressure levels, they soon found high correlation between hypertension, stroke, and other heart diseases. They also established that high levels of blood pressure effected both privilege and underprivileged, and within the years they have noted the disease have become more prevalent in the African American culture. Long term studies, such as randomized controlled trial studies, unveiled
Fatima is a 30-year-old single mother of 2 young children. She works 50-hour weeks to support and care for her family and has little time to relax on her own. Fatima does not smoke, in truth, she cannot afford to. All of her money goes to her children. Fatima eats along with her kids every day, but often cannot afford fresh fruits and vegetables for their dinner, often the family eats processed foods (boxed macaroni and cheese, frozen pizza, etc.). Fatima has long suffered from fatigue and the occasional chest pain but cannot afford to go to the doctor. One day, she fainted and was diagnosed with hypertension at the hospital.
High blood pressure is called the “silent killer” because it often has no warning signs or symptoms, and many people don’t know they have it. For most patients, high blood pressure is found when they visit their health care provider or have it checked elsewhere. Because there are no symptoms, people can develop heart disease and kidney problems without knowing they have high blood pressure. Some people may experience: bad headache, mild dizziness, and blurry vision. Traditionally, diagnosis of high blood pressure (BP) has relied on consecutive checks of clinic BP over a 2 to 3 month period, with hypertension confirmed if BP remains persistently raised over 140/90 mmHg. This method of diagnosis has significant limitations because the BP measured for an individual patient in a clinic setting may not reflect their BP in day-to-day life. The main concern is that as a result of the “white coat syndrome”, hypertension may be over-diagnosed when checked in the clinic setting; resulting ...
Ms. Gm, my client, lived alone in the community housing corporation. On this faithful morning my patient woke-up complaining of severe headache, fatigue, inability to sleep, dyspnea and dizziness. Following this situation she was taken to the hospital by a neighbor and while she was in the emergency department she was seen by the physician where she was diagnosed with hypertension.
Hochadel, M. (2014). Mosby's Drug Reference for Health Care Professionals (fourth edition ed.). : Elsevier.
The key to a successful healthcare reform is interdisciplinary collaboration between Family Nurse Practitioners (FNPs) and physicians. The purpose of this paper is to review the established role of the FNP, appreciate the anticipated paradigm shift in healthcare between FNPs and primary care physicians, and recognize the potential associated benefits and complications that may ensue. Description of the Topic Definition The American Nurses Association (2008) has defined the FNP, under the broader title of Advanced Practice Registered Nurse (APRN), as one “who is educationally prepared to assume responsibility and accountability for health promotion and/or maintenance as well as the assessment, diagnosis, and management of patient problems, which includes the use and prescription of pharmacologic and non-pharmacologic interventions” (p. 7).... ... middle of paper ... ...
" Journal of Clinical Hypertension 13.5 (2011): 351-56. EBSOHost.com - a. Web. The Web.
The aim of this assignment is to discuss blood pressure and its relation to its contribution and relevance to contemporary professional nursing practice.
WILLIAMS, P and POULTER NR et al (2004) Guidelines for management of hypertension: report of the fourth working party of the British Hypertension Society. British Hypertension Society, pp. 139-85
Adams, M. P., & Koch, R. W. (2009). Pharmocology: connections to nursing practice. (1 ed.). Upple Saddle River, NJ: Prentice Hall. (ADD PAGE NUMBERS TO CITATION)
... Medicine. 3rd ed. Vol.3. Detroit: Gale, 2006.2139-2141. Gale Virtual Reference Library. Web. 3 Apr. 2014.
The National Institute for Health and Clinical Excellence (2009), information on medication management available from http//: www.nice.org.uk (accessed on 14th February 2011)
Schnall, P., Landsbergis, P., Belkic, K., Warren, K., Schwartz, J., & Pickering, T. (1998). Findings In The Cornell University Ambulatory Blood Pressure Worksite Study: A Review. Psychosomatic Medicine, 60, 697.