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Medical research paper on treatment of hypertension
Medical research paper on treatment of hypertension
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Hypertension is considered to be a disease in which a constantly raised blood pressure, or higher than what is perceived “normal” blood pressure, causes a halt in organ function such as heart failure, a stroke etc (Opie, L. H.). Most people don’t even know that they have hypertension as a condition because they haven’t had their blood pressure measured at a health care facility. In South Africa Hypertension is usually considered to be a “silent killer” because most people do not even realise that they are suffering from it because of their lack of knowledge on the subject. “Consequently, hypertension is universally underdiagnosed and/or inadequately treated resulting in extensive target-organ damage and premature death. Furthermore, hypertension frequently co-exists with other risk factors for chronic diseases of lifestyle (CDL), such as diabetes and obesity” (Steyn, 2005).
Social cognitive theory relates the performance of a behaviour change to an individual’s expectations of his or her particular performance and their probability in accomplishing that particular change (Plake). In regards to this specific model there are two types of expectations, outcomes and efficacy. Outcome expectations referring specifically to an individual’s belief that performance of a specific task or behaviour will lead to a specific outcome. Efficacy expectations refer to a person’s belief that they will be able to perform that behaviour change. All of the above mentioned facts can link specifically to various health behaviours that require changing in regards to Hypertension. When looking at specific health behaviours that are most often focused on there are five main areas which become prominent and seem to be the most problematic when dealing spe...
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...particularly those at high risk, to have their blood pressure checked. It is important that the community be informed about the need for screening, and understands the impact that poorly controlled blood pressure has on their health. The second element of hypertension management involves the early diagnoses of patients with hypertension by primary health-care services and the cost-effective management of the condition. It also involves educating patients about their condition and working with them in a way that will allow them to attain the highest possible level of compliance to their management. Health services should in addition to achieving good blood pressure control be screening on a regular basis for possible target-organ damage in their patients. South Africa needs to improve on both these aspects in order to promote and sustain good hypertension management.
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.
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
Fluid from the intravascular space shifts into the interstitial space surrounding the cells. This shift is caused by increased hydrostatic pressure within capillaries as the result of reduced liver function blocking blood flow. Increased capillary permeability from inflammation pushes albumin into the interstitial space, increasing interstitial osmotic pressure and deceasing capillary osmotic pressure. Due to decreased liver function, albumin is not longer readily made decreasing its presence in body. Without albumin, osmotic pressure will remain decreased within the plasma. As the body compensates for this loss of water and increased sodium in the intravascular space hypertonic alterations pull water from the intracellular fluid causing
Hypertension is deadly and it is a silent killer, if not detected on time, it can cause severe complications to major organs in the body.
When diagnosed with hyponatremia treatment usually immediately begins. Treatment must be a restriction of both salt and water (Gheorghita et. al 2010). Hyponatremic patients must receive a slow increase in sodium with a restriction of liquids. Intravenous hypertonic saline solution of 3% NaCl can be administered to patients who have been diagnosed with hyponatremia. There is a precise formula that is used in determining the quantity of NaCl that is used in increasing sodemia and the rate at which it should be administered (Gheorghita et. al 2010).
Hypertension is a developing problem worldwide,associated with an increased risk of cardiovascular morbidity and mortality. In 2020, the world population will be approximately 7.8 billion people, and there will be 1 billon people who may be affected by hypertension (Tomson & Lip, 2005). One in three adults in the United States has high blood pressure. According to the report “Health, United States, 2010 with Special Feature on Death and Dying,” the prevalence of hypertension among adults 20 years old or older increased from 24% to 32% during 1988-1994 and 2005-2008. The African-American population has a higher prevalence of this health condition than white Americans do. In 2005 to 2008, the prevalence of hypertension among black males (41.4%) was more than 10%, compared to white males at 31.5% of the population. The hypertension rate of black females was more than twice that of white females. The death rate from hypertension among black males was 51.8 per 100,000, and among black females was 40.4 per 100,000; however, the morta...
Hypertension will continue to be a major cause of death all for Americans especially African Americans. Limitations in care for the under-served will continue to be a growing problem. Solutions must be made to provide the delivery of high quality, lower cost and especially effective primary care to the underserved populations.
Aim of this paper is to examine and present the application of social cognition models in the prediction and alternation of health behavior. Social cognition models are used in health practices in order to prevent illness or even improve the health state of the individuals in interest, and protect their possibly current healthy state. This essay is an evaluation of the social cognition models when used to health behaviors. Unfortunately it is impossible to discuss extensively all the models and for this reason we will analyze three of the most representative cognitive models to present an integrated idea of their application.
The key concept of the health belief model includes threat perception (perceived threat), behavioral evaluation, self-efficacy and other variables. The threat perception has very great relevance in health-related behaviors. This perception are measured by perceived susceptibility (the beliefs about the likelihood of contacting a disease) and perceived severity (the feeling about the seriousness of contacting an illness and leaving it untreated). The behavioral evaluation is assessed by the levels of perceived benefits (the positive effects to be expected), perceived barriers (potential negative aspects of a health behavior), and cues to action (the strategies to activated one’s readiness). The self-efficacy key concept was not originally included in of the health belief model, and it was just added in 1998 to look at a person’s belief in his/her ability to take action in order to make a health related change. The other variables that are also the key concepts of the model include diverse demography, sociopsychology, education, and structure. These factors are variable from one to another and indirectly influence an individual’s health-related behavior because the factors influence the perception...
Cardiovascular disease (CVD) and chronic kidney disease (CKD) closely parallel the obesity and insulin resistance epidemic. Current U.S. estimates project 70 million obese adults and an additional 70 million with hypertension and/or type II diabetes (28, 42, 45). More so, the National Health and Nutrition Examination Survey (NHANES), suggest a graded and continuous relationship exists between prevalent hypertension and increasing body mass index (BMI); a metric that is closely associated with insulin resistance and self-identified type II diabetes (8, 34).
It is essential to the human body that the heart pump sufficient nutrient rich blood to the body’s cells, because the body won’t be able to function normally otherwise. When a heart muscle is unable to pump enough blood through to meet the body’s regular demand it is characterized as heart failure. Heart failure can usually be treated through conventional heart therapies and symptom management strategies, however conventional therapies don’t work for all patients with heart failure, this is what is depicted as advanced heart failure or end-stage heart failure. In other words “End stage” heart failure is when the condition becomes so severe that all conventional treatments no longer work, the only treatment that works for end stage heart failure is to have a heart transplantation-surgery to remove a person's diseased heart and replace it with a healthy heart from a deceased donor. However there are two large encompassing problems with this treatment. The first problem is that the patient is subject to shortages in donor organ availability and thus possible further decompensation and potential death while awaiting transplantation. According to the American Heart Association, there are over 500,000 new cases of end-stage heart failure in the United States every year. With only 2200 donor hearts available every year nearly 20-30% of the patients who die while they await a transplant. The second problem with this mode of treatment is that not all patients qualify for heart transplantation. Patients who have another disease in addition to end-stage heart failure do not qualify for heart transplantation. The discrepancy between the clinical need for donor hearts and the total number of hearts available, as well as the lack of treatment o...
Hypertension, a complex multifactorial and polygenic disorder, is a major silent disease affecting young people because of their hereditary and modern lifestyles and it is a major modifiable cardiovascular risk factor. 1 A positive parental history represents a major risk factor for future hypertension in normotensive offspring.2 Several studies have been conducted in the offspring of hypertensive to find the role of genetic and environmental factors in the pathogenesis of essential hypertension. Cultural, social, physical environments and high dietary intake of salt could further increase the tendency to become hypertensive.3 The autonomic nervous system plays a crucial role in the pathogenesis of essential arterial hypertension. Many offspring of hypertensive parents show early changes in their autonomic functions.4 Autonomic abnormality in the form of increased sympathetic tone and early attenuated parasympathetic activity has been demonstrated in young normotensive with parental history of hypertension.5 Another risk factor, obesity is a rapidly growing threat to the healthy population and it is on rise in our society due to socioeconomic developments leading to sedentary life style and faulty dietary habits.6 Weight gain in adolescence and in young adults is one of the potential risk factors for the subsequent development of hypertension. A study on Indian obese young adults demonstrates an autonomic dysregulation in obese subjects.7 A short term Heart Rate Variability (HRV) indices offers a noninvasive, quantitative method of investigating autonomic effects on the heart.8
Throughout history, it seems that medicine and spirituality have been linked in many circumstances. In a study looking at the use of complementary and alternative therapies in cardiac patients, spiritual healing was one of many practices patient sought to utilize. In another study, 29% of participants chose to use prayer or premeditation as a way to cope with their chronic illness. In both studies, prayer or meditation was more likely to be used by individuals who had a large social network, as well as support from another person in the same health situation. Based on these studies, it seems that many individuals (not just cardiovascular patients) turn to their spirituality in times of health distress.
Cardiovascular disease, also known as heart disease, is a term used for diseases involving the heart, arteries, capillaries and veins. The problems associated with cardiovascular disease are often a result of atherosclerosis. Atherosclerosis is caused by a buildup of plaque in artery walls, which disrupts blood flow through the arteries (American Heart Association, 2011). Cardiovascular disease causes a variety of conditions including heart attacks, ischemic stroke, heart failure, coronary artery disease, arrhythmias and heart valve problems (American Heart Association, 2011). These conditions lead to serious health related issues for individuals, including death. Every year there are around 600,000 individuals in the United States that die from cardiovascular disease, making heart disease the leading cause of death in both men and women (CDC, 2014). Although there are ways to decrease the risk of heart disease, the rate has been consistently increasing over the years, costing America billions of dollars in health care services annually. Contributing factors to the rise in heart disease includes the rate of obesity and a lack of physical activity (Dhaliwal, Welborn & Howat, 2013; Poirier, Giles, Bray, Hong, Pi-Sunyer & Eckel, 2006). These articles provide research that answers the question of how obesity and physical activity are linked to cardiovascular disease.
WHO has identified the need to address problems with medication adherence in patients with chronic illnesses. In the same report, WHO has also revealed the severity of medication nonadherence to antihypertensive treatments. Less than half of patients with hypertension in developing countries adhere to their antihypertensive drugs. Even in the United States, a developed country, only 51% of the hypertensive patients adhere to the prescribed treatments 1. It is likely that these patients developed nonadherence in their medications within the first two years of treatment. In a study conducted in Sweden o...