Mallion et al (2001) stated that age is one of the factors influencing the development of hypertension. As people get older, their blood pressure increases due to the physiological changes in the arteries. Numerous research studies have shown that the prevalence of isolated systolic blood pressure rises in the population over 60 years.
Hypertension is increasingly prevalent with patients who have diabetes (Mallion et al, 2001; Yi-Bing et al, 2013). A survey was conducted on hypertension management and awareness among 556 patients. They found that diabetes affected 18.2% of the patients with hypertension. On the basis of the United Kingdom Protective diabetes Study, the coexistence of hypertension and diabetes is well-determined, which contributed to increasing the risk factors of cardiac diseases. Therefore, the recommended target of blood pressure control among patients with diabetic is 130/85 mm Hg to prevent the major complications of cardiovascular diseases (Yi-Bing et al, 2013).
In semi-structured qualitative interviews with a diverse group of patients with hypertension regarding the cause of this disease, they found the attributed causes of high blood pressure included: family history of hypertension, stress, obesity, excessive salt intake, poor diet, and physical inactivity (Bokhour et al, 2012; Segbefia, Oware-Gyekye, & Akpalu, 2012). Bokhour et al identified five aspects of patients’ daily lived experience that were related to hypertension self-management behaviors: 1) isolated lifestyle, 2) serious competing health problems, 3) lack of habits and routines, 4) barriers to exercise, and 5) prioritizing lifestyle choices” (2012, p.1630).
Barriers to Optimal Blood Pressure Control in Clients with Hypertension
Barrier...
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...patients for successful self-management of this disease (Fort et al, 2013; Khatib et al, 2014).
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The outcomes of the literature reviews of the use of the HBPM might not be applicable to people with complicated hypertension. Due to the seriousness of their illness, they could be not able to participate in the intervention groups in self-measurement blood pressure monitoring at home. Therefore, it affects the reliability and validity of these findings from pervious researches (Uhlig, Patel, Ip, & Kitsios, 2013). Numerous studies have presented specific recommendations regarding hypertension management and treatment, which are valid and reliable. However, the implementation of these recommendations in clinical settings is limited because of possible barriers that contribute to the patient, the healthcare provider, and health system (Khatib et al, 2014).
The research purpose is derived from the research problem. The purpose of this study which was clearly outlined in the introduction section of the paper, sought to determine if automatic blood pressure devices could measure orthostatic hypotension accurately in emergency settings. This purpose was accompanied by research objectives and a hypothesis that focused the study. The objectives in the study sought to find the sensitivity, specificity, positive predictive value and negative predictive value of the automatic devices, clinical and statistical significance in postural drops, and if magnitude influenced blood pressures readings (Dind et al., 2011, p. 527).The authors also predicted in their hypothesis that the automatic devices would be less accurate if the systolic blood pressures were not between 120-180 mmHg which is their...
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
Pre-exercise: For this activity, each group member needed to be familiar with taking and reading another group member’s blood pressure. Many types of instruments exist for measurin...
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 ...
I chose this topic because I took care of a patient who had high blood pressure in my previous clinical placement. Ever since I have been taken care of this patient, I discovered that she has been withdrawal, depressed and this behavior challenged me to research on hypertension.
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...
"Treatments."Mayo Clinic. Mayo Foundation for Medical Education and Research, 28 May 2011. Web. 06 May 2013
" Journal of Clinical Hypertension 13.5 (2011): 351-56. EBSOHost.com - a. Web. The Web.
Latent diabetic vascular complications are a hallmark of the disease and known to significantly affect the cardiovascular and renal systems. Atherosclerosis is the main reason for decreased life expectancy in patients with diabetes, whereas diabetic nephropathy and retinopathy are the largest contributors to end-stage renal disease and blindness, respectively (37, 56). Current therapy is aimed at managing blood glucose concentrations and increasing insulin resistance. Thus, vascular complication mitigation includes: blood glucose monitoring and lowering, which decreases the risk of nephropathy and retinopathy. Antihypertensive medicine is also utilized to decrease the risk of cardiovascular disease, nephropathy, and retinopathy (15, 26). As well, hypertension is closely associated with stroke and pulmonary edema. Despite these advances, diabetes complications and their treatments are aimed at abating symptoms in an effort to improve physiological function.
This in turn may lead to high blood pressure, which also increases the risk of coronary heart disease. When the arteries become narrowed the blood and oxygen supply to the heart muscle is restricted, particularly when you exert yourself and the demands of the heart muscle increase. It has been recognised that the risk of developing coronary heart disease increases with age. Atherosclerosis takes a long time to develop and the arteries naturally become less elastic as we age, often leading to a greater risk of high blood pressure. Women have been proven to be at higher risk of contracting heart disease than any other disease.
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.
Viera, M. H., Amini, S., Valins, W. and Berman B.; 2010. Innovative Therapies in the Treatment
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.