The aim of this assignment is to discuss blood pressure and its relation to its contribution and relevance to contemporary professional nursing practice. Blood pressure as the force of blood inside the blood vessel against the wall of the vessel. Systolic blood pressure is the peak of pressure of the left ventricle contracting and blood entering the aorta, influencing it to stretch, Marieb, E.N and Hoehn, K. (2010). Diastolic pressure is when the aortic valve closes, blood flow to the aorta to the small vessels. As the aorta recoils back the aortic blood pressure is at its lowest, this tend to reflect the resistance of the blood vessels, Marieb, E.N and Hoehn, K. (2010). Hypotension is more common in adults as a systolic blood pressure below 100 mmHg, Marieb, E.N and Hoehn, K. (2010). This low blood pressure may indicate orthostatic hypotension. This is compensated by the baroreceptor reflex and the sympathetic nervous system, however in older patients this might work as efficiently , Marieb, E.N and Hoehn, K. (2010). Hypotension cause be a cause of some other conditions such as haemorrhage, malnutrition and stock , Marieb, E.N and Hoehn, K. (2010). The problem with hypotension is that it can lead to reduced tissue perfusion , resulting in hypoxia and accumulation of waste products. Accurate measurement of blood pressure is essential for the early recognition of deterioration in the condition of a patient; this should be accompanied by a suitable response for early intervention, department of health (2000). Even though the recommendations of using manual blood pressure device in situations where the treatment decisions are made on blood pressure readings, however the use of automated machines are becoming more common in ... ... middle of paper ... ... finding the correct sized cuff. If it is difficult to fit a large adult cuff or thigh cuff around the patients arm or if the correct sized cuff is unavailable, the forearm should be used as an alternative. Taking blood pressure measurement in the forearm is unreliable due to having an error rate of 7 to 15 mm Hg. Due to this inaccuracy taking blood pressure in the forearm does not follow NICE (2011) guidelines. There for blood pressure should not be taken in this way, however McFarlane, J (2012) has stated this is one of the few ways for blood pressure to be taken in obese individuals, if the appropriate cuff is unavailable. Obese patients may be sensitive about their weight and are often Too embarrassed to receive health care. This can be an area of concern when selecting a thigh cuff, as the patient may see this as insensitive and disrespectful to their needs.
Hypotensive Shock: The body is no longer able to compensate. Patient start to show sign of distress. Heart rate elevated, hypotension, organ dysfunction, altered mental status.
This experiment was performed twelve times, on three subjects, over a period of 4-6 weeks. The first subject was a six-year-old boy named Gideon (results are shown in Figs.1-4). His initial blood pressure was 92/53 mmHg; this stayed consistent throughout the entire experiment. The first genre of music that was tested was rock music (Fall Out Boy: My Songs Know What You Did in the Dark). The first time the experiment was performed, his blood pressure was 98/55 mmHg, the second time it was 99/56 mmHg, the third time it was 99/55 mmHg, and the fourth time it was 98/56 mmHg. The second genre of music that was tested was country music (Carrie Underwood ft. Sons of Sylvia: What Can I Say?). During the first trial, his blood pressure was 91/53 mmHg, the second time it was 92/54 mmHg, the third time it was 91/52 mmHg, and the fourth time it was 92/53 mmHg.
Blood pressure is measured by two pressures; the systolic and diastolic. The systolic pressure, the top number, is the pressure in the arteries when the heart contracts. The diastolic pressure, the bottom number, measures the pressure between heartbeats. A normal blood pressure is when the systolic pressure is less than 120mmHg and Diastolic pressure is less than 80mmHg. Hypertension is diagnosed when the systolic pressure is greater than 140mmHg and the diastolic pressure is greater than 90mmHg. The physician may also ask about medical history, family history, life style habits, and medication use that could also contribute to hypertension
For example: if hypertension goes untreated then it could potentially lead to stroke, heart attacks, and untimely death. Early detection and improve patient outcomes by educating the patient on lifestyles changes and effective drug treatment. It is important for the patient to alter their eating habits, as well as their sedentary lifestyles and monitor their blood pressure levels. Feasible and affordable screening approved by the patient is also important: for example, electronic monitoring can make it easier for the patient to obtain their levels without causing harm and cost effective. (page 125)
Remembering that prevention is the best cure, we are going to discuss what is high blood pressure, how to easily measure it, and how to effectively prevent it. (Thesis)
The fundamental caring skill that was chosen to demonstrate knowledge and understanding within a reflective framework was recording blood pressure. Blood pressure was chosen because it is a critical physiological function and a fundamental indicator of well being (Fullbrook 1993). It is an important and vital observation, in that it allows early therapeutic intervention should a patient’s status change (Fullbrook 1993). This essay will also demonstrate an understanding of best practice for the theory of blood pressure measurement of the patient. The factors which can influence different results in the measuring of blood pressure. In a model of reflection to aid the reflective process Gibbs (1998) was chosen.
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 ...
Hypertension can be defined as a force exerted against the wall of blood vessels. However, high blood pressure occurs when there is high pressure at the time of ventricle contraction during the systolic phase against decrease contract during diastolic phase as the ventricles relax and refill. This can be recorded as systolic over diastolic in millimeters of mercury. (Wallymahmed, M. 2008).
Manual blood pressure techniques are compounded with many factors that may affect the measurement (Myers, 2010). Patient anxiety and poor blood pressure measurement technique by the health professional can result in a misdiagnosis and improper drug treatment (Myers, 2010).
Hypertension is one of the most prevalent disorders in the US, affecting about 1 in 3 adults. Since uncontrolled blood pressure has been linked to consequences such as stroke, congestive heart failure, and chronic kidney disease, it poses considerable risk for a significant portion of the population. According to the American Heart Association, hypertension was responsible for 46,284,000 ambulatory care visits in 2007; and it is estimated that this condition will be either directly or indirectly responsible for $76.6 billion in health care costs in 2010.9 The morbidity and mortality associated with uncontrolled hypertension make initiatives to improve the quality of care in this area important in any outpatient practice.
Discussing potential risk issues associated with using automated blood pressure/pulse machine in relation to contemporary practice.
The second thing we needed was direct contact to the skin of the patient or classmate. The stethoscope should not be place over the cloth instead under it right on top of the artery. The cuff size is important to determining the right measurements for the patient for instances trying to find the blood pressure of a child’s would work if you use an adult cuff. After everything is placed the manometer should be facing the technician ready to read. The technician then inflates the cuff to 160 mm hg. He then releases listening to the 1st Korotkoff sound (systolic pressure) and the middle (muffling) and the 5th phase (diastolic pressure) which is the disappearance of the sound. The hypothetical recording would be 128/92/86 mm Hg. At the end of the testing the technician uses the 1st and 5th phases to classify the person’s health according to the
Accurate blood pressure measurements are needed in clinical practice. The process for obtaining an accurate blood pressure is very sensitive and that accuracy can be affected by several different factors of which could be; behavior of the subject, the environment that the blood pressure is taken in, the inconsistencies in process or the devices that are used to obtain the measurement of a pediatric patient or the observer of the process.
With the advancement in medicine and increase in comorbidities, cardiovascular disease and diabetes are the in the top two according to (Pandya, Gaziano, Weinstein, & Cutler, 2013). In addition to just monitoring blood pressure and thus preventing a stroke or a heart attack, a patient is taught the necessity of daily blood pressure medication, healthy meal planning, dally activity and overall healthy choices. In this situation, the monitoring is used for secondary prevention in disease management. Daily log of blood pressure for at least one week after the discharge from the hospital should be recorded and presented to the primary care provider for an evaluation and further
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.