...Care Plan Elements of Hypertension Susan Salby American Sentinel University Care Plan Elements of Hypertension Worldwide, hypertension is the most common contributor to death of any medical risk factor. HTN contributes to the development of heart disease, heart failure, chronic renal failure requiring dialysis, stroke, peripheral vascular disease and cognitive decline. The risk of cardiovascular events doubles for every 20/10mmHg rise in blood pressure above 115/70mmHg. Untreated HTN causes progressive renal and vascular damage, eventually leading to a treatment resistant state. Hypertension is usually diagnosed and treated in the community. As this is largely an asymptomatic disease, particularly in its initial stages, compliance with treatment regimens can be problematic. Successful treatment of HTN relies on the patient establishing an ongoing therapeutic relationship with a trusted and knowledgeable health professional (Casey, 2011). Tools to manage care, such as clinical pathways, practice guidelines, and best practices have increased as the health care insurance industry has put more pressure on health care providers to improve care and provide more cost-effective care. These tools offer health care providers the opportunity to determine the best approaches to clinical problems based on current research and expertise (Finkleman, 2011). Best Practices Best practices are those treatments, procedures, tests, therapies and interventions that have consistently...
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...participant and health promotion practice. Health promotion can be encompassed with any disease either acute or chronic. When underlining the definition health promotion in relationship to hypertension it is defined as “effect of anti-hypertensive patient-oriented education and in-home monitoring for medication adherence and management of hypertension, by providing education of healthy lifestyle behaviors and medication adherence”(Hacihasanoglu & Gozum, 2011, p. 692). This means to change the behaviors to one’s lifestyle along with medication compliance an individual can achieve control of and a better well-being while living with hypertension. Nurses’ purpose to health promotion is to assist in education, promotion, planning, implementation, and goal setting to patient, groups, and communities. We are the largest group of health professional, we have the potential to contribute substantially in the area of health promotion. The nurses’ responsibility as it relates to the better overall well-being of an individual living and dealing with hypertension is to improve hypertension control by demonstrating reductions in BP (Magid et al., 2011). A nurse is one part of a team that must work as one to empower individuals not only to succeed but to improve and change their life while living with hypertension. The nurses role in the...
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...Patient- Centered Education Plan Pascale Comeau NUR/427 July 29, 2014 Debra Ayer MSN, RN, MBA This paper will discuss of a case study related to hypertension and the lack of awareness of the disease. Hypertension is a chronic disease. Chronic illness is a condition that last six months. It can be managed but not cure. The CDC stated (2014) “As of 2012, about half of all adults- 117 million people have one or more chronic diseases. Seven of the 10 causes of death in 2010 were chronic disease. Heart disease and cancer together accounted for nearly 48% of all deaths.” The objectives of this case study are to review the history and physical, describe the disease process, and formulate a patient- centered education plan. Disease process Mr. Larry Garcia is a 45 year old Hispanic male. He was newly diagnosed with hypertension during a physical exam for his employment. He does not consult his primary physician regularly. His previous physical exam was six years ago. Larry is overweight and lack of physical activity. He does not smoke but drinks alcohol occasionally on the weekend. He complains of shortness of breath, dizziness, headache and blurry vision occasionally. However, he stated “I feel fine.” Mr. Garcia refused prescribe medication for his hypertension. He takes only one multivitamin daily. Larry is married and has three children. He has a stressful job as a sale representative. He is the only child. He assists both of his parents with their financial...
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...Patient Education Plan for Larry Garcia Timber L. Keys NURS/427 January 14, 2013 Amy Prichard Patient Education Plan for Larry Garcia An important component of a nurse’s daily responsibilities is to provide the patient with the knowledge base he or she will need to improve their quality of life after the illness. Patient education is a central part of the practice of all health professionals. Patient education services are delivered during direct care given by health care practitioners and are also available in separate programs (Redman, 2007). This patient education plan will identify and determine how to fulfill the gaps in education regarding Larry Garcia’s newly diagnosis of hypertension. Assessment of Larry Garcia Larry Garcia is a 45 year-old male newly diagnosed with hypertension during a physical examination due to the change in his company’s healthcare and wellness policy. He has been married to his wife, Monica, for 18 years; together they have 3 children, a 15 year-old son, Mark; a 12 year-old daughter, Kelly; and another daughter Andrea who is 8 years-old. Mr. Garcia has been employed as a sales representative for the past 10 years with the same company, which is considered a high pressure position that requires meeting a monthly sales quota. In addition to his immediate family responsibilities, Mr. Garcia also claims responsibilities for his parents who are aging and need assistance on a daily basis. Physical assessment reveals a middle-aged male...
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...Postpartum Hemorrhage Learning Objectives: * Performs a basic physical assessment of the postpartum patient (APPLYING) * Identifies the signs and symptoms of postpartum hemorrhage (REMEMBERING) * Determines the most likely cause of hemorrhage (ANALYZING) * Performs appropriate nursing management interventions for the patient experiencing postpartum hemorrhage (APPLYING) * Evaluates effectiveness of interventions and revises plan of care as indicated according to patient’s condition and assessment (EVALUATING) * Prioritizes the implementation and approach to the nursing care of a patient with post partum hemorrhage when working with other health care team members (ANALYZING) Prep Questions 1. What is the normal location of the fundus two hours post-vaginal delivery? * Immediately after delivery, the uterus is about the size of a large grapefruit and can be palpated midway between the symphysis pubis and umbilicus and in the midline of the abdomen. Within 12 hours the fundus rises to about the level of the umbilicus 2. What assessments are vital for the nurse to perform on the postpartum patient? * Vital signs, skin color, location and firmness of fundus, amount and color of lochia, perineum (edema, episiotomy, lacerations, hematoma), presence degree and location of pain, IV infusion assessments, urinary output, status of abdominal incision and dressing, level of feeling and ability to move if regional anesthesia was used 3. What...
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...restrictions and activities or many other interventions to control the blood pressure. Therefore, the proposed teaching plan provides patients the essential knowledge of how to control hypertension and additional interventions after discharge including a healthy diet and a active lifestyle. However, there are some barriers during introducing the teaching plan to the community or encouraging patients to make lifestyle changes. This paper describes the experience after the hypertension teaching session, the audience’s response, and better approach which can be done to improve the audiences’ health. Epidemiological Rationale for the Topic: According to data from the CDC, more than 67 million (1 in every 3) adults in the U.S. have lived with high blood pressure problems; 53% of those have been controlled by hypertensive medical advice. In California, an estimated of 27% adults have hypertensive problem in 2009 ("CDC," 2014). In 2010, hypertension are one of the most popular health problem in many communities across the U.S. with 38.9 million have been seen by a physician. In nursing home care, an estimated of 790,300 residents currently have hypertension issue (“CDC,” 2004). The mortality rate for hypertension was 27,853 in 2011; an estimated of 8.9 out of 100,000 population are dead related to hypertensive circumstances (“CDC,” 2011). As the relationship between hypertension and other...
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...Assessment Middle aged Hispanic male Physical health: newly diagnosed with hypertension, 12 pounds overweight, occasional alcohol use, and no tobacco use. He does not exercise regularly, does not have any hobbies at this time and he lacks motivation to take annual physical exams and preventive measures or test. Mental Health: stressful employment, emotional and financial responsibilities for his parents. Learning needs: Visual learner (reading Introduction to the disease process: According to "Center For Disease Control And Prevention" (2012), “hypertension, also referred to as high blood pressure, when the force of blood against your artery walls is out of the normal range” (High Blood Pressure Facts). A healthy blood pressure reading is lower than 120/80mmHg and pre-hypertension is between 120/80mm Hg and 139/89mmHg. Stage 1 hypertension is between 140/90mm Hg and 159/99mm Hg and stage 2 hypertension is a reading of 160/100mm Hg or higher. Blood pressure is recorded as two numbers the systolic pressure (the heart beats) over the diastolic pressure (as the heart relaxes.) Risk factors for cardiovascular diseases including hypertension include: increasing age, male, race (African Americans, Hispanics), diabetes, family history, high sodium diet, obesity, physical inactivity, alcohol and tobacco use. The extra pressure to the walls of the arteries from the high blood pressure can damage the arteries and organs. This risk of damage is increased the longer the pressure remains...
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...Hypertension or High blood pressure is a prevalent cardiovascular disease in the United States and other nations around the world. It is estimated that 1 billion is affected with the disease and about 7.1 million hypertension related mortalities annually. It is a condition in which the long-term force of blood against artery walls is high enough to ultimately cause heart attack, aneurysm, stroke or left ventricular hypertrophy leading to congestive heart failure. Many people with hypertension do not realize they have because the symptoms are subtle and that it generally develops over a long period of time. Most often, vital organs like the kidneys and eyes may damage or other diseases may occur before it is detected; for this reason, it is often called the "silent killer (American Heart Association, 2014). According to Woo & Wynne (2012), a report from the World Health Organization indicates that suboptimal blood pressure higher than 115mm Hg (systolic) is liable for 62% of all cardiovascular disease and 49% of all ischemic heart disease. A normal blood pressure level is systolic reading of blood pressure (SBP) less than 120mmHg with diastolic level (DBP) less than 80mmHg. Hypertension disease has the following stages. A pre-hypertensive level is SBP 120-139, and DBP 80-89. Hypertension stage 1 is SBP 140-159, with DBP of 90-99. Hypertension stage 2 is SBP greater than or equal to 160 with DBP of 100 or more. Stress and emotional tension may temporarily increase blood pressure;...
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...right total hip replacement. Mr. Trosack reported no previous health history but has been diagnosed with hypertension and non-insulin dependent diabetes during hospitalization. Mr. Trosack is a widower, lives alone and manages the family-owned business with his brother. Currently ambulating with the assistance of a walker, Mr. Trosack has been in in-patient rehabilitation for the past 2 weeks. Healthcare Issues Related to Discharge Plan Three issues that must be addressed in Mr. Trosack’s discharge plan are safety, treatment compliance and psychological well-being. Mr. Trosack’s safety plays a pivotal role in determining the proper discharge plan. The safety of the environment Mr. Trosack will be discharged to must be evaluated to ensure that it will be conducive to his recovery and low risk for further injury. Compliance of Mr. Trosack’s treatment plan regarding not only his hip replacement but also his newly diagnosed hypertension and diabetes is another important issue. With no previous medical conditions, compliance with treatments and medications may prove to be difficult and cumbersome to Mr. Trosack. Adjusting to these changes and incorporating them into his activities of daily living is going to take time and strict adherence. Non-compliance can lead to a delay in recovery from his hip surgery as well as deterioration and instability related to his hypertension and diabetes. Mr. Trosack’s psychological well being is another significant aspect related to his discharge...
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...Hypertension is word that is used to describe high blood pressure .Blood pressure is the force the blood produces against the arterial wall as your heart pumps. The heart pumps the blood though the artery as it flows it pushes the blood against the walls of the arteries creating pressure. The higher the pressure is against the wall the higher the blood pressure will be. The pressure is related to the size of the artery which the blood passes through the smaller the artery is the higher the pressure will be. The pressure is measured in milliliters of mercury Blood pressure is at the highest when the heart contracts or pumps the blood through the arteries this measurement is called the Systolic pressure. The blood pressure is at the lowest when the heart is at rest or filling up with blood this measurement is called the Diastolic pressure. Blood pressure is measured by two numbers which is the Systolic number or the top number and the Diastolic number or the bottom number. For example the pressure is usually written as 120/90 mm Hg. According to the American Heart Association defines hypertension as any of the following “Having an untreated systolic blood pressure of 140 mm Hg or higher. Having a diastolic blood pressure of 90 mm Hg or higher .Taking antihypertensive, being told at least twice by a physician or other healthcare professional that you have hypertension" ( The American Heart Association 2011). Hypertension is referred to as the silent killer as there are little symptoms...
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...------------------------------------------------- Clinical Preparation Worksheet- Information Necessary for Care ------------------------------------------------- ------------------------------------------------- Your Name _ Date of Care_3/17/2014_____ Pt. Initials__M.A.____________ ------------------------------------------------- Pt. age__51_______ Code Status _Full Code______________Braden /SKIN Score __K_____ ------------------------------------------------- Fall Risk- Fall risk with high injury probability __Level 2________________ ------------------------------------------------- ------------------------------------------------- Admitted from: Home/extended care facility? __Home___________________ ------------------------------------------------- ------------------------------------------------- Reason for admission - also called CC or Chief complaint: (This is in the pt.’s words. Ask them why they came to the hospital and record what they say as a direct quote.) ------------------------------------------------- Fell in the shower and became unconscious, tried to call girlfriend but couldn’t move left side ------------------------------------------------- ------------------------------------------------- Admitting Medical Diagnosis/Diagnoses: ------------------------------------------------- Stroke ------------------------------------------------- ------------------------------------------------- Medical and Surgery History:...
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...Community Teaching Work Plan Proposal Directions: Develop an educational series proposal for your community using one of the following four topics which will be chosen within your CLC group: 1) Bioterrorism/Disaster 2) Environmental Issues 3) Primary Prevention/Health Promotion 4) Secondary Prevention/Screenings for a Vulnerable Population Planning Before Teaching: |Name and Credentials of Teacher: | |Lali Alex, RN, CHN | |Estimated Time Teaching Will Last: |Location of Teaching: | |One Hour |Church auditorium | |Supplies, Material, Equipment Needed: |Estimated Cost: | |Blood pressure machine, hand outs, reading materials, |Approximately $75 | |slides, blood pressure recording chart | | |Community and Target Aggregate: | |Church members, their family...
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...Hispanics, Hypertension , and Healthy choices. Martha Valdivia GCU Family-Centered Health Promotion NRS-429VN Shannon Foley June 12, 2016 Hispanics, Hypertension , and Healthy choices. Health status and health behaviors of Hispanics is diversified within their own culture. There are differences between American born versus immigrant born. Acculturations to the American lifestyle has made this divide. American fast food is inexpensive, convenient, high in salt, and saturated fats. We will compare the health status of Hispanic culture to the national average. Health concerns include Hypertension, Heart Disease, and Cancer. Heart disease and cancer are the leading diseases affecting Latino-Americans. The Health disparities within the Hispanic population will be observed to allow for evaluation of healthier lifestyle. We will seek out community resources available to make those lifestyle changes. Due to the vast amount of information on this topic we will stayed focused on American Born Latinos. Hispanic Health Status Versus the U. S. National Average While obtaining information regarding Hispanic health disparities and behaviors, we discovered the complexity of this subject. Hispanics living in the United States represent an increasing diversity of national-origin groups. Relatively new groups, including Dominicans, Salvadorans, Guatemalans, and Colombians, have grown rapidly, adding their numbers to well-established populations of Mexican, Puerto Rican, and Cuban origin. (2006)...
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...continuing disparities in the incidence of illness and death among African Americans, Latino/Hispanic Americans, Native Americans, Asian Americans, Alaskan Natives and Pacific Islanders as compared with the US population as a whole." --National Center for Cultural Competence Population addressed Population addressed In 1950, U.S.-born whites made up about 90 percent of the U.S. population. By 2000, this number declined to about 75 percent, and by 2050 non-Hispanic whites will be in the numerical minority (U.S. Census Bureau 2001, 2002). This rapid diversification requires healthcare organizations to pay closer attention to cross-cultural issues if they are to meet the healthcare needs of the nation and continue to maintain a high standard of care. Looking at the Country as a whole the current area of discussion for this paper is the area of Western North Carolina and the population of Asheville, which is a melting pot of cultures which the combination they create is unique to no other. According to the 2006 U.S. Census Bureau statistics for Asheville, N.C. the current demographics break down as follows: Asheville [City] Population (current estimate), 70,400. Buncombe County Population (2006), 222,174, county in Western North Carolina Asheville is located. Gender Dispersion was 46.8% Male, 53.2% Female with an average age being 39.2 years of age. Race breaks down as follows: White persons (2000), 78%, Black or African American persons(2000), 17.6%, American Indian (2000), 0.4%, Asian...
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...Diabetes [Name of Author] [Name of Institution] Introduction The examination profile of Mr Ward is not satisfactory and predicts he is confronted with several risk factors. Triglyceride level of Mr. Ward is 1.8mmol/l which is considered to be borderline high. Likewise, the cholesterol is 5.2mmol/l which again is very high. He also has a blood pressure higher than a safe range and a BMI below satisfactory level. This paper aims to highlight the facts and interventions which can be used for disease management for Mr Ward. Discussion The major challenge for maintaining a suitable glycemic control for diabetic patients is to restrict the progression of disease or development of the risk factors which turn pertinent over the course of time. The progression of disease can be restricted through considering the factors leading to weight gain, the pharmaceutical considerations, incurrence of glycemic conditions, and by taking into account the inherent restraints for administering exogenous insulin (Nichols et al, 2000). According to Davies (2004), there are number of factors which influences the consultation for diabetes patients amongst which the prominent ones include age, span of diabetes, the BMI, and measure of physical exercise. The glycaemic control remains the first and foremost target for every healthcare provider to enable insulin uptake in patients suffering from type 2 diabetes. Janes et al (2013) have highlighted the significance of daily routine and activities...
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