role and self-management by the patient.
Evidence/Results of the DASH DIET to date:
1. It impacts 29% or 1 in 3 that have high blood pressure coupled with impacting 1 in 3 that have hypertension thereby directly and immediately affecting 2/3 of the population.
2. Helps cut the incidence of 5% increase every ten years interval of age down from 5% to 4% based on evidence from 2003-2013. (DASH Diet: Healthy Eating to Lower Your Blood Pressure)
3. Overtime the systolic number of the blood pressure measurement is reduced on average 7-12 points. (DASH Diet: Healthy Eating to Lower Your Blood Pressure)
4. A 12 point reduction in blood pressure can reduce heart attacks by 21% and strokes by 37%. (DASH Diet: Healthy Eating to Lower Your Blood Pressure)
5. Weight loss is a byproduct of and coincides with a reduction in blood pressure improving
Overall health.
Recommendation #2: Partner outside of the healthcare system to provide educational resources increasing awareness, promote prescreening opportunities, providing healthy eating options and exercise facilities attempting to address the many factors that contribute to hypertension and to reach the greatest number of adults over age 18. The target audience is the workplace which have implemented
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The earlier people know what their baseline is and what their optimal blood presure should be, the greater change they have of maintaining wellness and monitoring their optimal health. It allows for a variety of lifestyle adjustments to be made and allows for early intervention and specifying individual needs. The workplace can provide services, programs, policies and supportive environment to support healthy lifestyles making it easier for individuals to implement. The following are the offerings that will aid in assessing individual and providing implementation
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
The DASH dietary plan claims to lower your blood pressure levels thereby reducing the risk of developing health problems within the first 2 weeks of inculcating the diet in your lifestyle. If you experience high blood pressure levels, your diet should be monitored meticulously. It is advised you consume healthy foods like whole grains, lean protein, vegetables, and low-fat dairy while restricting sweet and calorie-rich food. This is the main objective of a DASH diet.
Over the last several years, the United States has experienced the emergence of countless lifestyle based illnesses. We have seen an increase of inactivity, poor nutrition, an increase of tobacco use, and more frequent alcohol consumption; Americans are living unhealthy lifestyles that are surely factors contributing to the pervasiveness of chronic diseases. Chronic diseases use to be seen as problems that older generations faced, but over the past several years the United States’ working age group has become a main target. For example, Americans are experiencing higher rates of diabetes, and heart disease. Conditions like these only lead to a diminished quality of life, could possibly lead to shorter life spans, disability, and quite possibly in the long run increased health care costs. Businesses are also impacted by an employees lifestyle decisions; absenteeism and presenteeism.
The World Health Organization (WHO) (2010) defines obesity and being overweight as an abnormal or excessive fat accumulation that may impair health. Body mass index (BMI) as Arterburn et al (2008) put forward is a measure of body fat based on height and weight and further suggest that any individual with a BMI of more than 30 is considered as obese. Tannahill et al (1999) advocate that health education could be viewed as communication activity aimed at enhancing positive health and preventing ill health in individuals and groups by influencing their beliefs, attitudes, and behaviour of persons with power and of the community. Butler et al (2008) defines health prevention as the measures for early detection of departure from good health. Whereas Heath (2002) concurs that the role and function of the nurse emphasise on health promotion and illness prevention, the Department of Health (2010) emphasises on the prevention of diseases, prolonging life and promoting health rather than treatment.
Blood pressure is a measurement of the force against the walls of your arteries as your heart pumps blood through your body. Hypertension is another term used to describe high blood pressure. This common condition increases the risk for heart disease and stroke, two leading causes of death for Americans. High blood pressure contributed to more than 362,895 deaths in the United States during 2010. Approximately 67 million persons in the United States have high blood pressure, and only half of those have their condition under control. An estimated 46,000 deaths could be avoided annually if 70% of patients with high blood pressure were treated according to published guidelines (Patel, Datu, Roman, Barton, Ritchey, Wall, Loustalot; 2014).
The Healthy People 2020 (Healthy People 2020, 2014) is a nationwide program created by the U.S. Department of Health and Human Services to achieve objectives for promoting health and preventing diseases. Faith based communities may benefit tremendously in including these objectives in program planning. The main goal is for the American people to have long, healthy lives. The Healthy People 2020 program provides measurable objectives that can be applied down to the local level such as in faith based communities. These guidelines encourage high quality of life by being healthy, disease-free, accessible healthcare, and have an environment that promotes good health and wellbeing in all age levels.
By eating the Dash Diet on a consistent basis and being more consistent with my exercising, I gradually lost 30 pounds over the first six months
Obesity has become a very critical problem in the United States. According to the Centers for Disease Control and Prevention (CDC, 2011) in the past two decades there has been an increasingly dramatic increase in obesity seen within the United States. Evidence from research indicate a strong correlation between being over-weight or obese with incidences of coronary heart disease, type 2 diabetes, hypertension and cancers increases (CDC, 2011). A major complication associated with diabetes is the occurrence of nephropathy which can lead to end stage renal disease (ESRD).
Tomson, J., & Lip, G. Y. H. (2005). Blood pressure demographics: Nature or nurture … … genes or environment? BMC Medicine, 3, 3-4. doi:10.1186/1741-7015-3-3
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.
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
Healthy People 2020 is a program for the promotion of health and the prevention of diseases, launched by the Department of Health and Human Services in December 2010. According to healthypeople.gov, this program has four overarching goals which are first to achieve healthy, longer lives free of preventable diseases, injuries, and premature deaths; to achieve health fairness, eliminate differences, and improve all groups’ health; also to produce social and physical environments that encourage good health; and last but not least to promote life’s quality, healthy development, and healthy behaviors through all life stages. This program has a vision of a community where people live long, healthy lives. Healthy People 2020 offers a comprehensive
Creating an individual health and wellness plan helps you plan for your future of creating and /or maintaining a positive, safe lifestyle by addressing underlying issues. “No matter how hard we try and no matter what skills we bring to bear, some problems remain out of our control. When this is the case, we can tell the truth: ‘It’s too big and too mean. I can’t handle it.’ In that moment, we take a step toward greater health” (Ellis, 2015, p. 320). Problems and their solutions within a health plan can be evaluated through five different categories: Diet, Exercise, Rest, Safety, and Health Support. Today we will discuss how I was personally affected in each of those areas and how I plan to implement a solution.
The second ideal is healthy weight, this includes access to “tools and resources that any employee can use to help reach and maintain a healthy weight” (HealthAhead). The final portion of this program is Healthy in a Click, this is a computer based program offering access to information regarding living a healthy lifestyle including, recipes, wellness topics, and ways to challenge each other to fitness related goals (HealthAhead). This program is clearly working to help avoid downtime as the corporation has shown a 12% decrease in health related absenteeism, which can result in a huge gain regarding overall output per employee (GE Goals and
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