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.
How does this history of high blood pressure demonstrate the problem description and etiology components of the P.E.R.I.E. process? What different types of studies were used to establish etiology or contributory cause?
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.
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.
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).
In 2003 The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7) was released. Since then, it has become the most widely accepted guidelines for managing hypertension and is the guideline that i...
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
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
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 aim is to examine the accuracy of the variations in process when obtaining a blood pressure is it more accurate when a nurse performs it manually or through the use of an automatic device when measuring a pediatric patients
Blood pressure changes in reaction to stress. Studies reveal that cardiovascular disease is both more common and more likely to be fatal among people who experience high level of family conflict (Parks 45). The doctor’s office can be a scary place. People receive bad news, they are told to change their diet or that they need to take new medicines. The doctor’s office can cause anxiety and stress, that in turn causes a person’s blood pressure to rise. This happens so often that there are protocols in place to take blood pressure twice during an office visit. This gives the patient an opportunity to relax. People with high blood pressure are counselled to take their blood pressure at home and report it back to the doctor as well. This helps the physician get a more accurate depiction of what the cardiovascular condition is like outside of the
Foëx, P., et al; (2004). Hypertension: pathophysiology and treatment. Arterial hypertension is an important reason of morbidity and mortality because of its connection with coronary heart disease, cerebro-vascular disease and renal disease. The degree of target organ involvement (i.e. heart, kidneys and brain) determines results. Studies in North America have shown that hypertension is a major reason of 500000 strokes (250 000 deaths) and 1000 000 myocardial imperfections (500000 deaths) per year. Continuous National survey reveals that hypertension is often not detected and, when diagnosed, is often improperly treated. Among hypertensive patients, only 25% cases are well handled. This is true for isolated systolic hypertension. Yet the occurrence
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
Hypertension is a condition, where the force of blood pumping through the body is high enough for it to cause internal damage. High blood pressure is determined by measuring the force of the blood against the blood in your arteries and the amount of resistance to the arteries. Blood pressure is measured by a sphygmomanometer, this device measures the systolic and diastolic pressures in the arteries. The systolic is the top the number in blood pressure, which should be around 120. While the diastolic is the bottom number, it is around 80.
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