Hypertension is a disease that effects a third of all Americans (American Heart Association [AHA], 2013, p. 1). The American heart association expects the number of patients living with hypertension to continue to rise (AHA, 2013). Reversing this trend will be of vital importance to the health of our population. Several factors influence hypertension, including access to primary preventative care, the availability of medications, diet and exercise control, diet modifications, and self-care are required to mitigate the effects of persistent hypertension on the body. People at risk for developing hypertension are overwhelmingly African-Americans. Nearly 50% of African-Americans will be diagnosed with hypertension. The American Heart Association reports that in 2009, 18.5 people out of 100,000 died from hypertension. Of these deaths, the majority were African-American (AHA, 2013, p. 2). These statistics make hypertension treatment a priority for this population. Treatment for the client presenting to the APN diagnosed with hypertension, the first efforts should be focused on education. The patient should be informed of what current JNC 8 guidelines for the diagnosis of hypertension are. This will help the patient identify that he or she in fact has a problem and his blood pressure is abnormal. Further education should also include anticipated progression of the disease and complications from prolonged hypertension to help the patient understand the effects hypertension have on the body and risk of development of end-organ damage. Since hypertension is a silent disease, often void of symptoms, the patient must understand fully the implications of the disease and necessity to control the blood pressure. The next step for t... ... middle of paper ... ...Nursing. (2007). Role delineation study of nurse practitioners and clinical nurse specialists. Retrieved from https://www.ncsbn.org/06_LPN_RoleDelStudy_NCLEX_30_Web.pdf O’Brien, J. M. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. Retrieved from http://www.medscape.com/viewarticle/464663 Pender, N., Murdaugh, C., & Parsons, M. A. (2011). Health promotion in nursing practice (6th ed.). Upper Saddle River, NJ: Pearson. Skillman, S., Kaplan, L., Fordyce, M., McMenamin, P., & Doescher, M. (2012). Understanding advanced practice registered nurse distribution in urban and rura areas of the United States using national provider identifier data. Retrieved from http://www.nursingworld.org/aprndistributionreport Sullivan, N. (2013). A Short History of Midwifery. Retrieved from http://midwifeinsight.com/articles/a-short-history-of-midwifery/
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...particularly those at high risk, to have their blood pressure checked. It is important that the community be informed about the need for screening, and understands the impact that poorly controlled blood pressure has on their health. The second element of hypertension management involves the early diagnoses of patients with hypertension by primary health-care services and the cost-effective management of the condition. It also involves educating patients about their condition and working with them in a way that will allow them to attain the highest possible level of compliance to their management. Health services should in addition to achieving good blood pressure control be screening on a regular basis for possible target-organ damage in their patients. South Africa needs to improve on both these aspects in order to promote and sustain good hypertension management.
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)
Cardiovascular disease is currently the nation’s leading non-communicable cause of morbidity and mortality. According to the American Heart Association, the most common form of cardiovascular disease is coronary artery disease, a condition in which the heart’s blood supply is reduced due to a narrowing of the coronary arteries. These arteries play a significant role in regulating the flow of oxygenated blood to the heart. As blood circulates through the arteries, it exerts a force against the vessel walls, known as blood pressure. To withstand this pressure, elastic fibers interspersed along the artery walls allow the arteries to expand and recoil. Abnormally high blood pressure, however, will cause these muscles to thicken as a result of tears in the damaged artery walls trapping particles that aggregate as plaque. Progressive build-up of plaque ultimately leads to a narrowing of the arteries, subsequently diminishing blood flow to the heart and other body organs. This cascade of events triggered by high blood pressure illustrates why hypertension is one of the most important risk factors for cardiovascular disease. Affecting 1 in every 3 adults in the United States alone, hypertension substantially raises the risk for heart disease in an affected individual who, most likely, does not show any signs or symptoms. In addition to the risks associated with this “silent killer,” comorbidities such as obesity, diabetes, and high cholesterol can drastically worsen health outcomes in hypertensive patients. Given the high prevalence and severe consequences of hypertension if undetected, researching this particular topic will increase our understanding of the causes of hypertension by identifying and narrowing down lead candidates for pot...
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, known as high blood pressure, affects millions of people, including children, teenagers, and adults. Treatment of hypertension comes in many forms, which includes complete lifestyle and diet modifications (Hypertension: Overview & Facts, n.d.). High blood pressure can damage the heart, brain, and kidneys, without any noticeable symptoms. The effectiveness of case management can control hypertension and prevent the risks for further complications. The case managers can work with patients who have difficulties managing their blood pressure, through the use of medications, as well as self-care management, which includes the modification of lifestyle, and diet, as well as adequate exercise. Research as well as substantial evidence has shown that, individuals can reduce their risk for cardiovascular disease by lowering their blood pressure through lifestyle modifications, medications, or both.
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.
Hypertension is viewed as a critical condition because it places a lot of effort on the heart to pump blood to the body. According to Mastalerz-Migasthoug, & Kilis-Pstrusinska (2015), "hypertension (HT) is known as one of the most significant risk factors of atherosclerosis and cardiovascular diseases" (p. 1). It is an effortless task to examine blood pressure. While examining the blood pressure, two numbers will be displayed.
John Martin’s systolic blood pressure was recorded at 148 mm/Hg, a borderline high number. An optimal systolic blood pressure is 120 mm/Hg for adults. Currently, Mr. Martin is in the prehypertension stage, meaning that he is at risk for high blood pressure. If he doesn’t begin changing his ways now, high blood pressure will become inevitable. Many doctors say that a good way to lower blood pressure is to lose weight, exercise more, limit salt intake, limiting alcohol intake, not smoking, and taking
My plans after obtaining my advanced degree is to acquire licensure to practice as AGNP in the state of Texas. The Texas BON acknowledges that APN education, experiences, and competency levels vary, hence, holds individual APN accountable for knowing and practicing within their own scope of practice and competency always. The APN’s education is the grounds to their scope of practice: however, the APN can expand the scope of practice within the role and population-focus, as long as it remains within limits of the law. The Texas BON restricts the scope of practice for the APNs. The Nurse Practitioner Supervision Laws require¬¬¬¬¬ APN to work under physician supervision within seventy five mile perimeter. In addition, there is the Texas ' Nurse Practitioner Prescribing Laws which require APNs to prescribe medications under physician supervision and APNs are not allowed to prescribe schedule two drugs. All prescriptions written by the NPs must include the supervising physician 's name, address, Drug Enforcement Administration (DEA) number and phone number (Texas BON,
Nursing is a knowledge-based profession within the health care sector that focuses on the overall care of individuals. According to The American College of Nurse Practitioners (ACNP), “defines nurse practitioners as registered nursed who have received graduate-leveling nursing education and clinical training, which enables them to provide a wide range of preventative and acute health care services to individuals of all ages. They deliver high-quality, cost effective care, often performing physical examinations, ordering tests, making diagnoses, and prescribing and managing medication and therapies”. Nurse Practitioners are able to specialize in a particular area, such as family and adult practice, pediatrics, and women’s health; and refer patients to other specialist when necessary. Some Nurse practitioners work under the supervision of a physician; while others run their own practices.
In 2011, Barbara Safriet published an article “Federal options for maximizing the value of Advanced Practice Nurses in providing quality, cost-effective health care” from a legal perspective. The article focused on the benefits of utilizing Advance Practice Nurses to the full extent of their abilities as well as the current barriers that APNs encounter in their practice. The aim of this paper is to discuss two regulatory provisions to full deployment of APNs in current health care system, as well as three principle causes of current barriers to removal of the restrictive provisions for the APN. Furthermore, I will discuss the critical knowledge presented in the article and how it relates the APN practice. This article was incorporated into a two-year initiative was launched Institute of Medicine (IOM) and by the Robert Wood Johnson Foundation (RWJF) in 2008 which addressed the urgency to assess and transform the nursing profession.
Advanced practice registered nurses play a significant part in extending access to health care by providing primary care and specialty care services to clients. Advanced practices registered are mentors, educators, researchers, and administrators. According to Health Resources and Services Administration, “Ninety-six percent of the NP workforce reported being in clinical practice, providing direct patient care” (Health Resources and Services Administration 2016). Furthermore, “Nearly three percentages were in faculty positions and approximately one percent was in administrative positions”(Health Resources and Services Administration 2016).
...t cannot be ignored. Uncontrollable hypertension can be very dangerous as it may lead to many other diseases such as heart failure, stroke and diabetes. Therefore, people should have medical check-up regularly on hypertension. As written above, the pathophysiology of hypertension is due to renin-angiotensin-aldosterone-system. Others like cardiac output and peripheral resistance and endothelial dysfunction can be also related to the pathophysiology of hypertension. Drug like losartan is used to treat hypertension. It acts on the renin-angiotensin-aldosterone-system by competing with angiotensin II to bind to AT1 receptors and thus stopping the production of aldosterone that would increase the blood pressure. Lastly, this drug should be taken accordingly with the advices from doctors and pharmacists as some people may have undergo side effects and allergic reactions.
Due to current lifestyles, hypertension is one of the most common preventable conditions affecting patients in the UK. Early diagnosis of the condition and simple lifestyle changes could help prevent some of the serious risks associated with hypertension. There are multiple, successful drug treatments available and strict adherence to these could also prevent cardiovascular disease such as heart attack and stroke. However with increased education on the causes of hypertension the increasing prevalence worldwide could vastly be reduced.