Introduction 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). The mercury sphygmomanometer has been “gold-standard” for measuring blood pressure since it’s invention in 1881 (Ostchega et al, 2011). However, mercury is now considered to be an environmental risk and many hospitals and clinical practices worldwide have banned the use of mercury (Myers, 2010). There are now many mercury free alternatives to the sphygmomanometer such as the aneroid sphygmomanometer, digital monitors like the x or ambulatory blood pressure monitors which can take an individual’s blood pressure over a 24-hour period. However, there are many important factors affecting blood pressure measurements such as; the natural variability of blood pressure, the white coat affect, the limitations and accuracy of the device being used, the difficulty of measuring blood pressure in some groups such as the elderly White coat phenomena It is well known that anxiety can increase blood pressure and when patients are scared or anxious (Beevers et al, 2007). This is often referred to as the white coat effect and can sometimes raise blood pressure by as much as 30mmHg causing a misdiagnosis of hypertension (Beevers et al, 2007). However, upon familiarity with the medical professional taking the blood pressure measurement, the hypertension decreases. White coat hypertension also occurs during a medical setting but tends to persist during repeated visits (Beevers et al, 2007). Home blood pressure and ambulatory blood pressure monitoring are... ... middle of paper ... .... Write a short justification for your choice, based on your literature review. There is not necessarily one ideal method, so your arguments for or against certain equipment will have a greater influence on your marks, than your actual choice of method. (1000 words max). Study overview: A randomised, placebo-controlled trial to investigate the impact of a nutritional intervention on blood pressure in adults with mild hypertension. The intervention will run for 12 weeks, and blood pressure will be measured at baseline and at the end of the 12 week period. Participants (n=30) will be otherwise healthy adults living near the Nutrition Research laboratory at Massey University. Choice of method: Mercury sphygmomanometer Part Three (25%) Produce a Standard Operating Procedure (SOP) for your chosen method of measuring blood pressure for use in the study
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?
The individual will have their blood pressure levels taken using a blood pressure machine called a sphygmomanometer, where a cuff is placed around the individual’s arm and fills up with air to create pressure around the arm to restrict the amount of blood flow and takes a pulse reading as it releases the pressure. After the individual’s blood pressure has been taken they may be asked to take it at home using a blood pressure kit to see if it is still high and that the first reading was not due to anxiety.
...is family has a history of lifestyle diseases like hypertension, hence, he should be careful on his diet and lifestyle. Though the family claims to walk frequently, engaging a regular exercise program is advisable (Stahl, 2010). Moreover, Linda admits to dislike fruits and vegetables which should be considered while teaching on healthy diet. A healthier diet plan will help to prevent a high blood pressure.
When people go to a haunted house or watch a scary movie they might notice their body changing. For the independent research project blood pressure was checked based on age and gender before then after shown a scary clip. When measuring people blood pressure he or she might have had other problems with blood pressure based of weight, family history or stress. Must observe those types of things while performing the experiment because it could mess up the data.
Lee, D. E., & Cooper, R. S. (2009). Recommendations for Global Hypertension Monitoring and Prevention. Current Hypertension Reports , 444-449.
Mrs. Andrews hypertension is mild at 146/96 which leads to the recommendation of lifestyle modification opposed to pharmacological treatment. In a study led by the American Heart Association, “lifestyle interventions received class I recommendations (Mosca et al., 2004, p. 675)” to prevent major cardiovascular issues in women. There are several useful tools and programs available to assist patients making lifestyle changes. A couple of examples of programs are the WISEWOMAN and Therapeutic Lifestyle Changes (TLC). WISEWOMAN is a “program funded by the CDC that provides low income uninsured women (40-64) with chronic disease risk factor screening, lifestyle modification interventions, and referral services to prevent CAD (Schroetter & Peck, 2008, p. 109).” TLC is “an effective lifestyle therapy recommended by the American Diabetes Association, the American Heart Association, and the Obesity Society ("Can TLC ...
The research purpose is derived from the research problem. The purpose of this study which was clearly outlined in the introduction section of the paper, sought to determine if automatic blood pressure devices could measure orthostatic hypotension accurately in emergency settings. This purpose was accompanied by research objectives and a hypothesis that focused the study. The objectives in the study sought to find the sensitivity, specificity, positive predictive value and negative predictive value of the automatic devices, clinical and statistical significance in postural drops, and if magnitude influenced blood pressures readings (Dind et al., 2011, p. 527).The authors also predicted in their hypothesis that the automatic devices would be less accurate if the systolic blood pressures were not between 120-180 mmHg which is their...
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
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
The measurement of systolic and diastolic blood pressure is achieved by using a sphygmomanometer and stethoscope. The blood pressure measurement/diagnosis is completed in a physician’s office or clinic; it is repeated over time to ensure accuracy, and the measurement is quick and painless. Systolic pressure is the blood pressure in the arteries during the contracting phase of the heart. The diastolic pressure is the pressure in the arteries during the relaxing phase of the heart. Currently, the JNC 7 (2003) has classified blood pressure into categories based on systolic and diastolic blood pressures for diagnosis, based on evidence associated with cardiovascular disease. The JNC 7 (2003) blood systolic/diastolic pressure classifications are divided into the following diagnosis:
D. standing near her room, breathing sharply. While asked what has just happened, she answered, ‘I feel dizzy and can faint!’ Mrs. D. then explained that she rose up from her chair in the television room and felt lightheaded. I decided to bring her to the room hoping she would feel less dizziness if she could sit. After consultation with my mentor and third year unit nursing student, I decided to perform measurement of her vital signs. Since only electronic sphygmomanometer was available for me that time, I had to use it for my procedure. Gladly, I discovered that I have already used such equipment in my previous nursing practice. Using the standard sized calf, I found that her blood pressure was 135/85, respirations were 16, and her pulse was 96 beats per minute (bpm). However, I decided to recheck the pulse manually, founding that it was irregular (78 bpm). The patient stated that she felt better after rest. Immediately after the incident I made a decision to explore carefully the medical chart of Mrs. D., along with her nursing care plan. That helped me to discover multiple medical diagnoses influencing her
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
According to Statistics SA hypertension is one of the leading non communicable diseases in South Africa1. It is a major risk factor for the development of various cardiovascular diseases and thus has been shown to contribute to heart failure and stroke. There is a high prevalence of undiagnosed and untreated hypertension in South Africa1. In order to improve therapeutic interventions it is essential to understand all the mechanisms that are associated with this disorder. Therefore recent studies have shown that 24hr blood pressure profiles could assist with improving our understanding of hypertension2.
Stressors initiate a response within the organism and causes changes in the body, specifically responses in the body’s autonomic nervous system. The autonomic nervous system has two branches: the sympathetic and parasympathetic autonomic nervous system. The sympathetic autonomic nervous system helps the body deal with the stress it encounters, initiating the ‘fight or flight’ response. Once the threat has passed, the parasympathetic autonomic nervous system will take over, relaxing the body. There is a balance between these two in a healthy person. However, when someone stays on guard, using the sympathetic autonomic nervous system, all sorts of physical effects can
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.