Cardiovascular Health A Nurse With Thesis

Length: 10 pages Sources: 3 Subject: Healthcare Type: Thesis Paper: #83314172 Related Topics: Cholesterol, Healthy Lifestyle, Hg Wells, Diets
Excerpt from Thesis :

"Participants were instructed to drink no more than 3 caffeinated beverages and no more than 2 alcoholic beverages per day" (pg. 2457).

Two features from this study that stand out when compared to the previous study (as read about earlier) was that this study sought to keep the participants weight relatively stable and that the participants were not obese and old, but were young and healthy. The goal of this study was measurably the same as the pervious study, but was set in entirely different circumstances. This is important to individuals seeking entry to the nursing field because it provides ammunition for lifestyle interventions even before the patient may think it is necessary.

The study's primary interest was to ascertain "the contrasts between the carbohydrate and protein diets and between the carbohydrate and unsaturated fat diets" (pg. 2459). What the study found was that for each diet (when compared to baseline) "systolic and diastolic blood pressure and levels of LDL, total, and HDL cholesterol were lower on each diet" (pg. 2459). However, the diet that showed the most effect on blood pressure and lipids was the protein diet. "Compared with the carbohydrate diet, both the protein and unsaturated fat diets significantly lowered systolic and diastolic blood pressure in all participants and in those who were hypertensive" (pg. 2459).

The protein diet was effective for lowering blood pressure and for lowering lipids. The study determined "the protein diet but not the unsaturated fat diet significantly lowered LDL cholesterol levels compared to the carbohydrate diet…the protein diet significantly reduced HDL cholesterol levels compared with the carbohydrate and the unsaturated fat diets" (pg. 2459).

This data and the study's findings can be invaluable when questioned by a patient seeking information that may help them live longer and healthier lives. A nurse must be knowledgeable in all aspects of health, even when approached by a seemingly healthy, young or vibrant individual. Knowing that a high protein diet has shown more infinity (at least by this study) to lowering blood pressure and cholesterol levels may come in handy as interactions with patients oftentimes takes place.

Especially helpful would be the study's estimated cardiovascular risk component that states, "compared with baseline, the 10-year risk of CHD was lower on each study diet by 16.1 to 21% as estimated from the Framingham risk equation" (pg. 2461). Espousing such data could surely be a risk worth taking.

A final study that might be of interest to the nursing industry was a study that took place between 1994 and 1997 and had over 28,572 volunteers. The participants were all recruited from various regions of Greece and overall enjoyed the Mediterranean diet as their normal food consumption. This is an interesting study due to the large numbers and the fact that it looked to ascertain the effects of a local culture on the local citizenry.

"The Mediterranean diet was first considered…as a diet low in saturated lipids that conveyed protection against coronary heart disease by lowering plasma cholesterol levels" (Trichopoulou, Bamia, Trichopoulos, 2005, pg. 929).

This study is in sharp contrast to the other two studies presented above. The first study was on obese, older adults, many of whom had already experienced some form of high blood pressure, hypertension and other cardiovascular maladies. The second study focused on healthy, young individuals who wished to have relatively small changes to their lifestyles. That study showed how protein, monounsaturated fat, and carbohydrate diets lowered the risk factors of early hypertension and other cardio health symptoms. The Trichopoulou study sought to determine whether an entire culture could be effectively combating cardiovascular disease based on the diet that was consumed.

The researchers state, "we have been able to evaluate the effects of the traditional Mediterranean diet on survival among individuals previously diagnosed as having coronary heart...

...

929). Results from the study show that "in an analysis of a fairly large sample of individuals participating in a general population cohort study who, at enrollment, had already been diagnosed as having coronary heart disease but no cancer, we found that adherence to the traditional Mediterranean diet was significantly associated with a reduced mortality rate" (Trichopoulou, pg. 932).

In this case significant may be understated, since a "2-unit increment in the 10-unit Mediterranean diet score was associated with a 27% lower overall mortality and a 31% lower cardiac mortality" Trichopoulou, pg. 932).

Whether switching to an entire Mediterranean style diet makes good sense for every patient is entirely up to the individual involved, but it is certainly information that can be extrapolated into certain areas of concern.

This was not the first study to take into account the Mediterranean diet, and it probably will not be the last. Earlier studies have shown even greater benefits to many individuals with one particular study showing a reduction in the mortality rate "of 70% and of cardiac mortality by 81% in the prevention group" (Trichopoulou, pg. 933). Such studies bear reporting and at least a more than passing glance by the medical community. The advantages of both the studies are the large samples from which they had to draw on. The Trichopoulou study had more than 1300 active participants who completed the study.

Of course, there are also disadvantages to this study (and other randomized population-based studies) in that the "lack of medical documentation and the self-reported coronary heart disease" (pg. 234) could be grossly overstated. Many, if not all, population-based volunteer studies will have these same type of issues and the researchers acknowledged in their report these disadvantages.

The study addresses the issue of why the Mediterranean diet seems to be so effective.

It did so by offering the following information; "the apparent, although not statistically significant beneficial effect of vegetables and olive oil, both of which contain a-linolenic acid, indicate that this compound may play an important role in the beneficial effect of the Mediterranean diet on the prognosis of heart disease" (pg. 934).

Nurses can recommend the Mediterranean diet, a diet high in protein, a carbohydrate diet such as the DASH diet, or even a monounsaturated fat diet to the patient, but must always remember that the information given to the patient(s) must be complemented with an admonishment that a healthy lifestyle is one that includes a healthy diet coupled with exercise and moderation. Studies such as the ones quoted in this paper can be used to further a nurse's growth, but making wise decisions in recommending different actions to patients must be done a continual, consistent and constant basis. These studies, and studies like them, can provide the data necessary to make recommendations, but overall it is the nurses relationship with the patient that means the most in promoting good health. The goal of this paper was to provide data to assist those nurses who wish to be knowledgeable regarding different avenues of diet and exercise in order to promote the good health and quality of life that patients always seem to be searching for.

References

Appel, L.J.; Sacks, F.M.; Carey, V.J.; Obrazanek, E.; Swain, J.F.; Miller III, E.R.; Conlin, P.R.; Erlinger, T.P., Rosner, B.A., Laranjo, N.M.; Charleston, J.; McCarron, P.; Bishop, L.M.; (2005) Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids: Results of the OmniHeart randomized trial, Journal of American Medical Association, Vol. 294, No. 19, pp. 2455-2464

Trichopoulou, A.; Bamia, C.; Trichopoulos, D.; (2005) Mediterranean diet and survival among patients with coronary heart disease in Greece, Architecture of…

Sources Used in Documents:

References

Appel, L.J.; Sacks, F.M.; Carey, V.J.; Obrazanek, E.; Swain, J.F.; Miller III, E.R.; Conlin, P.R.; Erlinger, T.P., Rosner, B.A., Laranjo, N.M.; Charleston, J.; McCarron, P.; Bishop, L.M.; (2005) Effects of protein, monounsaturated fat, and carbohydrate intake on blood pressure and serum lipids: Results of the OmniHeart randomized trial, Journal of American Medical Association, Vol. 294, No. 19, pp. 2455-2464

Trichopoulou, A.; Bamia, C.; Trichopoulos, D.; (2005) Mediterranean diet and survival among patients with coronary heart disease in Greece, Architecture of Internal Medicine, Vol. 165, pp. 929-935

Villareal, D.T.; Miller III, B.V.; Banks, M.; Fontana, L.; Sinacore, D.R.; Klein, S.; (2006) Effect of lifestyle intervention on metabolic coronary heart disease risk factors in obese older adults, American Journal of Clinical Nutrition, Vol. 84, pp. 1317-1323


Cite this Document:

"Cardiovascular Health A Nurse With" (2009, April 19) Retrieved November 28, 2021, from
https://www.paperdue.com/essay/cardiovascular-health-a-nurse-with-22723

"Cardiovascular Health A Nurse With" 19 April 2009. Web.28 November. 2021. <
https://www.paperdue.com/essay/cardiovascular-health-a-nurse-with-22723>

"Cardiovascular Health A Nurse With", 19 April 2009, Accessed.28 November. 2021,
https://www.paperdue.com/essay/cardiovascular-health-a-nurse-with-22723

Related Documents
Health-Nursing Older Adult Health Issues
Words: 736 Length: 2 Pages Topic: Health - Nursing Paper #: 47729162

These people do not have access to as many or as wide a range of health services as those who live in cities. "The services that are in short supply in rural areas are those provided by nurses, health technology personnel, dentists, physical therapists, pharmacists, and opticians" (Bull and DeCroix Bane, 1993). Nurses and nurse practitioners play a significant role in providing good community-based health care to older people in

Community Health Nursing
Words: 1632 Length: 5 Pages Topic: Healthcare Paper #: 6117232

Health Nursing Health Plan Community Health Nursing Health Education Plan There are many issues that plague the health of residents of the United State, but, fortunately, with one of the best healthcare systems in the world there are always the resources and desire to mitigate the issues that arise. To help minimize the bad consequences of health problems nurses need to be able to train people regarding proper healthcare. Every healthcare provider needs

Nursing Concepts and Theory Conceptual-Theoretical Structure Paper...
Words: 1674 Length: 5 Pages Topic: Health - Nursing Paper #: 18218062

Nursing Concepts and Theory Conceptual-Theoretical Structure paper Personal belief about nursing theory and knowledge development process for nursing practice All nursing theories play an important role in defining nursing and giving the roles that nurses need to play. Originally, the role of nurses was simply to carry out activities as instructed by doctors, however, over the years, this role has been changed to include more responsibilities as the nursing world has evolved. Nursing

Health Prevention Programs
Words: 2666 Length: 8 Pages Topic: Healthcare Paper #: 64756401

Health Promotion Lesson Plan The concept of health promotion is thought of as "the science and art of helping people change their lifestyle to move toward a state of optimal health" (Dunphy et al., 2011, p 25). Serious heart conditions can be prevented, which is why it is so important to utilize community education techniques in order to help try to warn community members of the complications before they occur. This

Nursing Community Assessment
Words: 2602 Length: 10 Pages Topic: Family and Marriage Paper #: 51495013

Nursing Community Assessment It is moral responsibility of the Government and the nursing organizations to maintain the health standard in any country. However, it is not wholly in the hands of these organizations but other departments must also contribute for this cause. This study is focused on the county of Astoria, Queens, New York for helping the nurses in doing their job in the right way. The study highlights the demographics, major

Cardiovascular Case Study Management
Words: 3112 Length: 10 Pages Topic: Disease Paper #: 51501524

Although the severities of congestive signs may be similar, medical evaluation should be instructed to determine whether there is accompanying proof of cardiovascular disease. Physical proof of cardiovascular disease contains the narrow pulse pressure, cool arms, and legs, and sometimes changed mentation, with supporting proof sometimes provided by reducing serum sodium level and deteriorating renal function. Cardiovascular disease is frequently difficult to recognize through phone contact but may be