This creates stress, but also makes his sedentary for most of the day. As a truck driver, he spends most of his work day in a seated position, with limited exercise or strenuous movements. Additionally, Mr. J. has no health insurance. As such, he has limited access to care, which often places him in danger of not getting his needed medicines, but also of not taking them in a proper regiment. 3. Nursing Interventions

a. Goal: Reduce Environmental Stressors

Primary Prevention: The patient should reduce his alcohol consumption and begin a healthier diet regiment. This will help reduce some of the main environmental stressors that would further complicate his condition.

Secondary Prevention: Continue with the nitroprusside therapy and prescribed medications to directly treat the symptoms of hypertension and keep systolic blood pressure at an optimal level.

Tertiary Prevention: Moreover, the patient must set weight loss goals in order to reach a healthier weight. Within the first 3-6 months after being dismissed from hospital care, the patient should be at a target weight of...

This can be assisted with the help and encouragement of the family, who can become active in sports or exercise routines with Mr. J on weekends and his days off. Additional training on how Mr. J. can exercise daily on breaks or before and after work for short periods of time should be provided as well.
b. Goal: Secure Access to Health Care

Primary Prevention: Nursing staff must provide information on low-cost health policies that Mr. J. may qualify for in order to get the coverage he needs to pay for his required medications and preventative treatments.

Secondary Prevention: Contact healthcare advocates, like the Patient Advocate Foundation to pay for his current hospital visit and secure funding for the access to medications and treatments right away.

Tertiary Prevention: Nursing staff should set savings goals with Mr. J. And his wife to increase monthly savings so that the family can afford to pay the premiums of the healthcare insurance, whether it is from his wife's employer or another public agency that offers lower cost insurance plans for those in need.