Hypertension Essays (Examples)

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Introduction to Research Report

Words: 573 Length: 2 Pages Document Type: Essay Paper #: 39077755

Hypertension Study

There are a number of medical maladies and conditions that are ravaging a large swath of the populations of countries like the United States. Among them are diabetes, heart disease and hypertension. The last of those three will be the focus of this report. The PICOT question that shall be posed for this report centers on the reactions and perceptions of those men in their 30's or older that are newly diagnosed with high blood pressure. Beyond the gravity of such a revelation, the interventions and changes that could be made to diet, lifestyle or drug intake are all on the table and it is presumably a good idea to gauge what is the most attainable and reachable by the patient in partnership with the medical professionals that help them.

Problem Statement

The problem in question is pretty basic. It is the solution that is rather vexing and…… [Read More]

References

Healthline. (2017). Just the Essentials of Essential Hypertension. Healthline. Retrieved 29 April

2017, from http://www.healthline.com/health/essential-hypertension

Mayo. (2017). High blood pressure (hypertension) Causes - Mayo Clinic. Mayo Clinic.

Retrieved 29 April 2017, from http://www.mayoclinic.org/diseases-conditions/high-blood-pressure/basics/causes/con-20019580
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Exercises 10 Points Each How

Words: 1259 Length: 4 Pages Document Type: Essay Paper #: 8076657

The patient should drink less, participate in more physical activity and should eat a better diet. The blood pressure and cholesterol both need to come down immediately.

Question 6

The patient needs to take the recommendations in question 5 or he likely has a very dim future if his BP and cholesterol is not lowered a lot. Blood pressure should be measured after the patient has rested for at least five minutes. He should be instructed in advance of the appointment what not to eat or drink so that the test result is not improperly influenced (e.g. drinking caffeine).

Question 7

There is no advancement or progression in symptoms but blood pressure is still entirely too high. It needs to drop by at least 30 points to be within a non-hypertension range. Needs to be made clear to patient that while he is feeling fine for now, that will change…… [Read More]

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Heart Transplant Asthma & Pulmonary

Words: 1811 Length: 6 Pages Document Type: Essay Paper #: 74860934

Its use on those with acute PAH should be performed with caution. The complication rate was observed at 2%

in patients with acute PAH. The use of the procedure was deemed relatively safe for chronic pulmonary arterial hypertension. Severely ill patients should be subjected to non-invasive imaging method exhaustively before resorting to pulmonary angiography (Hofman et al.).#

ILIOGRAPHY

Albert, Nancy M. Caring for Patients with Pulmonary Hypertension. Nursing:

Springhouse Corporation, May 1999. Retrieved on April 25, 2009 from http://findarticles.com/p/articles/mi_qa3689/is_199905/ai_n8846566/?tag=content;col1

adesch, David, et al. Medical Therapy for Pulmonary Arterial Hypertension.

131 (6). Chest: American College of Chest Physicians, July 20, 2007. Retrieved on April 25, 2009 from http://www.medscape.com/viewarticle/560041

Flattery, Maureen P. And Kathy M. aker. Evidence for Racial Disparity in Cardiac

Transplantation Survival Rates. Journal of Cultural Diversity: Tucker Publications,

March 22, 2004. Retrieved on April 26, 2009 from http://findarticles.com/p/articles/mi_m)MJU/is_1_11/ai_n6183827/?tag=content;col1

Hofman, Lawrence V., et al. Safety and Hemodynamic Effects of Pulmonary…… [Read More]

BIBLIOGRAPHY

Albert, Nancy M. Caring for Patients with Pulmonary Hypertension. Nursing:

Springhouse Corporation, May 1999. Retrieved on April 25, 2009 from http://findarticles.com/p/articles/mi_qa3689/is_199905/ai_n8846566/?tag=content;col1

Badesch, David, et al. Medical Therapy for Pulmonary Arterial Hypertension.

131 (6). Chest: American College of Chest Physicians, July 20, 2007. Retrieved on April 25, 2009 from http://www.medscape.com/viewarticle/560041
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Care Needs Concerns and Treatment

Words: 4512 Length: 12 Pages Document Type: Essay Paper #: 58816657



Furthermore, one of the pillars of collaborative care that will need to be firmly established is the fostering of clear dialogue and a means for strong communication within the care management planning. For instance, there needs to be a clear decision and communication of all tests ordered and when the test results will be available. One of the most important aspects of this collaborative care will be the nursing interventions which can have significant impact on the patient's health and stabilization (Allen, 2010). In fact, strategic nursing care can even minimize readmission rates of Margaret and other patients with comparable conditions (Chen et al., 2012).

Prioritize the Nursing Care Needs of Margaret

The prioritization of nursing interventions is essential, and the way in which a nurse determines this priority is going to be something unique and distinct. "Trials reviewed demonstrated a beneficial impact of nursing interventions for secondary prevention in…… [Read More]

References

Adler, H.M. (n.d.). Toward a biopsychosocial understanding of the patient -- physician relationship: An emerging dialogue. (2007). J Gen Intern Med,22(2), 280 -- 285.

Afilala, J. (n.d.). Frailty in patients with cardiovascular disease: Why, when, and how to measure. (2011). Curr Cardiovasc Risk Rep, 5(5), 467 -- 472.

Allen, J.K. (2010). Randomized trials of nursing interventions for secondary prevention in patients with coronary artery disease and heart failure: Systematic review.

Journal of Cardiovascular Nursing,25(3), 207-220.
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Long-Term Settings and Services

Words: 873 Length: 3 Pages Document Type: Essay Paper #: 29834317

Long-Term Settings

The health of the person usually starts declining with every passing day after 65 years of age and as Mrs. Smith is 82 years old, she is also suffering from some problems. She is in mid stage of dementia because of which she suffers from recent memory impairment, hypertension and mental confusion. Due to dementia, she has already been in problems several times. Like, once she left the pan over the stove and also fallen number of times due to syncope. Moreover, she forgets to take her medicines on time. So, she needs an attended that takes care of her medication, diet and exercises and must not be left alone or unattended at home.

In an old age, a person is in need of company more than any medication. Healthy routine and happiness is the best treatment for various diseases. However, Mrs. Smith lives alone at home during…… [Read More]

Bibliography

AHRQ. (n.d.). Choosing Long-term Care. Retrieved from Agency of Healthcare Research and Quality:  http://archive.ahrq.gov/consumer/qnt/qntltc.htm 

Brodaty, H. (1988). 'Minimal brain damage in the Adult II: Early dementia'. Patient Management, August, 127-150.

Better Health Channel. (2011). Dementia -- Support Services are available. Retrieved from Better Health Channel: http://www.betterhealth.vic.gov.au/bhcv2/bhcarticles.nsf/pages/Dementia_support_services_are_available-open

Shea, D.E. & Reilly, M.S. (1999). An Action Plan for Dementia. Dublin 2: National Council on Ageing and Older People.
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Literature Review after PICOT Review

Words: 1052 Length: 2 Pages Document Type: Essay Paper #: 89613319

Yu et al., 2014

Non-targeted research, quantitative

996 males

Kruskal-Wallis H Test

Obstructive sleep apnea correlated with males (but not females) with hypertension

None stated

Scheers-Anderson et al., 2015

Secondary esearch/Literature eview

eview of governmental data

9,816 males (4,908 sets of brothers)

Generalized estimation equations and adjusted regression models

No discernible link between gestational weight gain and blood pressure issues, including hypertension

Military draft only applies to men, exams of men decreased in rate over 2000's

Lakshman, Manikath, ahim & Anilakumari, 2014

Quantitative and Cross-Sectional

Data collected from bus drivers (exercise, tobacco use, etc.)

179 bus drivers aged 21 to 60 years old

Statistical analysis (binary logistic regression

Blood pressure tends to increase with age

They did not measure abdominal circumference

Chang et al., 2013

Age-matched case-control study design

ecruited healthy males without hypertension present from local clinic

80 males -- 40 with hypertension and 40 without

Measure of cytokines…… [Read More]

References

Chang, C., Su, S., Chang, C., Lee, K., Kuo, C., Huang, C., &. .. Liu, C. (2013). Cyclophilin-A: a novel biomarker for untreated male essential hypertension. Biomarkers, 18(8), 716-720. doi:10.3109/1354750X.2013.847122

Lakshman, A., Manikath, N., Rahim, A., & Anilakumari, V. P. (2014). Prevalence and Risk Factors of Hypertension among Male

Occupational Bus Drivers in North Kerala, South India: A Cross-Sectional Study. ISRN Otolaryngology, 1-9.

doi:10.1155/2014/318532
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Health Prevention Programs

Words: 2666 Length: 8 Pages Document Type: Essay 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 current lesson plan works to create three separate community lesson plans, based on specific age ranges. The age 18-29 focuses primarily on the use of social media and health advocacy efforts in association with the American Heart Association. For ages 30-49, there is also a focus on these two, combined with more community oriented issues, and for 50-60, there is much more of a focus on financial training along with community organized workshops.

Prevention has become a major issue…… [Read More]

References McLeod, Saul. (2010). Erik Erikson. Developmental Psychology. Simply Psychology. Web.  http://www.simplypsychology.org/Erik-Erikson.html
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Family Case Study Presenting Problem

Words: 4052 Length: 14 Pages Document Type: Essay Paper #: 32471628

Expressive functioning is related to communication such as emotional, verbal, and nonverbal communication, problem solving and roles within the family. Beliefs within the family are also a part of expressive functioning.

For the purpose of the Calgary Family Assessment Model, a family is defined as who they say they are. It is very important that the clinician performing the assessment not assign their own beliefs upon what he or she believes a family is, and take into account what the patient feels about family as to the patient is may mean not only the people who actually live within the household but can also address past, present and future emotional attachments.

Calgary Family Intervention Model:

The immediate family is composed of Mr. Herbert Schelley (the patient), Mrs. Annette Schelley (his wife), and their son Thomas Schelley. The extended family consists of the Schelley's two married daughters, their husbands and their…… [Read More]

Reference:

Brownwald H. ed. (2003) Harrison's Textbook of Internal Medicine, 15th edition,

McGraw-Hill, New York

Clement S. (2004) Guidelines for glycemic control. Clin Cornerstone. 6(2):31-9

Echeverry D.M., Dike M.R., Washington C., Davidson M.B.. (1995). The impact of using a low-literacy patient education tool on process measures of diabetes care in a minority population J. Natl Med Assoc. (11):1074-81
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Search Keywords for Medical Literature

Words: 483 Length: 4 Pages Document Type: Essay Paper #: 62844557

nature of hypertension, as well as methods of treatment using both drugs and alternative approaches. Ceral et al. (2011) focus on whether antihypertensive drugs are effective or if patients are simply not using them. hey find that patients must adhere to recommended therapy in order for effects to be accurately measured. Inui et al. (1976) point out the importance of receiving and following physician tutorials. Green et al. (1975) likewise identify education for hypertensive patients as critical to effective therapy outcomes. Omran et al. (2015) discuss the treatment of hypertensive patients with diabetes co-morbidity and find antihypertensive medication to be an effective medication management tool to a limited degree.

Step 2: Briefly summarize the history and purpose of your research question.

he history and purpose of the research question is whether hypertensive medications or more effective than holistic approaches to hypertension in helping patients to alleviate symptoms and reduce hypertension…… [Read More]

There is a gap in the existing literature comparing pharmaceutical treatment of hypertension with holistic treatment, such as Chinese traditional medicine, which utilizes foods, spices, soups, etc. in the treatment of physical ailments. There is literature regarding holistic treatment of hypertension: Xiong, Yan, Liu et al. (2013) discuss Chinese herbal formulas for treating hypertension in traditional Chinese medicine. Comparing holistic treatment of hypertension and pharmaceutical treatment could help fill this gap in the literature.

Part IV: Identify the influence of empiricism on quantitative research methodology. Discuss its applicability to evidenced-based practice projects.

The influence of empiricism on quantitative research methodology is seen in the demand for quantifiable data and tangible results. Objective processes that can be duplicated in research, methods that are clear and supported by research, and analysis that is based on observation is key to conducting research in sciences today. The applicability to evidence-based practice projects is that empirical analysis helps to provide clear, objective findings that can be tested by other researchers.
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Health Promotion Strategies and Ideas

Words: 1019 Length: 3 Pages Document Type: Essay Paper #: 45669317

health promotion strategies that can be implemented upon the predictive characteristics of the family.

My health promotion strategy program will center around a Cuban-American family called the Garcias whose primary health issues center on hypertension, and the need for greater information about the importance of establishing a healthy lifestyle. This includes the importance of screening, exercise, establishing healthy habits, and monitoring one's lifestyle. Several members of the family indicate stress and hypertension whilst the grandmother also has cardiac disease and osteoarthritis, but is resilient to receiving information on how to alleviate her symptoms. In a similar way, Angelo, an addicted smoker, refuses to stop smoking and to deal with his chronic cough and mild chest pain, stating that, as man of the family, he has to continue working his overwhelming hours. Gerardo, the son, being active homosexually, seems to be vulnerable to AIDS; it is unclear whether or not he…… [Read More]

References

Boswell, T.D. & Curtis, J.R. (1984) The Cuban-American Experience. Culture, Images and Perspectives. NJ: Rowman & Allanheld Publishers

Cuban Americans http://www.everyculture.com/multi/Bu-Dr./Cuban-Americans.html
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Cardiovascular Disorders One of the

Words: 704 Length: 2 Pages Document Type: Essay Paper #: 15397723

Those who are the vulnerable will have specific genes they inherit from their relatives, who were impacted by the condition. This increases their chances of having similar complications when they become older. (Kolata, 2010)

Congestive Heart Failure and Hypertension

Congestive heart failure and hypertension are interconnected with each other. According to a study conducted by the University of Texas, they found that there are 660 thousand new cases reported each year. This is accounting for 7% of all deaths associated with cardio vascular disease. One of the biggest factors that will determine if someone is at risk is hypertension. As this is used in 75% of all cases, to predict if someone will be impacted by congestive heart failure and the long-term effects it will have on them. (Merla, 2009)

Hypertension can lead to complications by increasing the chances of ventricle or systolic dysfunction taking place. This improves the chances…… [Read More]

References

Heart Disease Fact. (2013). CDC. Retrieved from:  http://www.cdc.gov/heartdisease/facts.htm 

Heart Disease and Stroke. (2012). Lasker Foundation. Retrieved from:

http://www.laskerfoundation.org/media/pdf/factsheet2cardiovasc.pdf

Heart Failure. (2013). Mayo Clinic. Retrieved from: http://www.mayoclinic.com/health/heart-failure/DS00061
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Treatment for Constipation Htn Seizure

Words: 877 Length: 3 Pages Document Type: Essay Paper #: 64324561

Treatments

EST TREATMENTS

Constipation, Hypertension, Seizure

Constipation

This is the infrequent or difficult bowel evacuation (Mayo Clinic Staff, 2012). While there are no strict standard for bowel elimination, it is generally believed that fewer than thrice a week constitutes constipation. Stools are usually hard and dry. Other common symptoms associated constipation include excessive straining during bowel evacuation, a sense of rectal blockage, a sense of incomplete evacuation and the need to perform manual measures to evacuate the bowels. Constipation may be the consequence of insufficient fluid intake or dehydration, inadequate fiber in the diet, foregoing elimination, irritable bowel syndrome, lack of physical activity, illness, abuse of laxatives and certain medical conditions. Those more likely to develop constipation are older adults, those who are sedentary, confined in bed, dehydrated, on low-fiber diet, on certain medications and undergoing chemotherapy. It is more common in women and children. Causes for alarm include fewer…… [Read More]

BIBLIOGRAPHY

Makoff, D. (2012). High blood pressure. MedicineNet: MedicineNet.com. Retrieved on March 7, 2012 from http://www.medicinenet.com/high_blood_pressure/page

Mayo Clinic Staff (2012). Constipation. Mayo Clinic: Mayo Foundation for Medical

Education and Research. Retrieved on March 7, 2012 from http://www.mayoclinic.com/health/constipation.DS0063/METHOD=print&DSECTION=all

PubMed Health (2011). Seizures. ADAM Medical Encyclopedia: ADAM, Inc. Retrieved
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African-American Female Obesity

Words: 1847 Length: 7 Pages Document Type: Essay Paper #: 26794483

Obesity is a serious social problem in America. The effects of obesity in childhood are well documented in both the social science literature and medical journals. During the last 30 years, the percentage of obese children between the ages of 6 and 11 has risen 200% while the percentage of obese children between 12 and 19 has tripled (CDC, Preventing Childhood Obesity, 2010). Obesity in the nited States has increased among all cohorts and ethnicities, spans across generations, and is not limited to income or educational levels. However, the incidence of obesity among African-American women is of particular concern given the prevalence and severity of the issue in America.

Public health issue

More than two-thirds of Americans are now obese or overweight (Ogden et al., 2010).

Rates of adult obesity now exceed 20% in 49 states and D.C and 25% in 40 states. By way of comparison, in 1991, rates…… [Read More]

U.S. Centers for Disease Control and Prevention (2011). Morbidity and Mortality Weekly Report. Vital Signs: Prevalence, Treatment, and Control of Hypertension -- United States, 1999 -- 2002 and 2005 -- 2008

Ward, S., Gray, A., Paranjape, A. (2008). African-Americans' perceptions of physician attempts to address obesity in the primary care setting. The Journal of General Internal Medicine, 24(5), 579-584.

Coenen, K.R., Hasty, A.H. (2007). Obesity potentiates development of fatty liver and insulin resistance, but not atherosclerosis, in high-fat diet-fed agouti LDLR-deficient mice. Retrieved from:  http://ajpendo.physiology.org/content/293/2/E492.short
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Nursing Nutrition

Words: 821 Length: 2 Pages Document Type: Essay Paper #: 37520558

Risk Factors for Mr. Jablonski

CHD: Mr. J is a classic case for a potential Coronary Heart Disease (CHD) patient. His history shows several risk factors, which can be divided into uncontrollable and controllable risk factors. The uncontrollable factors are his age (48 years old) -- older people are more susceptible to CHD, his sex (male) -- men are more likely to get CHD, and his family history. The controllable risk factors are his obesity, his smoking habit, lack of physical activity, high blood pressure, and his high LDL cholesterol.

Hypertension: The risk factors for Mr. J are his age, gender, obesity, excessive salt intake, and his inactive lifestyle.

The risk factors described as 'controllable' can be mitigated by dietary control and medication. If his condition remains untreated Mr. J is a potential candidate for a severe heart disease and possible stroke.

Dietary Plan

In order to lower his high…… [Read More]

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Patient Scenario Showing the Value of the Scientific Method

Words: 870 Length: 3 Pages Document Type: Essay Paper #: 88817934

Biology -- Patient Scenario

What are the components of physical examination? Describe each component.

Physical examination consists of 5 basic components after obtaining a patient's description of the history of his/her systems. First, the provider observes the patient for physical signs of disease and evaluates such factors as mobility, posture, facial expression, alertness, responsiveness to stimuli and changes in skin color (Jarvis, 2011, pp. 33, 127-9). Secondly, one must take a patient's vital signs, including blood pressure, heart rate, breathing rate and temperature, and compare the patient's results with the reference ranges (Jarvis, 2011, pp. 136-150). Third, one must perform auscultation, using a stethoscope to listen to the patient's lungs, heart and bowel (Jarvis, 2011, p. 118). Fourth, one performs percussion by tapping on the patient's chest and abdomen to listen for sounds indicating normal conditions, fluid, excess air, size of the lungs and size of the affected area (Jarvis,…… [Read More]

Reference values) for each laboratory tests in the table above from the second set of tests.

The second round of Mr. Smith's tests, when compared with the normal ranges, indicate that: his blood potassium level is below the normal range; his
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Metabolic Syndrome in the United

Words: 1177 Length: 4 Pages Document Type: Essay Paper #: 10894107



Metabolic syndrome is significant for our patient for several reasons. As we have noted, the syndrome is associated with a higher risk of cardiovascular disease. Those patients who have metabolic syndrome tend to develop coronary atherosclerosis at a higher rate than those who have coronary risk factors alone. Obesity increases the risk of metabolic syndrome but so does pre-obesity, or BMI ranging from 25-30. Women who have been diagnosed with polycystic ovarian syndrome are noted to be at increased risk of hypertension, dylipidemia, insulin resistance, impaired glucose tolerance and Type II diabetes. Because of all these comorbidities, women with PCOS also tend to be at greater risk for patients with subclinical carotid atherosclerosis, especially in the premenopausal population (Talbot, et al., 2000). For these same reasons, women diagnosed with PCOS have a 5 fold increased risk for the development of complications of coronary and cerebrovascular atherosclerosis.

Mrs. Stiller has many…… [Read More]

Reference:

Reaven G. (2002) Metabolic syndrome. Pathophysiology and implications for management of cardiovascular disease. Circulation.106:286-288

Manson JE, Willet WC, Stampfer MJ, Colditz GA, Hunter DJ, Hankinson SE, et al. (2005) Body weight and mortality among women. N Eng J. Med 333:677-85

Juahan-Vague I, Alessi MC. (1997) PAI-1, obesity, insulin resistance and risk of cardiovascular events. Thromb Haemost 78:656-60

Wilson PW. (2004) Estimating cardiovascular disease risk and the metabolic syndrome: a Framingham view. Endocrinol Metab Clin N. Am. 33:467-81
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Adolescent Obesity in Saudi Arabia

Words: 3430 Length: 8 Pages Document Type: Essay Paper #: 52239278



There are remedies (albeit not easy ones for the individuals involved), as suggested by the research. However, and this is very important, the current public health approaches that the Saudi government has taken, as Mabrey et al. (2010) note, have focused fairly narrowly on medical approaches. This focus includes research that has been conducted on metabolic syndrome (which is caused primarily by being overweight). This is caused by clear-cut factors and has a number of possible poor consequences.

Mabrey et al. (2010) note that metabolic syndrome is on average 10 to 15% higher in the GCC states than in the rest of world and that females are disproportionately affected by metabolic syndrome. These researchers are among those who note that a strictly medical approach to such medical problems is far from sufficient. For while metabolic syndrome itself can be identified and described in purely medical terms, such an approach does…… [Read More]

References

Abraham, S. & Nordsieck, M. (1960). Relationship of excess weight in children and adults. Public Health 75: 263-273.

Alghamdi, K.M. (2010). The use of topical bleaching agents among women: A cross-sectional study of knowledge, attitude and practices. Journal of the European Academy of Dermatology and Venereology, 24(10): 1214-1219.

Al-Qahtani, D.A., Imtiaz, M.L., Saad, O.S., & Hussein, N.M. (2006). A comparison of the prevalence of metabolic syndrome in Saudi adult females using two definitions. Metabolic Syndrome and Related Disorders, 4(3): 204-214.

Al Qauhiz, N.M. (2010). Obesity among Saudi Female University Students: Dietary Habits and Health Behaviors. Journal of the Egyptian Public Health Association 85(1-2):45-59.
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Reducing Health Disparities Among African-American

Words: 3600 Length: 13 Pages Document Type: Essay Paper #: 98653924

Community resources must be identified and brought together to meet needs. Actions can be developed to prevent poor health outcomes by: appropriately identifying, collecting, and reporting racial/ethnic group-specific data; identifying where data are lacking and developing appropriate tools to collect those data; and linking poor health status indicators to social conditions and influences, as well as personal behaviors and genetics.

As indicated by other counties, the populations experiencing these disparities have many strengths and traditions to draw upon for solutions. In the African-American communities, churches provide connections and leadership on community issues. Other models have provided the use of community engagement principles encouraged throughout any state and local processes addressing eliminating health disparities, whether funded by this initiative or not. Such community engagement principles include fostering openness and participation in the planning process, ensuring that those representing a specific community truly represent that community's values, norms, and behaviors, and using…… [Read More]

Bibliography

Alpha.org. "Racial / Ethnic Disparities." Fact Sheets. 2004. 17 May 2005. www.apha.org/NPHW/facts/RaceEth-PHW04_Facts.pdf.

Fenwick, E. et.al. "Improving the Efficiency and Relevance of Health Technology

Assessment: The Role of Iterative Decision Analytic Modeling." 2003. Che

Discussion Paper. 17 May 2005. http://www.york.ac.uk/inst/che/DP179.pdf.
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Diabetes Harvard Citation Studies Conducted Over Decades

Words: 1255 Length: 4 Pages Document Type: Essay Paper #: 90965581

Diabetes

(Harvard Citation)

Studies conducted over decades have concluded that there is a significant link between diabetes mellitus and cardiovascular disease. For instance, the most common form of diabetes is type 2 diabetes, which involves both the impairment in insulin resistance and the defective secretion of insulin by the pancreas. The development of diabetes often comes with a number of cardiovascular complications including "coronary heart disease (CDC), stroke, peripheral arterial disease, nephropathy, retinopathy, and possibly neuropathy and cardiomyopathy." (Grundy 1999)

Specifically both diabetes type 1 and type 2 are considered to be risk factors for atherosclerotic coronary heart disease. "Moreover, myocardial ischemeal due to coronary atherosclerosis commonly occurs without symptoms in patients with diabetes." (Grundy 1999) In other words, patients with diabetes are more likely to be stricken with congestive heart failure. But it is not only the risk of heart failure that diabetes sufferers are at risk from, another…… [Read More]

References

"eGFR." Lab Tests Online, Available from http://labtestsonline.org/understanding/analytes/gfr/tab/test

"Glomerular Filtration Rate (GFR)" National Kidney Foundation Available from http://www.kidney.org/kidneydisease/ckd/knowgfr.cfm

Grundy, Scott. Et al 1999, "Diabetes and Heart Disease: A Statement for Healthcare

Professionals from the American Heart Association" AHA Scientific Statement.
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Nursing Discharge Planning

Words: 1440 Length: 5 Pages Document Type: Essay Paper #: 33248103

Nursing - Discharge planning

Discharge Planning in Nursing

Mr. Trosack's Case

The three main health issues include movement hindrance where by Mr. Trosack will move with the help of a walker. Mr. Trosack diabetic condition is main health issue. Mr. Trosack is depressed and lonely and requires a special care and assistance. Mr. Trosack lives in a crowded apartment located at a second floor in a 3-storey building. The building does not have an elevator and thus Mr. Trosack has to use the stairs to reach to his apartment. The house has furniture and personal valuables and thus making it hard for him to use his walker once inside the room. e takes the garbage by himself since he lives alone because his wife died two years ago. e fears climbing up the stairs because of pain that emanate from the strain. is family works for 60 hours a week…… [Read More]

Hip fracture is a main health issue that happens in the United States. This study uses the baseline (1993) and data collected in 2006 in order to evaluate the aftermath of hip placement discharge. Patient discharge depends on the status code from the Medicare inpatient claim. They categorize discharge status depending on the condition of the patient. Mr. Trosack would fall for nursing facility because he would not get the required professional assistance from his family. In this study, most of the hip fracture patients went to a nursing facility.

An evaluation in this study reveals that at the time of placement, the patients had gone home for 90 days, and 180 days for patients discharged at a nursing facility. The evaluation of the care of hip placement patients needs consideration when choosing a discharge placement for them. Mr. Trosack, in addition to the surgery, is diagnosed with diabetes, hypertension, and obesity. The family, despite knowing all this, does not provide or hire a medical officer for a regular check up on him.

In order for Mr. Trosack to get well, it is crucial to refer him to a nursing facility. In this study, the home and rehabilitation discharge seems to decline while many people opt for the nursing placement, which increased. In these nursing facilities, patients are not likely to report any health issue compared to those placed at their homes. In addition, these nursing facilities offer functional needs to patients and may reduce hip fractures in elderly people.
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Problems and Interventions

Words: 870 Length: 3 Pages Document Type: Essay Paper #: 16949402

Interventions

Home health visits can be a useful method of identifying potential and actual health issues. Visiting the patient's home may provide the opportunity to identify issues which may not be readily apparent at a medical office. The home health visit is meant to assist in the promotion of the patient's health maintenance; limit further disability, and increase baseline health.

The visiting nurse will gain the ability to build a caring, professional, trusting, patient focused relationship. The home health nurse will be able to assist the patient by identifying, procuring and providing education for interventional items. The nurse will also know how to facilitate the communication of identified patient needs, in the home, to interdisciplinary members of the health care team (Liebel, Powers, Friedman, & Watson, 2012, p. 80).

Problem #1

The patient has been prescribed oxygen for home use by her physician. The patient states the she has not…… [Read More]

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Three Nursing Scenarios Analyzed

Words: 768 Length: 2 Pages Document Type: Essay Paper #: 19429424

fever and palpable cervical nodes indicates an infection. Jennifer appears to have bacterial tonsillitis. However, in order to confirm, a throat culture must be taken. Although mononucleosis is uncommon in toddlers, it is a possible diagnosis and typically comes from contact in daycares (Yokoyama et al., 2013). To confirm the mononucleosis diagnosis, serology is needed. While the clinical manifestation points to possible mononucleosis diagnosis, younger children do not have as pronounced symptoms.

Bacterial or viral infections as well as other immunologic factors lead to development of tonsillitis. The majority of acute tonsillitis may be caused by viruses such as Herpes simplex virus (Babakurban, Erbek, Terzi, Arslan, & Sahin, 2014). Although because the symptoms are so pronounced, it could be caused by mononucleosis. This making the origins bacterial.

A possible treatment option is Augmentin. It is a broad spectrum penicillin antibiotic that has a combination of clauvulanate potassium and amoxicillin. However,…… [Read More]

References

Babakurban, S., Erbek, S., Terzi, Y., Arslan, F., & Sahin, F. (2014). Fractalkine receptor polymorphism and chronic tonsillitis. Eur Arch Otorhinolaryngol, 271(7), 2045-2048. http://dx.doi.org/10.1007/s00405-014-2908-7

HASLER, G. (2010). PATHOPHYSIOLOGY OF DEPRESSION: DO WE HAVE ANY SOLID EVIDENCEOF INTEREST TO CLINICIANS?. World Psychiatry, 9(3), 155. http://dx.doi.org/10.1002/%28ISSN%292051-5545

Schindler, M., Drozdenko, G., Kuhl, A., & Worm, M. (2014). Immunomodulation in Patients with Chronic Hand Eczema Treated with Oral Alitretinoin. Int Arch Allergy Immunol, 165(1), 18-26. http://dx.doi.org/10.1159/000365659

Soost, S., Abdollahnia, M., Kostev, K., & Worm, M. (2012). Topical therapy of hand eczema - analysis of the prescription profile from dermatologists in private practice. JDDG: Journal Der Deutschen Dermatologischen Gesellschaft, 10(3), 180-184. http://dx.doi.org/10.1111/j.1610-0387.2011.07787.x
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Clinical Decision Making Guide Subjective

Words: 1292 Length: 5 Pages Document Type: Essay Paper #: 20564934

A level of 126 mg/dL or above, confirmed by repeating the test on another day, means that you have diabetes.

An oral glucose tolerance test measures your blood glucose after you have gone at least 8 hours without eating and 2 hours after you drink a glucose-containing beverage. This test can be used to diagnose diabetes or pre-diabetes. OGTT is more sensitive than the FPG test for diagnosing pre-diabetes, but it is less convenient to administer. The OGTT requires you to fast for at least 8 hours before the test. Your plasma glucose is measured immediately before and 2 hours after you drink a liquid containing 75 grams of glucose dissolved in water.

If your blood glucose level is between 140 and 199 mg/dL 2 hours after drinking the liquid, you have a form of pre-diabetes called impaired glucose tolerance or IGT, meaning that you are more likely to develop…… [Read More]

Works Cited

Braunald, Eugene., Fauci, Anthony S., Kasper, Dennis L., Hauser, Stephen L., Longo, Dan L., Jameson, J. Larry. 2001. Harrison's Principle of Internal Medicine, 15th ed. New York: McGraw-Hill Medical Publishing Division.

The Merck Manual (16th ed.). (1995). Portland, Oregon: Merck & Co., Inc.
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Lee She Faces a Number

Words: 999 Length: 3 Pages Document Type: Essay Paper #: 61242717

These different elements are important, because they are indicating that Ms. Lee needs to seek out regular treatment. As a result, some kind of consistent assessment must take place, in order to ensure that she is not subject to having a serious fall. This is because, of the overt signs that she is exhibiting from the side effects of the medication and her age. (Henrich, 2007, pp. 50 -- 57)

ased on the fact that Ms. Lee does not want to have an extensive diagnostic evaluation at the hospital, how would one approach her care?

The most logical approach is to have Ms. Lee go through a series of evaluations inside her home with health care professionals. This could be accomplished by having the doctor visit her apartment at least once per week. At the same time, select caregivers could begin to work with Ms. Lee on a regular basis.…… [Read More]

Bibliography

Hydrodiuri. (2011). EMEDTV. Retrieved from: http://hypertension.emedtv.com/hydrodiuril/hydrodiuril.html

Lopressor. (2011). EMEDTV. Retrieved from: http://blood-pressure.emedtv.com/lopressor/lopressor-side-effects.html

Henrich, A. (2007). How to Try This. American Journal of Nursing, 107(11), 50 -- 58.

Mark, J. (2011). Zolft. Medicinenet. Retrieved from:  http://www.medicinenet.com/sertraline/article.htm
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Nurse Speech to Group of Residents in

Words: 540 Length: 2 Pages Document Type: Essay Paper #: 12719716

Nurse Speech to Group of esidents in a Large Independent Living Facility

The information addressed today in this speech are those involving the body's regulation of the correct numbers and ratios of blood cells and how blood pressure homeostasis is achieved as well as age-related changes to the heart including coronary artery disease, congestive heart failure and myocardial infarction.

Homeostatis and the Body's Balancing Act

The work of Vikrant and Tiwan (nd) report that studies on the population indicate that blood pressure is a continuous variable and there is really not a line that divides normal and abnormal values. However, there is a point of balance also called internal equilibrium and this is known as homeostasis. This state of balance describes how the human body reacts to certain changes. This can be viewed by picturing a set of scales in which coins are poured in unevenly with one side heavier…… [Read More]

References

Vikrant, S. And Tiwan, SC (nd) Essential Hypertension -- Pathogenesis and Path physiology. Retrieved from: http://medind.nic.in/jac/t01/i3/jact01i3p140.pdf
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Diabetes Case Study

Words: 1599 Length: 5 Pages Document Type: Essay Paper #: 98697834

Mrs. X.

elationship of high cholesterol levels to the development of cardiovascular disease

Diabetes, heart disease, and high cholesterol are all strongly correlated. Even when diabetes is being well-managed, the patient's risks factors increase for comorbidity with these disorders. "High blood pressure has long been recognized as a major risk factor for cardiovascular disease. Studies report a positive association between hypertension and insulin resistance. When patients have both hypertension and diabetes, which is a common combination, their risk for cardiovascular disease doubles" (Cardiovascular disease and diabetes, 2014, AHA). Also, in the case of Ms. X, because of her uncontrolled diabetes, her risk for high cholesterol is higher than average even in the absence of obesity and inactivity. "This triad of poor lipid counts often occurs in patients with premature coronary heart disease. It is also characteristic of a lipid disorder associated with insulin resistance called atherogenic dyslipidemia, or diabetic dyslipidemia…… [Read More]

References

Burden, M. (2003). Diabetes: Treatment and complications. Nursing Times, 99(2) 30/

Retrieved from:

 http://www.nursingtimes.net/nursing-practice/clinical-zones/diabetes/diabetes-treatment-and-complications-the-nurses-role/205780.article 

Cardiovascular disease and diabetes. (2012). American Heart Association. Retrieved from:
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Patient Assessment and Analysis

Words: 825 Length: 3 Pages Document Type: Essay Paper #: 89222306

Patient Assessment

DIAGNOSIS AND TREATMENT PLAN

Diagnosis and Disease Processes

Using an appropriate patient assessment form (Sample Forms, 2013), D.M. has been found to have uncontrolled Type 2 diabetes, hypercholesterolemia, uncontrolled hypertension, chronic anemia, and probable hypothyroidism (Sample Forms).

Diabetes Type 2

is most probably on a poorly controlled diet of high cholesterol and high simple sugars. Diabetes mellitus type 2 is a metabolic disease wherein the body is not able to properly use ingested food because of insulin resistance. If more simple or refined sugars are consumed, the less the body is able to process them as nutrients. These tend to stay and float in the blood stream, un-used, and in this condition, they cause trouble in the different parts of the body. These include the end organs, such as the brain, the eyes, the kidneys, the heart, and even the feet. A poorly controlled diet and the lack…… [Read More]

BIBLIOGRAPHY

Glasgow, R.E., et al. (2005). Development and validation of the patient assessment of chronic illness care. Vol. 43 # 5, Medical Care: PuMed. Retrieved on October 15,

2014 from  http://www.ncbi.nlm.nih.gov/pubmed/15838407 

Sample Forms (2013). Patient assessment form. Sample Forms.org. Retrieved on October 15, 2014 from http://www.sampleforms.org/patient-assessmentform.html
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Community Health Oklahoma Modern Healthcare

Words: 3003 Length: 7 Pages Document Type: Essay Paper #: 68725313

The subject is now part of a national political task force, with the goal of eliminating the problem within one generation (Ferran, 2010).

Formally, teen pregnancy is based on a woman who will not reach her 20th birthday by the expected birth of her first child. This definition does not assume marriage, nor if the woman is legally an adult (depending on the country). The idea of marriage and birthing age has, of course, changed based on societal and cultural issues. At one time, when the lifespan was 40, it made sense for a girl to begin her childbearing years as soon as she was able, usually around 12-13. In contemporary U.S. culture, however, the amount of information and professional data that is needed to become a well-rounded citizen is so high that we usually gauge 18 as the very minimum age to begin to have the resources and/or acumen…… [Read More]

REFERENCES

Key Health Data About Oklahoma. (2011). Trust for America's Health. Retrieved from:

 http://healthyamericans.org/states/?stateid=OK 

Linking Teen Pregnancy Prevention to Other Critical Social Issues. (2010, March). Retrieved from the Namtional Campaign: http://www.thenationalcampaign.org/why-it-matters/pdf/introduction.pdf

Oklahoma at a Glance. (2011). Oklahoma Department of Commerce. Retrieved from:
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Predicaments Associated With the Modern Way of

Words: 1364 Length: 3 Pages Document Type: Essay Paper #: 78483431

predicaments associated with the modern way of life unfortunately consist of many different natures. ut perhaps the most pressing genre is that of deteriorating health conditions. People are generally susceptible to a number of hazardous medical conditions and the prime reason for that is the type of diet that everyone adopts. According to the research conducted by Young and Nestle, "Overweight and obesity have increased sharply since the early 1980s in the United States and worldwide." (Young and Nestle 1) This is a source of major concern since weight problems simultaneously give rise to chronic conditions such as diabetes, hypertension and coronary heart disease, thereby reducing general level of life expectancy.

Due to the rapid augmentation of such concerns, the government of the United States has brought forward certain regulations that control portion sizes offered in restaurants. The implementation and reception of such a decree are open to debate, but…… [Read More]

Bibliography

Condrasky, Marge, Ledikwe, J.H., Flood, J.E. And Rolls, B.J. "Chef's Opinion of Restaurant Portion Sizes." Obesity Vol. 15 (2007): n. pag. Web.

Raats, Monique M., and Wills, J.M. Food Consumer Behavior and Health. Proc. Of Consumer Response to Portion Information on Food and Drink Packaging. N.p.: n.p., n.d. 1-23. Print.

Thomas, Lionel, Jr., and Mills, J.E. "Consumer Knowledge and Expectations of Restaurant Menus and Their Governing Legislation: A Qualitative Assessment."Department of Hospitality and Tourism Management (006): n. pag. Web.

Young, Lisa R., and Nestle, M. "Portion Sizes and Obesity: Responses of Fast-Food Companies." Journal of Public Health Policy (2007): 238-48. Web.
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Sallie Mae Fisher Ms Fisher Is an

Words: 335 Length: 1 Pages Document Type: Essay Paper #: 22623704

Sallie Mae Fisher

Ms. Fisher is an 82-year-old female with a history of chronic congestive heart failure (CHF), atrial fibrillation, and hypertension. With her age, and such an acute medical condition, she may undergo substantial changes in function and living standards.

Ms. Fisher has been hospitalized four times for exacerbation of her CHF in the last 6 months. One of her primary problems is most likely to be decline in function in activities of daily living (ADLs). During Post hospitalization, older patients experience changes in functional status, Mary seems not to recover well after hospitalization revealed by her frequent hospitalizations.

In addition, Ms. Fisher seems to gain weight fast an indication that her body is retaining extra fluid. This is a common complication associated with CHF. It appears that Ms. Fisher is not strict with her diet or in not monitoring her diet well to eliminate salt (De Lorgeril, Salen,…… [Read More]

References

De Lorgeril, M., Salen, P., & Defaye, P. (2005). Importance of nutrition in chronic heart failure patients. European Heart Journal, 2215-2217.

Mahoney, J.E., Eisner, J., Havighurst, T., Gray, S., & Palta, M. (2000). Problems of Older Adults Living Alone After Hospitalization. Journal Gen Intern Med, 611 -- 619.