,also known as high blood pressure, means there is too much pressurein the blood vessels. Lack of treatment of hypertension increasesrisks of other cardiovascular diseases like stroke, heart attack,kidney disease, and heart failure. Though it does not always havesymptoms, hypertension may have signs like vision troubles,lightheadedness, chest pains and shortness of breath.
PatientHistory and Medication
Mypatient is 64 years old male and who is constantly fatigued and hashad problems with shortness of breath in the last six days. He hasdyspnea on exertion and constant headaches and dizziness. Also, hehad elevated LDL cholesterol (total cholesterol ≥240 mg/dL). Hisshortness of breath worsens at night and has difficulties insleeping this is due to the low oxygen conditions. My patient wasunder medication. However, he has since stopped taking the medicine(systolic blood pressure ≥140) because they make it hard for him tosleep during most nights. He has also added weight (BMI ≥30 kg/m2) in the last week.
NationalHeart Lung and Blood Institute, (2002) provides that in bid toprevent hypertension, population-based strategy and intensivestrategy that is focused on persons who are at a higher risk must beused. The strategies complement each other and they involve moderatephysical activity, consumption of diet rich with fruits andvegetables, limits in consumption of alcohol and maintenance ofnormal body weight.
Waysto Reinforce Management.
Strategiesthat can be used by the patient for Health promotion includeattending interactive health programs in the community. This includesenrolling in self-learning groups, lectures by the healthprofessionals, and interactive education workshops. These areeffective tools in spreading the knowledge about hypertension. Thepatient is going to be well equipped with knowledge on how to reducehealth complications that are associated with the critical disease.
Empowermentis also a strong intervention that can be used to promote health inthe hypertension patient. This is done by encouragement of thepatient to have a good attitude and change his behaviors that putthem at risk of other health complications. For instance, my patientwould be in a better position if he maintained his normal weigh. Thepatient should be encouraged to adopt healthy physical exercising andavoid stress at any given situation.
Inbid to reinforce hypertension management, the patient is medicationplans that he must adhere to. This can be used if the patient can usepositive moments to overcome challenges that deter him from takinghis medicines. This can be combined with education materials that mayhelp the patient in self-management. This is of particular importanceas it encourages the patient to adhere to pharmacological treatmentsas prescribed by the doctor and makes sure that the same is followedreligiously. Another way could be that changes be made in diet andthe lifestyle of the patient. This will improve the health controland reduce health complications.
Buttaro,T. M. (2013). Primarycare: A collaborative practice.St. Louis, Mo: Elsevier/Mosby.
Gagan,M. J. (2009). The SOAP format enhances communication. Nursing NewZealand, 15(5), 15. Retrieved from the Walden Library databases.
NationalHeart Lung and Blood Institute. (2002). Primary prevention ofhypertension: Clinical and public health advisory from the NationalHigh Blood Pressure Education Program. Retrieved fromhttp://www.nhlbi.nih.gov/files/docs/resources/heart/pphbp.pdf