Hypertension, or high blood pressure bp, is defined as a persistent systolic blood pressure sbp greater than or equal to 140 mm hg, diastolic blood pressure dbp greater than or equal to 90 mm hg, or current use of antihypertensive medication. Assessment and nursing management of hypertension in the. Nursing management of hypertension nursing assessment must involve careful monitoring of the blood pressure at frequent and routinely scheduled intervals. Jul 08, 2015 answers to the quiz on hypertension july 8, 2015 by catherine knox last week we posted a case example followed by eight questions designed to test knowledge of the most recent guidelines for management of hypertension as well as the unique challenges managing this disease in the correctional setting. Hypertension htn is a significant cardiovascular disorder in subsaharan africa and is raising epidemic representing a major public health concern. Management of hypertensive emergency and urgency article in advanced emergency nursing journal 332. Lifestyle modifications are recommended for all patients with hypertension.
Hypertension is repeatedly elevated blood pressure exceeding. Hypertension is a major risk factor for coronary heart disease, stroke and heart failure. Management of patients with hypertension on completion of this chapter, the learner will be able to. Hypertension guideline resources american heart association.
Description hypertensive crisis is an emergent situation in which a marked elevation in diastolic blood pressure can cause endorgan damage. A 59yearold africanamerican woman is referred by her primary physician. The aim of this study was to assess and evaluate the effect of evidence based lifestyle guidelines on self efficacy of patients with hypertension. There is a strong loglinear relationship between blood pressure levels and vascular outcomes including stroke, myocardial infarction and death across all age strata, including octogenarians 2,3. Compared with a typical american diet of the 1990s, the dash diet lowers sbp by 5 to 6 mm hg and dbp by 3 mm hg. She complains of dizziness, occipital headaches with blurred vision, and palpitations correlated with high bp sometimes reaching 200 mm hg systolic and 120 mm.
The benefits from antihypertensive therapy, particularly in stroke. Developed by the american college of cardiologyamerican heart association task force on clinical practice guidelines, this guideline serves as an update to the seventh report of the joint national committee on prevention, detection, evaluation and treatment of high blood pressure jnc 7 published in 2003. Nursing care planning goals for hypertension includes focus on lowering or controlling blood pressure, adherence to the therapeutic regimen, lifestyle modifications, and prevention of complications. Physical findings include height 63 inches 160 cm, weight 225 lb 102 kg,t 99 f 37. There are nine recommendations which will be summarized in this course. It is estimated that one quarter of all the adults in the world have hypertension kearney et al. The performance gap related to hypertension management can be impacted by lack of staff, equipment, and patient education resources as evidenced by the fishbone diagram in figure 2 appendix b. Lippincott journals subscribers, use your username or email along with your password to log in.
Hypertension course ceufast nursing continuing education. This elevation makes the heart work harder than usual to circulate blood through the blood. The trial was stopped early, after a median followup of 3. Here are six 6 nursing diagnosis for hypertension nursing care plans. While in regular hypertension also known as high blood pressure, the arteries throughout the body are constricted, ph affects only the blood vessels in the lungs and the right side of your heart. The eighth report from the joint national committee jnc8 on hypertension management was released in early 2014. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Hypertension diagnosis and management effective date. Since publication of the 2014 vadod clinical practice guideline for the management of hypertension, the systolic blood pressure intervention trial sprint was completed and published in 2015. Nonpharmacologic therapy weight loss, a lowsodium, highpotassium diet, limited alcohol consumption, and physical activity most days of the week is now recommended for all with.
Outside the scope of this guideline is the management of secondary causes of htn, accelerated htn, acute htn in emergency. Hypertension education intervention with ugandan nurses. This will help ensure that patients individual needs are met and proper care is delivered. Let us get to know hypertension more by its definitions. Nursing management of hypertension global events usa. As a disease hypertension is a major contributor to death from cardiac, renal, and peripheral vascular disease.
Hypertension is the term used to describe high blood pressure. Hypertension is now defined as blood pressure above 80 and as stage 1 systolic 9 or diastolic 8089 or stage 2 systolic above 140 or diastolic above 90. Nurse management for hypertension american journal of. This problem is compounded by the fact little research is available on the management of hypertension in the older adult. This brochure focuses primarily on pulmonary arterial hypertension. Hypertension whether essential or secondary can lead to multiple complications, and the treatment of hypertension a disease that is generally asymptomatic is directed toward the prevention of those complications. Mar 27, 2018 developed by the american college of cardiologyamerican heart association task force on clinical practice guidelines, this guideline serves as an update to the seventh report of the joint national committee on prevention, detection, evaluation and treatment of high blood pressure jnc 7 published in 2003. Aggressive management of hypertension may increase the risk of hypotension, which will increase the risk of syncope and falls. Nonpharmacologic management of hypertension time of care. I will try to maintain a blood pressure bp paediatric hypertension by the national heart, lung, and blood institute nhlbi, published in 1977 declared that detection and management of hypertension in children and the precursors of hypertension in adults are the next major frontier. These guidelines should be applied in the initial approach to managing patients with hypertension, but subsequent monitoring and titration of. Nurse prescribing for the management of hypertension. The nurses role and skills in hypertension care medscape. Interventions to promote physical activity and dietary lifestyle changes for cardiovascular.
Hypertension is the most common attributable cause of mortality in developed nations. Hypertension is a serious and common condition, the prevalence of which is set to rise given the increase in the ageing population, sedentary lifestyles and obesity. The primary nursing responsibilities for longterm management of hypertension are to assist the patient in reducing bp and complying with the treatment plan. Sep, 2012 elevated pressure may indicate an excessive dose of vasoconstrictive medication or other problems. The term pulmonary hypertension ph refers to high blood pressure in the lungs. Pdf standard officebased approaches to controlling hypertension show limited success. Elevated pressure may indicate an excessive dose of vasoconstrictive medication or other problems. Counselling patients with hypertension at health centres. Learn about the assessment, nursing interventions, teaching, and goals for hypertension nursing care plans. The nursing profession enhances a holistic and psychosocial approach 54,56 that is an advantage in situations when dealing with mentally, negatively stressed hypertensive patients. Learning outcomestudents will gain an understanding ofhypertension, its disease process andmanagement, and will apply thatunderstanding to planned patient care. The report also recommended annual bp measurement in all children. June 22, 2016 scope this guideline provides recommendations on how to diagnose and manage hypertension htn in adults aged. The definition is taken from the seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure.
Expanding the role of nurses to improve hypertension care. Treatment of the disease has increased dramatically since the late 1970s. Describe the basic epidemiology and importance of hypertension discuss current evidencebased management guidelines including limitations apply evidencebased guidelines into practice give high value care to their patients. Diet a diet rich in vegetables, fruits, and whole grains is recommended. Hypertension power point for module linkedin slideshare. Hypertension highlights 2017 health metrics american heart. Hypertension guideline summaries lippincott nursingcenter. Addendum referencing sprint to the 2014 hypertension cpg. Hypertension is more commonly known as high blood pressure. The treatment of hypertension in developing countries is unaffordable for the average.
Understanding of the disease process and its treatment. At the end of presentation, learners should be able to. There is a direct relationship between hypertension and cardiovascular disease cvd. This will help ensure that patients individual needs are met and proper care. Management of hypertension in elderly longterm care residents. Only half of those individuals with hypertension receive the diagnosis, and only half of these achieve bp goals established by the joint national committee on prevention, detection, evaluation and treatment of high blood pressure jnc vi and other scientific organizations. Severe hypertension, usually a diastolic reading 120 mm hg can cause irreversible injury to the brain, heart, and kidneys that can rapidly lead to death.
Uncontrolled high blood pressure bp can lead to heart attack, stroke, heart failure and other serious life threats. Dec 16, 20 hypertension is a serious and common condition, the prevalence of which is set to rise given the increase in the ageing population, sedentary lifestyles and obesity. Classification of blood pressure bp classification sbp mm hg dbp mm hg normal management of the other adult with hypertension is to. Aug 31, 2006 to determine the adequacy of hypertension management in institutionalized elderly patients. Hypertension is defined as a systolic blood pressure greater than 140 mmhg and a diastolic pressure of more than 90 mmhg this is based on the average of two or more accurate blood pressure measurements during two or more.
Deaths from cardiovascular causes account for around 20% of mortality. However, despite being common, a lot of people arent fully aware of what it is, what damages it can cause, and why it happens. Expanding the role of nurses to improve hypertension care and. A special thanks to the nursing management of hypertension guideline panel, led by cindy.
A recent study showed that generally treating hypertension lower the risks of falls. Hypertension management action guide for health care providers. Hypertensive crisis can occur in patients with either essential hypertension unknown or secondary. If patient is on antihypertensive medications, blood pressure is assessed to determine the effectiveness and detect changes in the blood pressure. Hypertension is a global public health issue, and it is estimated that by 2025 more than 1. The aha is launching a new initiative that elevates awareness and adoption. Hypertension is defined as a medical condition in which the blood pressure in the arteries is elevated. The role of aliskiren in the management of hypertension and major cardiovascular outcomes. Greetings from doris grinspun executive director registered nurses association of ontario it is with great excitement that the registered nurses association of ontario rnao is partnering with the heart and stroke foundation of ontario in the development, evaluation and dissemination of the guideline nursing management of hypertension. As a risk factor hypertension contributes to rate at which atherosclerotic plaque accumulates within arterial walls. Explain the difference between normal blood pressure and hypertension and discuss the signi. The educative interventions were implemented over 3 months and consisted of a hypertension nursing educational program developed and adapted from the whoish training manual for cardiovascular risk assessment and management 2009 for low and middle income countries. Although hypertension is a growing health concern in uganda, and like many under resources environments, reliable data on the incidence and its prevalence are lacking. Attitude, developing countries, hypertension prevention, knowledge, nursing.
Dec 12, 2019 in this nursing care planning guide are six 6 nanda nursing diagnosis for hypertension or high blood pressure. Blood pressure goal for patients with hypertension. Nursing actions include patient and family teaching, detection and reporting of adverse treatment effects, compliance assessment and enhancement, and evaluation of therapeutic effectiveness. Management of hypertensive emergency and urgency request. Effect of evidence based lifestyle guidelines on self. Hypertension is defined as a systolic blood pressure greater than 140 mmhg and a diastolic pressure of more than 90 mmhg.
Nursing assessment must involve careful monitoring of the blood pressure at frequent and routinely scheduled intervals. Nursing management of hypertension global events usa europe. Hypertensive crisis can occur in patients with either essential hypertension unknown. Technology challenges old habits more accurate automated readings should replace the standard of care in the u. Diagnosis and management of hypertension htn in primary. Classification of blood pressure bp classification sbp mm hg dbp mm hg normal hypertension status throughout treatment.
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