Hypertension Intervention Paper
Brianna Harris, Zach Adams, Jon Fierro, Spencer Gilfoy
Submitted to Miss Wigginton, Therapeutic Interventions: California Baptist University in
fulfillment of the Therapeutic Intervention Research Paper
Running head: Hypertension Intervention Paper 2 INTRODUCTION:
Hypertension, also known as high blood pressure, is extremely prevalent in the U.S. One out of three American adults has high blood pressure (CDC website). Hypertension acts as a gateway disease considering it increases the risk for heart disease and stroke, amongst the leading causes of death (CDC website). Hypertension is often referred to as the “silent killer”, rarely showing signs or symptoms (CDC website).
There are a few classifications including risk factors associated with hypertension including behavior, conditions, and heredity (CDC website). The risk factors included with behavior consist of poor diet (often containing excess sodium), excess weight, physical inactivity, alcohol consumption, and tobacco use (CDC website). There are also preexisting conditions with are considered to be risk factors such as prehypertension and diabetes (CDC website). Some risk factors are inevitable such as the hereditary ones including age, ethnicity, and family history (CDC website).
We will be conducting a community based intervention due to the fact that our audience will be geographically bound. We will acquire our target audience from physicians at Arrowhead Community Hospital. Our target audience will consist of individuals identified to be at high risk for hypertension. We will inform the referring staff to send these high risk individuals to one of the facilitated meeting being held at the Senior Citizens Center in Rialto on Monday December 3, 2012 at 8am, 12 pm, and 6 pm. Our intervention will consist of four meetings; one each week, covering one type of intervention per week. The interventions covered include the following in order by week : initial patient education including medicinal intervention, lifestyle changes, family based intervention, and case management.
Week 1: Hypertension and Pharmacological Education
Running head: Hypertension Intervention Paper 3 Hypertension is one of the most common chronic diseases effecting over 76.8 million Americans (Heart.org 2012). Hypertension is when the heart begins pumping with too much force for various reasons and begins stretching or damaging the walls of the arteries to the point when a potentially fatal complication can occur. There are a number of side effects that occur because of hypertension with the first being vascular weakness, which is the weakening of the artery walls due to the excessive force. This in turn makes the vascular walls prone to tear increasing the risk for aneurysms or strokes both of which can be fatal (Heart.org 2012). Another risk factor caused by hypertension is vascular tears, these tears act like nets catching blood cells and cholesterol deposits. These deposits then build up to plaque and if they are broke free can potentially cause a stroke or fatal blood clot (Heart.org 2012).
Ultimately all of these side effects can build up to the point where your heart isn’t pumping efficiently enough thus other organ systems are not getting the oxygen they need causing permanent damage and the increased work load will ultimately lead to heart failure (Heart.org 2012). Once someone has been diagnosed and cannot get their hypertension under control through lifestyle changes, which you will learn about in a future session, a doctor may prescribe you one of many hypertensive medications to help keep it in check such as the following: Diuretics- Used to rid the body of excess sodium (salt) and water to help control blood pressure and are often used in combination with other...