nur 427 Larry garcia poc

Topics: Hypertension, Obesity, Blood pressure Pages: 8 (1743 words) Published: June 11, 2015
The Patient Education Plan on Hypertension for Larry Garcia Background of Larry Garcia
Larry Garcia is a 45years old Hispanic male who was newly diagnosed with hypertension during a work-related physical exam. He has been married for eighteen years and has three children. He has been employed as a sales rep for ten years with the same company. His current position is a high pressured position, but he is performing very well at this present time. His is Catholic but only attends church on holidays. Larry likes to fish in his spare time. His mother has a history of high blood pressure but refuses to take her blood pressure medication, but otherwise she is well. His father has a history of CHF and impaired vision due to macular degeneration. He is an only child who supports his parents financially, assist with their shopping and transportation needs as well. Larry has an associate’s degree in business and wants to further his education, but he is unable to due to his labor and household responsibilities. Larry does state that “I feel stressed sometimes” during the exam. He has never smoked and has an occasional drink of alcohol on the weekends. Larry has no known allergies and takes one multivitamin a day. Identified risk factors for hypertension on Larry Garcia

Age: Larry is 45 years old; more men than women at age 45 have hypertension. Family: his mother has high blood pressure;his father has CHF. Heredity plays an important role in having essential hypertension. Sedentary lifestyle: Larry is 12 lbs. over his model weight and does not exercise on a regular basis. An inactive lifestyle escalates the risk for hypertension and other serious disorders. Race: Larry is Hispanic. Racial/ethnic disparities exist in blood pressure, awareness, treatment, and control, with Mexican-Americans having a lower awareness and treatment of hypertension, as well as less health-care coverage, compared with blacks and whites (CDC, 2013). Stress: Larry has increased stress from work and also in supporting the need of his parents Describing the disease process

Blood pressure is determined by the amount of blood your heart pumps and the amount of resistance to blood flow in your arteries. The more blood your heart pumps and the narrower your arteries, the higher your blood pressure (Mayo Clinic). High blood pressure is a known and unsafe chronic illness. Hypertension indicates that the pressure of the blood in your blood vessels is greater than it should be. Hypertension is having a blood pressure reading that is greater than 140 over 90 or higher on a consistent basis. If left untreated, having high blood pressure can become a front-runner to many problems such as a heart diseases, stroke, or renal failure. Many factors can contribute to high blood pressure such as the way you live, nutrition, heredities and some other unidentified origin. Helping to lower your blood pressure can assist in avoiding health disasters in the present and near future. Age, ethnic, cultural background, spiritual and developmental issues to the disease

Men and women are equally likely to develop HBP during their lifetimes. However, before age 45, men are more likely to have HBP than women. After age 65, the condition is more likely to affect women than men (NIH, 2012). The increased stress from having made his quota at work as a sales representative along with the increased stress of having to support his parents can contribute to his high blood pressure as well. Mr. Garcia is twelve pounds over his ideal weight and does not exercise which is another major risk factor for hypertension. If he were to exercise that could aid in lowering his blood pressure as well. Being Catholic has no significance on high blood pressure. With his mother having a history of high blood pressure, this can genetically have an effect of his current condition. Effect on quality of life

Hypertension is a progressive disease that may not have any signs or symptoms, so they...


References: Center for Disease Control and Prevention. (2015). High Blood Pressure. Retrieved from
http://www.cdc.gov/bloodpressure/
Center for Disease Control and Prevention (2013). Racial/Ethnic Disparities in the Awareness, Treatment, and
Control of Hypertension — United States, 2003–2010
http://www.nhlbi.nih.gov/health/health-topics/topics/hbp/atrisk
Redman, B.K (2007)
The Dash Diet Eating Plan. (2015). What is the DASH Diet? Retrieved from
http://dashdiet.org/what_is_the_dash_diet.asp
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