Nursing Case Study Hypertension

Hypertension
High blood pressure is also known as hypertension is on the rise among all age groups due to poor dietary habit, aging, and sedentary/behavioral lifestyle. However, health care providers, patients, dieticians, and parents can jointly work together to eliminate this silent killer. The seventh Joint National Committee defines hypertension as a sustained systolic blood pressure above 140 mm Hg or higher or a diastolic pressure of 90 mm Hg or above in three separate occasions. However, one in three Americans has hypertension, and more than two thirds of those are older than age 60. However, the chances of getting the disease condition include; increase in age and obesity, unfortunately this disease condition is also seen in children
Mr. J. P is a 48-year-old African American presented in the clinic on 12/08/16 for a hypertension evaluation. He has been hypertensive for a couple of years, but not complying with the dietary changes and lifestyle recommended. He is morbidly obsessed, weighed 359 and height 5 11 inches, and had a portable oxygen at three liters via a nasal cannula. Mr. J.P is married with two children living in a suburban neighborhood, now disabled, and under SSI. Although, his two siblings ages 40 and 43 are healthy, alive, and well, but both parents are hypertensive and diabetics ages 68 and 72. Unfortunately, Mr. J.P. is suffering from other multimorbidities such as; COPD, asthma, osteoarthritis, and
J. P. about some of the updated statistics and recommendations. Truly, hypertension contributes to cardiovascular disease, and between 2008 to 2010 272,668 deaths accounted for deaths annually in individuals 80 years and younger. However, these are preventable if individuals at risk follows the following recommendations; moderate to intense physical exercise at least 30 minutes per day or 75 minutes of vigorous to intense aerobic exercise per week. The diet plan recommended by Dietary Approaches to Stop Hypertension (DASH), include; high intake of fruits and vegetables, low- fat dairy products, whole grains, poultry, fish, and nuts, and low intake of total and saturated fat and cholesterol. In addition, Mediterranean diet like Dash diet is recommended, also, Swedish dietary guidelines recommended low saturated fat and sugar, high dietary fiber, fish, and fruits and vegetables. However, low sodium consumption of 3-5g per day is recommended, about eight ounces of water per day and avoid soda and juice (Lanier, Bury, Richardson, 2016). Smoking cessation was recommended and helpful resource provided, which is willing to