Personal Impact Paper

Personal Impact Paper NUR/427 Patient with chronic disease Hypertension is a 44years old female that on a regular physical yearly check examination to see her Doctor discover that her blood pressure is high. Patient is a divorcee with two children and works as nurse assistance in a hospital, patient is not overweight, exercise, watch what she eats, a nonsmoker, nonalcoholic user. However, patient went through a very rough spousal abusive relationship which left her with caring, supporting, and feeding the children by self and also in school to attain an education, these took a tool on her. Patient on the other hand has a family history of high blood pressure which her mother died from stroke at age 85 years, father found dead at age 77years. Chronic disease The prevalence of hypertension increases with age and is higher in African American than in Whites. In comparison to whites, African Americans developed high BP at an earlier age, and it is more severe at any decade. As a result, African Americans have a higher prevalence of stroke, heart disease, and end-stage renal disease when compared with whites. In addition, African American has a higher mortality rate at every level of BP elevation compared with whites. In both rises, the prevalence is higher in less educated than in more educated people. Hypertension is more prevalent in men than in women until age, 55 after age 55 it is more prevalent in women than men. The status of hypertension control has improved considerably over the past years. Large-scale education programs provided by various organizations have increased awareness of hypertension. The percentage of patients with hypertension on medication who have their BP controlled has also improved substantially. The diagnosis of hypertension requires that elevated readings be present on at least three occasions during several weeks. Signs and Symptoms