Hypertension Care Plan guidelines to prevent heart disease and stroke

HOW MUCH DO YOU KNOW?

1. High blood pressure means the blood has difficulty reaching the heart. True or False?

2. Blood pressure refers to the force of the blood pushing against what? A. The Heart B. The Brain C. The Arteries D. The Veins

3. Your blood pressure is 110/70, which one refers to the systolic pressure? A. 110 B. 70

4. Hypertension can be cured. True or False?

5. Hypertension begins when my blood pressure goes over what limits? A. 120/90 B. 110/80 C. 120/80 D. 110/90

How did you do? Check out this great video on the physiology of Hypertension!

GOAL: To improve cardiovascular health while preventing and treating potential risk factors that may lead to a cardiovascular event.

Overview: Heart disease is the number one most common cause of death in the United States. Stroke deaths rank fifth most common. The combination of these two conditions are among the most rampant in not only death, but also in cost, "accounting approximately $320 billion in health care expenditures and related expenses annually" (Healthy People 2020). Though heart disease may have genetic influence, most risk factors are modifiable.

Modifiable Risk Factors Include: high blood pressure, high cholesterol, smoking, diabetes, diet, exercise, and body weight.

Controlling these key risk factors can greatly reduce your chance for a cardiovascular episode.

Hypertension Assessment: Hypertension has multiple stages.

Hypertension's earliest stage is prehypertension, which identifies the patient as being at risk for hypertension without immediate interventions.

To diagnose a patient with Hypertension, a series of tests are performed:

  • Measuring Blood Pressure
  • Obtaining Medical History
  • Obtain routine laboratory studies
  • 12-Lead EKG

Barriers to Obtaining Healthcare:

  • Lack of responsiveness from Doctor
  • Medical Bills
  • Transportation
  • Street Safety
  • Low Income
  • No Supplemental Insurance

The primary reason most elderly clients do not have access to health care is because they lack appropriate insurance, whether that is by employer or public. In order to overcome this challenge, its important to know that there are lots of local resources available to help! For example, CareSource Ohio offers low-cost plans that will work with your budget!

Motivation

Hypertension can weigh on your mind psychologically. However, it is completely in your power to control your condition. Millions of people every year find ways to control hypertension such as exercise, healthy eating, healthy sleep, medication adherence, and quitting smoking. The next slide will show you how!

The Dash Diet is the quintessential diet for reducing blood pressure and losing weight. The diet plan gives you the guidelines on how many servings of each food category you can have based on your prescribed caloric intake.

This may be the most important nutritional fact about blood pressure that you need to know! Do NOT add salt! Lots of foods already come packaged with a certain amount of salt whether its natural or used as a preservative. Sodium intake raises your blood pressure, so you need to make sure you carefully watch your sodium intake and not add additional salt to any of your cooking.

Exercise can greatly reduce your blood pressure by means of losing weight. "Up to 60% of all hypertensive patients are at least 20% overweight" (Alexander). Even a modest weight loss of 5% can have an effect on lowering your blood pressure!

Medication Regimen

Medication will help you obtain control over your hypertension and help prevent a cardiovascular injury or episode. Medication adherence is crucial and all medications must be used as prescribed. Hypertension is not curable, but it is treatable and it must be continuous treatment.

Community Resources

There are lots of resources in your local community. The City of Cincinnati has a program called The Health Resource Center of Cincinnati and they cater to low-income individuals and even the homeless. Call (513) 357-4602 for more information.

CareSource Ohio is another program that reaches out to low-income individuals that need assistance. Call 1-800-488-0134 for more information.

If you need assistance with traveling, check out this link to find information about Ohio Transportation Resources and all their locations throughout the state!

Works Cited

Alexander, M. (Nov 2016). Hypertension Treatment & Management. eMedicine. Retrieved from http://emedicine.medscape.com/article/241381-treatment#d9.

Cardiovascular Disease Prevention and Control: Self-Measured Blood Pressure Monitoring Interventions for Improved Blood Pressure Control. (June 2015). The Community Guide. Retreived from https://www.thecommunityguide.org/findings/cardiovascular-disease- self-measured-blood-pressure-with-additional-support

Saleem, F., Hassali, M. (Oct 2015). Pharmacist intervention in improving hypertension- related knowledge, treatment medication adherence and health-related quality of life: a non-clinical randomized controlled trial. Health Expectations, Vol 18, p1270-1281. DOI:10.1111/hex.12101

Created By
Miles Johnson
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