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Hypertension A Case Study. Jennifer Kitchen July 19, 2013. Vicki, a patient just diagnosed with Hypertension (HTN) What is Hypertension? Appropriate T reatment Prognosis (including therapies, medications, etc.) Patient Teaching Potential B arriers to Therapy. O verview. 42 years old

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hypertension a case study

HypertensionA Case Study

Jennifer Kitchen

July 19, 2013

o verview

Vicki, a patient just diagnosed with Hypertension (HTN)

  • What is Hypertension?
  • Appropriate Treatment Prognosis (including therapies, medications, etc.)
  • Patient Teaching
  • Potential Barriers to Therapy

42 years old

  • African American
  • Married to her high school sweetheart, Robert, for 20 yrs.
  • Self-employed, successful insurance agent
  • Busy lifestyle, travels often and eats at fast food restaurants for most meals
  • Blood pressure, 145 over 94
what is hypertension

Hypertension (HTN) is…

    • High Blood Pressure (BP)
    • A major cause of strokes and heart attacks
  • 1 in 4 adults have high BP
    • An estimated 5-10 million people have HTN but are unaware of it
    • HTN contributes Directly or Indirectly to almost 800,000 deaths a year
  • (Moser, 2012)
What is Hypertension?
normal blood pressure what is hypertension

Normal BP is about 120/80

  • Systolic pressure- pumping pressure
  • Diastolic pressure- resting pressure
  • (ACP, 2004).
Normal Blood PressureWhat is Hypertension?
stages of hypertension what is hypertension

Table 1: Stages of hypertension

Stage SystolicDiastolic

Optimal <120 <80

Normal 120–12980–84

High-normal 130–139 85–89

HTN stage 1 140–159 90–99

HTN stage 2 160–179 100–109

HTN stage 3 >180 >110

Systolic and diastolic pressures given in mm Hg.

(Foex, 2004)

Stages of Hypertension What is Hypertension?
treatment prognosis

HTN is not curable

  • Can be controlled with…
  • Medication (drug therapy)
    • Diuretics, Beta-adrenergic blockers, Vasodilators, Calcium channel blockers, Angiotension-converting enzyme (ACE) inhibitors, and Angiotension receptor blockers (ARBs)
  • Lifestyle changes
    • Limit sodium intake, Reduce and maintain a healthy weight, Manage a healthy diet, Exercise, Reduce stress, and Quit smoking
  • (Frazier and Drzymkowski, 2009)
Treatment Prognosis
p atient t eaching

Cause of HTN is Unknown, but many factors may contribute to HTN…

    • Age, Smoking, Heredity, Obesity, Sedentary lifestyle, Poor diet and nutrition, and Hyperactive (type A) personality
  • Stress is considered a Major Factor!
    • (Frazier and Drzymkowski, 2009)
Patient Teaching
p atient t eaching1

Living with HTN…

    • Remember high BP cannot be Cured, only Controlled
    • Drug therapy is important in helping control HTN
    • Lifestyle changes are also important
    • BP must be monitored regularly
    • (Frazier and Drzymkowski, 2009)
Patient Teaching
p otential b arriers

Making lifestyle changes

    • “Bad habits are hard to change.”
  • Staying on medication
    • “If I can’t feel it, it must not be there.”
  • Monitoring BP
    • “My blood pressure is always higher when I go to the doctor’s office.”
Potential Barriers
r eferences

American College of Physicians (ACP), (2004). ACP Special Report: Living With Hypertension. Retrieved from http://www.acponline.org/patients_families/pdfs/health/hypertension_report.pdf

Foex, P. and Sear, J.W., (2004). Hypertension: pathophysiology and treatment. Continuing Education in Anesthesia, Critical Care & Pain; 4:3. DOI 10.1093. Retrieved from http://ceaccp.oxfordjournals.org/content/4/3/71.full.pdf+html.

Moser, M. (2012). High Blood Pressure: lower it and live longer. Hypertension Education Foundation (HEF). Retrieved from http://www.hypertensionfoundation.org/PDinfo/HBP(HEF)120611.pdf

Frazier, M. S. and Dryzmkowski, J. W. (2009). Essentials of Human Diseases and Conditions (4th Ed.). St. Louis, MO: Saunders Elsevier Inc.