Provide calm, restful surroundings, minimize environmental activity and noise. In addition to their Hypertension education nurse roles, nurses lead clinic and community-based research to improve the hypertension quality gap and ethnic disparities by holistically examining social, cultural, economic, and behavioral determinants of hypertension outcomes and designing culturally sensitive interventions to address these determinants.
The elderly may require smaller doses because of the potential for bradycardia and hypotension. Use correct cuff size and accurate technique. Nursing Interventions Rationale Review clients at risk as noted in Related Factors as well as individuals with conditions that stress the heart.
Comparison of pressures provides a more complete picture of vascular involvement or scope of problem. Alpha, beta, or centrally acting adrenergic antagonists: Pulses in the legs and feet may be diminished, reflecting effects of vasoconstriction increased systemic vascular resistance [SVR] and venous congestion.
These diuretics potentiate the effects of other antihypertensive agents as well, by limiting fluid retention, and may reduce the incidence of strokes and heart failure. To identify contributing factors Monitor and record BP.
To assess for signs of poor ventricular function or impending cardiac failure. Provide comfort measures back and neck massage, elevation of head.
The use of an additional sympathetic inhibitor may be required for its cumulative effect when other measures have failed to control BP or when congestive heart failure CHF or diabetes is present.
Severe hypertension is classified in the adult as a diastolic pressure elevation to mmHg; progressive diastolic readings above mmHg are considered first accelerated, then malignant very severe. Activity Intolerance Activity Intolerance: Under a Creative Commons license open access Abstract The role of the nurse in improving hypertension control has expanded over the past 50 years, complementing and supplementing that of the physician.
Presence of crackles, wheezes may indicate pulmonary congestion secondary to developing or chronic heart failure.
Limit the number of visitors and length of stay. Maintain activity restrictions bedrest or chair rest ; schedule periods of uninterrupted rest; assist patient with self-care activities as needed. Administer medications as indicated: Today the roles of nurses and nurse practitioners NPs in hypertension management involve all aspects of care, including 1 detection, referral, and follow up; 2 diagnostics and medication management; 3 patient education, counseling, and skill building; 4 coordination of care; 5 clinic or office management; 6 population health management; and 7 performance measurement and quality improvement.
Evaluate client reports or evidence of extreme fatigueintolerance for activity, sudden or progressive weight gain, swelling of extremities, and progressive shortness of breath.
Presence of pallor; cool, moist skin; and delayed capillary refill time may be due to peripheral vasoconstriction or reflect cardiac decompensation and decreased output.
Response to drug therapy usually consisting of several drugs, including diureticsangiotensin-converting enzyme [ACE] inhibitors, vascular smooth muscle relaxants, beta and calcium channel blockers is dependent on both the individual as well as the synergistic effects of the drugs.Hypertension is the most common condition seen in the primary care setting.
From tothe death rate from high blood pressure increased % with the actual number of deaths increasing %/5(K).
Blood Pressure and Hypertension Patient Handouts The Preventive Cardiovascular Nurses Association has developed a series of free blood pressure tools, including a blood pressure booklet and hypertension sheet for your use. The education material will be carefully formulated by the use of evidence based literature and conveyed through an interactive class; thus reinforcing the Clinical Nurse Leader’s Educator skill set.
The role of nurses has been recognized for nearly 50 years in public and professional education to improve hypertension control promoted by the US National High Blood Pressure Education Program's Joint National Committee reports and other publications.2, 12 Nurses' involvement began with measuring and monitoring BP and patient education.
National Heart, Lung, and Blood Institute: What Is High Blood Pressure? Tools to Help Control Hypertension Hispanic populations have low control rates for hypertension, a major risk factor for heart disease and stroke.
High Blood Pressure Education Program U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES NATIONAL INSTITUTES OF HEALTH NATIONAL HEART, LUNG, AND BLOOD INSTITUTE International Society on Hypertension in Blacks National Black Nurses Association, Inc.
National Hypertension Association, Inc. National .Download