Hypertension, (HTN) also known as high blood pressure is defined as an elevated arterial blood pressure, with a reading more than 140/90. Once develops, it usually lasts for life. It can be treated and controlled very well. It is now known that African Americans develop HTN earlier in life and it is more severe at any decade of life than other ethnic groups. They are 3 -5 times as likely as whites to have renal complications and end-stage kidney disease. Because of the frequency of the disease, a program for screening potential HTN individuals was launched in 1972 by a special committee under, The Department of Health Education and Welfare. Epidemics: A disease or condition which is highly prevalent in a community. The high prevalence of hypertension (HTN) in my community is currently being driven by the increased age of the population and of obesity. There is a need to come together to stop the progression of this disease that is taking over our community. Essential hypertension (HTN) usually begins as a labile (unstable) intermittent process in the late 30’s to early 50’s and gradually becomes “fixed”. When the cause of hypertension is unknown it is called, primary hypertension or essential hypertension. Ninety five percent (95%) of patients with HTN have primary HTN. Going through my community there are many stroke and heart attack victims who are on disability. Their conditions occur simply because they were hypertensive. Broward Community Health Center has spent
Hypertension, also known as high blood pressure, has become a major risk factor for several types of heart disease across the globe. In the United States alone, nearly 70 million adults have been diagnosed with this condition [1]. Hypertension is a condition in which arterial walls experience extreme force from blood flowing through; long-term force against artery walls will lead to more serious health problems such as stroke, renal failure, and other cardiovascular diseases [2]. If the proper steps to treat hypertension are not taken, patients have a high risk of developing atherosclerosis, a condition that causes arteries to harden significantly. Smoking, obesity, lack of physical activity, high alcohol consumption, and high sodium intake are factors that may cause an individual to be diagnosed with hypertension [3] Detection of hypertension is crucial in order to reduce the incidence of death by cardiovascular disease [1].
Ecological approaches focus on both population and individual level determinants of health. Ecological approaches mainly consider health issues as a community based problem and not just individual, this helps to improve community health and reduce health concerns. Unlike the behaviour change model, by focusing on a community, ecological approaches reduce the idea of singling out individuals which is more beneficial and may make the approach more successful.
Moreover, Moulton (2009) found that African Americans are more susceptible to a number of conditions related to hypertension (including: heart disease, stroke and kidney failure). This is used to illustrate three main points from the article to include: the higher number of cases among this segment of the population, the role of health care professionals and the importance of education. (Moulton, 2009)
Centers for Disease Control and Prevention defines High Blood Pressure as the force of blood pushing against the walls of your arteries, which carry blood from your heart to other parts of your body. Blood pressure normally rises and falls throughout the day. But if it stays high for a long time, it can damage your heart and lead to health problems. High blood pressure raises your risk for heart disease and stroke, which are leading causes of death in the United States. One out of every three adults over the age of twenty- that’s nearly eighty million Americans have high blood pressure. What’s more interesting is that nearly twenty percent don’t even know they don’t have it. Consequently, African American suffer more from this disease than any other race. According to the American Heart Association, forty percent of African American men and women have high blood pressure (AHA, 2016). Notably, adults twenty years and older consist of 42.6 percent are men and 47.0 percent are women that have this illness. For years’ researchers, have tried to understand why High Blood Pressure affect the African American at a higher rate than others. As a
Due to discrimination, hypertension is widely dominating in minorities. Back in 2007, it had been reported that 24 million individuals suffering from this condition are African Americans alone (Hall 210). In a
Hypertension (HTN), also referred to as high blood pressure, is a condition characterized by elevated systemic arterial blood pressure. An elevated blood pressure is considered to be a systolic pressure of at least 140 millimeters of mercury (mmHg) or a diastolic pressure of at least 90 mmHg. HTN is among the most common risk factors for heart disease among African Americans (Ferdinanc, 2006) and one of the leading causes of deaths in the United States. Spencer et.al., (2011) states that it is one of the leading indicators that contribute to heart disease, the leading cause of death in Baltimore City. Sickness and death from heart disease are much more likely to strike African Americans than Whites in Baltimore (DHMH, 2005). Spencer continues that in Baltimore City hospitalization percentage for 100,000 populations under 75 years old was 136.6 for Blacks and 15 for Whites.
A historical perspective on bilingual education is written in the article "Bilingual Education Traces its U.S. Roots to the Colonial Era" in the magazine Education Week. The author begins by writing, "Bilingual education has been part of the immigrant experience in America since the Colonial periods, when native-language schooling was the rule rather than the exception" (21). When immigrant groups settled in the United States they taught their children in their own languages, despite some attempts to impose English instruction. Many do not believe it but bilingual education was started before 1800 when German, French, Scandanavian, Polish, Dutch and Italian schools were established. From 1839 to
Hypertension is a developing problem worldwide associated with an increased risk of cardiovascular morbidity and mortality. In 2020, the world population will be approximately 7.8 billion people, and there will be 1 billon people who may be affected by hypertension (Tomson & Lip, 2005). One in three adults in the United States has high blood pressure. According to the report “Health, United States, 2010 with Special Feature on Death and Dying,” the prevalence of hypertension among adults 20 years old or older increased from 24% to 32% during 1988-1994 and 2005-2008. The African-American population has a higher prevalence of this health condition than white Americans do. In 2005 to 2008, the prevalence of hypertension among black males (41.4%) was more than 10%,
For decades, the overall quality of the education system has undergone constant question and criticism. While many give in to the fear of speaking out and opt for silence, director Davis Guggenheim chose to release his 2010 documentary, Waiting for Superman, in which he tackles various issues within education head on. Closely following five young students through their struggle to obtain access to better schools, the documentary captures the idea that an equal and quality education does not exist for every student, and many do not have the opportunity to receive one at all. Furthermore, the film explores more general issues within modern education around the country along with potential solutions. Throughout the film, Guggenheim pulls the audience to form close connections with the children, causing the struggles and triumphs of the families to have a greater impact. In order to present all of his information in a comprehensible and informative manner, Guggenheim relies on the problem, explanation, solution structure of the film along with appeals to logic and emotion to further its progress.
Hypertension is one degenerative disease that is prevalent among African Americans. African Americans are also known to be affected to this more than the American majority. First of all, Hypertension, which is also known as high blood pressure, is a serious medical condition in which the force of blood pumping through the arteries is too strong (Eisenberg, 2012). The heart is the organ in your body that pushes out blood to the arteries, and if it is too hard, the blood pressure will rise (Eisenberg, 2012). Approximately 40% of African Americans in the United States are known to have high blood pressure (High Blood Pressure and African Americans, 2014). These statistics shows that almost half of the total population is dealing with this condition.
African Americans are known to struggle with hypertension more than any other race. The social problem described by the Centers for Disease Control and Prevention (2010) stated, African American men are more likely to have high blood pressure than whites, Hispanics, or Mexican American men and are more likely to be known as having high blood pressure. This difference steadily persists over time, from approximately 1988 through 2006 (pg.12). Studies have consistently reported a higher frequency of hypertension in blacks than in whites. In relations to these studies as mentioned by Fuchs (2011), There is a long list of putative causes for this higher prevalence proposes that the real reasons African Americans are rated higher with hypertension issues are still unknown. Biological differences are viewed in the mechanisms of blood pressure control or in the environment and habits of whites and blacks are named as the potential causes. Socioeconomic status plays a part in the outcomes of health and wellness and is measured mainly by health behaviors (education), health status (income), and health inequities. Income has been identified as a crucial factor affecting
African American has been plague with hypertension, otherwise known as high blood pressure or the “silent killer” for decades. It is estimated that approximately 72 million Americans - almost 1 in 3 adults – are affected by this disease (National Heart Lung Blood Institute (NHLBI)). However, hypertension is more common in African Americans than Whites and other ethnic groups for the different classifications of blood pressure levels. According to Rosamond et al., 2007” African Americans have the highest prevalence rate of hypertension in the world. For example, a national survey in the US, found that the age-adjusted prevalence of hypertension was 78.7% for non-Hispanic blacks, 46.7% for non-Hispanic whites, and 41.8% for Mexican-Americans
Modern medical advancements have significantly decreased the prevalence and severity of infectious disease as well as the treatment of acute, traumatic conditions. Pharmacological research has also gained insight into the management of chronic disease. Still, there is an epidemic of chronic, treatable diseases like stroke, heart disease, and kidney disease. Hypertension proves to be the underlying factor associated with these diseases. Hypertension is often referred to as the silent killer because of its indication in deadly disease, and the importance of monitoring ones blood pressure is vital. Lifestyle, diet, and genetic predisposition are all factors of high blood pressure. Chronic high blood pressure above safe levels, known as hypertension, puts elevated physical stress on the renal and cardiovascular systems. By controlling this factor in patients, healthcare providers can decrease cardiovascular events, improve health outcomes, and decrease overall mortality. Patient education is often overlooked in its role in the control and prevention of high blood pressure. This paper analyzes the causes and physiology behind high blood pressure as they relate to the current nursing interventions. The role of nurses is discussed in relation to patient education regarding high blood pressure, and educational approaches are analyzed.
Hypertension is widely considered to be one of the most important risk factors of cardiovascular diseases (angina, arrhythmia, etc.). It is the second leading disease that causes mortality in the world. Hypertension is the condition when there is an increase in the force of blood on the walls of vessels. It can also be defined as an arterial blood pressure that is raised above 140/90 mm Hg (systolic/ diastolic BP). Hypertension can be classified into Secondary hypertension and Essential hypertension. When specific cause is evident but heredity, and various physiological parameters play a role in increasing blood pressure is known as Essential Hypertension. Secondary Hypertension is one where the cause is known. According to WHO guidelines between 2006 and 2015, deaths due to cardiovascular diseases are expected to increase by 17% while the deaths from infectious diseases, nutritional deficiencies, maternal and prenatal conditions are projected to decline by 3%. The main causes of hypertension includes the age ,hereditary, gender, extra weight, alcohol consumption, stress life, lazy life etc.
The two major types of hypertension are primary and secondary. Primary hypertension accounts for more than 90% of all cases and has no known cause, although it is hypothesized that genetic factors, hormonal changes, and the altercations in sympathetic tone all may play a role in its development. Secondary hypertension develops as a consequence of an underlying disease or condition. The prevention and treatment of hypertension is a major public health issue. When blood pressure is controlled, cardiovascular, renal disease, and stroke may be prevented. The JCN, reported more than 122 million individuals in American are overweight or obese, consume large amounts of dietary sodium and alcohol, and do not eat adequate amounts of fruits and vegetables; less than 20% exercise regularly. Both modifiable and non-modifiable factors play a role in the development of hypertension