SIX WEEK 4 DISCUSSION ADVANCED HEALTH AND PHYSICAL ASSESSMENT

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Colorado School of Mines *

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4100

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Nursing

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Nov 24, 2024

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docx

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1 Health and Physical Assessment Student’s Name University Affiliation Course Date

2 Health and Physical Assessment History In older populations, high blood pressure (sometimes called hypertension) is more common and poses a serious health risk. The aging process brings about a variety of alterations to the vascular system, the network of blood arteries throughout your body (Jordan et al., 2018). A fifty-four-year-old patient goes to the hospital emergency room with the chief complaint of chronically high blood pressure. Furthermore, the individual claims that it has been over ten years since he visited a doctor for a routine checkup. The patient and his wife are worried about his high blood pressure, however, the client is also worried about a wide range of other health issues his body is having. Medications are taken by the patient in the past and their effects on the body were noted, and the client was given guidance on how to improve their current treatment plan. The father went on to say that he has enrolled his child in a local school, that his family is healthy, and that they have sufficient financial resources. Nonetheless, the patient was worried about his ability to sustain the costs of his child's schooling. The highlighted information can serve as a springboard for further investigation into the matter, which could ultimately aid in the development of a plan for the provision of care to the patient in question. Questionnaires will be made available to better guide the delivery of healthcare. If the patient has an allergic reaction to any of the drug's ingredients, I can identify it by going through each item on a checklist. Drugs that decrease blood pressure can have far-reaching effects on health, so it is important to assess each patient carefully before suggesting a course of treatment. Cardiac arrests, duodenal ulcers, heart issues, and stroke are only some of the cardiovascular consequences that have been linked to the use of NSAIDs (nonsteroidal anti-inflammatory medicines) and allergy therapies. Regular sleeping habits and a history of sleeplessness can be

3 probed with a single query. Negative emotions like anxiety and depression might also cause you to have trouble sleeping (Jackson et al., 2018). High blood pressure has been connected to both sadness and anxiety, therefore it will be addressed first, along with any other possible medical concerns, such as the patient's history of insomnia. The patient's occupation and the strain of trying to provide a good education for their child both increase the likelihood that the person may be put in harm's way. Physical Exam Physical examinations rely heavily on accurate measurements of a patient's blood pressure, making the development of diagnostic tools that can be used to assess the health of the relevant organs crucial. It was required to examine the client's ears, throat, eyes, and nose in relation to the head to rule out respiratory disorders that could produce congestion inside the nasal channel, wheezing, and sputum secretion. This is why an accurate first assessment is crucial. An extensive clinical evaluation of the client's extremities was performed because of the high blood pressure. Swelling, or edema, is a warning sign of high blood pressure. Whenever fluid builds up within the body's tissues, edema develops (Yano et al., 2018). If the client had bruits or an aortic tumor, both of which can cause peculiar abdominal pain, then surgery would have been necessary. One's chance of developing stroke, hypertension, and cardiovascular disease increases between the ages of eighteen and twenty-four. As a result, those who are in this zone need to be monitored frequently. The patient may also benefit from professional guidance in maintaining a healthy weight if their body mass index (BMI) is greater than 25. In order to provide an accurate picture of the patient's prognosis, it will probably be essential to apply more than a single diagnostic method to the evaluation's findings. According to Fuchs and Whelton (2020), a

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4 diagnosis of hypertension can be made when the client's blood pressure level is at least 80 over 120. There is a high probability of cardiac arrest or a stroke in this patient due to their presence. To get a reliable reading of the patient's blood pressure, the sphygmomanometer will have to be used on them over the course of multiple sessions. The patient's high blood pressure and heart attack may not have been caused by the illness they were suffering, given that there was a family health history of diabetes, high cholesterol, and cardiogenic shock. Assessment Inappropriate homeostatic balancing of the renal nephron, which regulates the amount of water and salt absorbed by nutrients in the blood arteries, may shed light on the etiology of ICD- I10-classified hypertension, the study suggests. A disequilibrium inside the body's salt and water levels triggers the sympathetic nervous system, resulting in a rise in blood pressure and blood volume. Hypertension can result from nephron malfunction due to either the underlying pathology or a predisposition for hypertension in one's genetic makeup. Mr. Jose Martin's high blood pressure manifests clinically as hyperlipidemia (ICD-Code E78. 5), renal hypertension (I15. 1), and anxiety-related hypertension. The arterial expansion has likely caused an aneurysm, and he probably has diabetes (ICD Code E11.9). Mr. Jose Martin's primary medical concern is hypertension in the lungs. To put it simply, "secondary hypertension" describes hypertension that develops as an unintended side effect of another medical problem (Zhou et al., 2021). The patient's record indicates a wide range of potential outcomes related to his hypertension condition. Specifically, the patient has a high propensity for anxiety, which increases the risk that he may develop hypertension. The patient's increased propensity for consuming large amounts of fast food also contributes to the elevation of his blood cholesterol levels.

5 References Fuchs, F. D., & Whelton, P. K. (2020). High blood pressure and cardiovascular disease. Hypertension , 75(2), 285–292. https://doi.org/https://doi.org/10.1161/HYPERTENSIONAHA.119.14240 Jackson, S. L., Zhang, Z., Wiltz, J. L., Loustalot, F., Ritchey, M. D., Goodman, A. B., & Yang, Q. (2018). Hypertension among youths-United States, 2001-2016. American Journal of Transplantation, 18(9), 2356–2360. https://doi.org/10.1111/ajt.15050 Jordan, J., Kurschat, C., & Reuter, H. (2018). Arterial hypertension. Deutsches Ärzteblatt International , 115(33-34), 557–568. https://doi.org/10.3238/arztebl.2018.0557 Yano, Y., Reis, J. P., Colangelo, L. A., Shimbo, D., Viera, A. J., Allen, N. B., Gidding, S. S., Bress, A. P., Greenland, P., Muntner, P., & Lloyd-Jones, D. M. (2018). Association of blood pressure classification in young adults using the 2017 american college of cardiology/american heart association blood pressure guideline with cardiovascular events later in life. JAMA , 320(17), 1774. https://doi.org/10.1001/jama.2018.13551 Zhou, B., Perel, P., Mensah, G. A., & Ezzati, M. (2021). Global epidemiology, health burden and effective interventions for elevated blood pressure and hypertension. Nature Reviews Cardiology , 18. https://doi.org/10.1038/s41569-021-00559-8

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