Aging Risk Factors

Aging Begins As A Young Adult
FALL RISK 2 The Process of aging begins as a young adult. A new life is so tender, fragile,
helpless, and in need of care from others. Toddlers are wobbly as they take their first steps and learn
to run, falling and bumping their little round heads and chubby knees. Toward the end of life no
matter how healthy, strong, or willing they are, older adult begin slowing down which puts them at a
risk for falling. Their metabolism is much slower than it once was, they have less energy and
endurance which results in decreased muscle tone due to the lack of use, and osteoporosis sets in
leaving them vulnerable to fractures. The geriatric population is considered at ... Show more content
on Helpwriting.net ...
The natural aging process is only partially responsible for falls in the elderly population. Several
factors put an older person at a risk for falls which include: certain medications and polypharmacy,
mental illness, certain diseases such as Alzheimer's and dementia, drug abuse, vision changes,
incontinence, impulsive behavior, vertigo, and clutter in a room causing patient to stumble.
According to the Stubbs (2011) , the most crucial piece of a patient's history to predict a fall is if the
patient has fallen before. The Center For Disease Control (2011) states that "every 17 seconds an
older adult will require emergency medical treatment for a fall related injury and that even more
concerning, in the next 30 minutes an older adult will die from injuries sustained from the fall". The
trained healthcare staff, especially the nurse, has a significant role and responsibility in identifying
and taking all necessary measures to help each patient avoid falling. Understanding that different
elderly patients fall for different reasons is crucial in preventing falls in patients. Hill & Fauerbach
(2014) describe three types of falls that occur in a health care facility: Anticipated Falls are
attributed to know physiological conditions and are most common, 78% of patient falls.
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Hypertension : A Serious Disease
Hypertension is a serious disease that is become more prevalent in the United States. Hypertension
should not be taken lightly and precautions need to be taken. If someone that is over 60 has
hypertension, they should get the proper treatment. Although a recommendation to increase the
target systolic blood pressure from 140 to150 mmHg in patients over 60 has been made, unsafe
conditions could still appear. The hypertension guidelines should remain the same in order to play it
safe. A patient should have treatment and be alleviated of a disease even if it is potential rather than
leave it alone and have it arise as a more serious complication than it was before. Therefore, the
hypertension guidelines should remain the same at 140 mmHg for systolic blood pressure. A
definition of hypertension is essential in understanding the thesis presented. Hypertension is used to
describe high blood pressure. Blood pressure is the force against the walls of the artery as your heart
pumps blood through your body.1 There are two numbers in blood pressure, which are the systolic
blood pressure (SBP) and diastolic blood pressure (DBP). The systolic blood pressure is the top
number of the two numbers in the blood pressure reading and diastolic blood pressure is the bottom
number. Systolic blood pressure is your blood pressure when you are active, which is why it is
higher than your diastolic blood pressure since that is your blood pressure when you are at rest.1
Hypertension is when your

The And Eye Opening For My Future Nursing Career
The past two days have been very educational, and eye opening for my future–nursing career. I was
able to complete a health interview on my own, suggest resources in the community to help
individuals with their needs, and interact with a population that we don't usually get to work with
while in school. I came into this clinical day with a decent amount of experience working with the
homeless population, so I wasn't too nervous but more so excited to meet them and talk with them in
a place where they are most more comfortable, then compared to in a hospital. This experience was
very beneficial in the sense that it pushed us all out of our comfort zones of doing interviews in the
hospital setting and really made us become flexible as nurses. I believe I was able to provide
culturally sensitive care to these individuals because I was able to see them on the same level as
myself. One way that I was able to do this, as well as the rest of the students in my group, was by
having this clinic in their environment. The CARING clinic is a great resource for them because it is
very available to them. According to Stanhope and Lancaster (2016) "It is important to evaluate
clients and populations in the context of the environment to develop effective nursing interventions",
meaning we as nurses need to reach out more to people where they are comfortable or living
(p.733). The CARING clinic really allowed us to assess these individuals as a whole, instead of just
focusing on one medical

Meaning Of Orthostatic Hypotension
Orthostatic hypotension is defined as reduction of systolic blood pressure by at least 20mmHg and
diastolic blood pressure by at least 10mmHg when changing the posture from supine to erect
position. The ability to regulate blood pressure declines with age. It leads to a delay in blood
pressure adjustment with posture among elderly people. As a result orthostatic hypotension is more
common among elderly people. (Hajjar, 2005) The prevalence of orthostatic hypotension is around
5% – 30% among institutionalized patients. (Tilvis et al., 1996)(Rutan et al., 1992)(Masaki et al.,
1998) The differences in these estimates varies due to a number of factors such as definition of
orthostatic hypotension, composition of the population, the segment of the

Thermoregulation Mechanism in the Human Body
Previous studies have not considered the temperature control mechanisms of human body when a
conflicting information is received from peripheral and central thermoreceptors. Our experiment
was designed to investigate how the thermoregulation mechanism was activated when there was a
passive heating to the human body and to find out how the body would react to the situation when
the human was experiencing the heating and cooling simultaneously. Our first hypothesis was
accepted, where the body regulated cutaneous vasodilation to enhance heat loss through sweat
evaporation and all the respiratory parameters were increased in order to supply the higher demand
of oxygen. However, the second hypothesis was rejected, as the peripheral control had more
influence than central control when the body received increased temperature to the leg and
decreased temperature at the same time. Heating period The results have clearly demonstrated that
during the heating period, there was a decrease in skin resistance and total peripheral resistance
(TPR) alongside an increase in heart rate (HR), cardiac output (CO) and peripheral skin temperature,
as compared to the relatively stable core and oral temperature, shown in figures 6, 7, 9 and 12. The
metabolic rate and respiratory parameters (Respiratory rate, oxygen consumption, tidal volume and
minute ventilation) were also increased as seen in figures 1, 2, 3, 4 and 5. A significant decrease in
respiratory rate and minute ventilation at 30 min of

Portal Hypertension Paper
Hello, my name is Amy Gordon and I will be discussing the disease process of Portal Hypertension,
and discussing how the disease process can affect the neurological, gastrointestinal, reproductive,
skin, hematological, metabolic and circulatory Systems. I will also be discussing the types of
treatments, the average annual cost of medication therapy, side effects of the medications, and how
to prevent exacerbation of the disease from occurring.
Portal Hypertension is known as an increase in the pressure of the portal venous system (Lewis,
Heitkemper, Dirksen, & Bucher, 2014). Portal Hypertension puts an individual at risk of damage to
the vessels that lead to the liver, resulting in poor blood circulation (Lewis et al., 2014). As portal
hypertension ... Show more content on Helpwriting.net ...
The reason I have chosen the medication therapy is for five reasons: the individual will have less
drop in potassium levels with a potassium sparing diuretic (Lehne, 2013). The individual will be on
Klor–con to assist with keeping the potassium levels within the normal range only if not on a
potassium sparing diuretic. Lasix will help with prevention of ascites, by removing the excess fluid
around the major organs and abdominal area (Lehne, 2013). Inderal is the drug of choice in the
prevention of bleeding, due to increased pressure in the portal vein (Lehne, 2013). Finally, I would
have the individual in some form of antibiotic therapy three times a week, to help prevent bacterial
peritonitis (Lehne, 2013). This will decrease the mortality rate, due to multiple system organ failure
caused by infection (Lehne,

Benefits Of Pink Himalayan Salt
1. According to "8 Surprising Benefits of Pink Himalayan Salt," Himalayan salt is more effective for
detox, boosts energy & relaxes your body, lowers your blood pressure and improves your sleep
while table salt does not. Putting Himalayan salt in your detox, it allows your body to transfer toxins
from healthy cells to your bloodstream, which makes it easier to push them through your system
"Dr. Mark Sircus pointed out "Daily use of sole is believed to stimulate the peristalsis of the
digestive organs, balance the stomach acid, support the production of digestive fluids in the liver and
pancreas, regulate the metabolism and harmonize the acid–alkaline balance" (Derrel,2014). If you
have high blood pressure, it is said this salt will lower ... Show more content on Helpwriting.net ...
To back up this claim they included a related study results of people who have drank the solution.
The article also explains the salt in such an elaborate way that it hooks the readers into reading more
about and they also compare it to table salt. For example, "thanks to its unique composition and
ability to be absorbed into the blood stream more quickly than traditional table salts, you can
immediately reap its benefits" (Derrel,2014).
4. Himalayan pink salt will help improve your sleep, is this claim really true? According to Sifferlin
in the article "Does Pink Himalayan Salt Have Any Health Benefits?" they get to the bottom of this
claim. Throughout the article, it mentions how this salt is "rumored to be healthier for its greater
concentration of trace elements....improves sleep" (Sifferlin,2017). The article continues about the
hype for this salt then it gets into a research section where it mentions that there is no scientific
evidence for all these claims about the salt and states "if you want to add a pinch of pink salt to your
food, go ahead, but you probably won't reap any special health benefits." (Sifferlin,2017). Eye candy
is the most this salt will likely give you and you should not expect a lot out of using this special pink
salt over regular table salt. The next article I found mentioning that this salt can promote healthy
sleep patterns. It mentions "this form of salt has been maturing over the past 250 million years under
intense

Orthostatic Hypotension Case Paper
I have selected case number 1. An 85 year old man came to the emergency room with palpitations
for a few days. He states that he sometimes feels light headed and dizzy. The patient's heart rate is
elevated and irregular. As he goes from a sitting position to a standing position he becomes light
headed and dizzy. In taking orthostatic blood pressure you notice that they are positive.
Orthostatic hypotension or postural hypotension happens when blood pressure drops as you stand
from a lying position. This drop in blood pressure causes the patient to become dizzy and light
headed. This condition happens more frequent in people of advanced age. His heart rate is fast and
irregular. I suspect the rhythm of his heart is atrial fibulation (afib).

Information Cause and Effect
GENERIC NAME:LABETALOL – ORAL (luh–BET–uh–lol) BRAND NAMES: Normodyne,
Trandate DRUG CLASS AND MECHANISM: Labetalol is a drug that is used for treating high
blood pressure. Nerves from the adrenergic nervous system travel from the spinal cord to arteries
where they release norepinephrine. Norepinephrine attaches to adrenergic receptors on arteries and
causes the arteries to contract, narrowing the arteries, and increasing blood pressure. Labetalol
blocks receptors of the adrenergic nervous system. When labetalol attaches to and blocks the
receptors, arteries expand, resulting in a fall in blood pressure. GENERIC AVAILABLE: Yes
PRESCRIPTION: Yes PREPARATION: Tablets: of 100, 200 and 300 mg; Injection: 5 mg/ml
STORAGE: Tablets should ... Show more content on Helpwriting.net ...
If combined with adrenergic stimulating drugs used for treating asthma, ex. albuterol the adrenergic
blocking effects of labetalol may counteract the effects of the stimulating drugs and reduce their
effectiveness for treating asthmatic attacks. More of the adrenergic drug may be needed. SIDE
EFFECTS: The most common side effects of labetalol are fatigue, dizziness, nausea, headache,
diarrhea, edema (fluid accumulation), and shortness of breath. Postural hypotension (a rapid
decrease in blood pressure when going from the lying or seated position to the standing position that
may cause light–headedness or fainting) occurs rarely. Patients should be observed for this possible
side effect within two to four hours of the first labetalol dose and after any changes in dose. Sexual
dysfunction, abnormal heart rhythm, slow heart rate, liver failure, and allergic reactions may occur.
GENERIC NAME: Symptoms of a Labetalol Overdose: When someone takes too much labetalol,
the symptoms can vary. Some examples of labetalol overdose signs and symptoms include:
Difficulty breathing, Wheezing,Extremely low blood pressure, which may cause lightheadedness,
dizziness, or fainting, Severe decrease in heart rate (bradycardia),Seizures, Congestive heart failure.
Treatment for an Overdose With Labetalol: If the overdose with labetalol was recent, the healthcare
provider may administer certain medicines or place a tube into the stomach to "pump the stomach."
However,

Benefits Of Forskolin
What is it? Forskolin is a tropical perennial herb from the mint genus. It is found primarily in warm
climates such as India and eastern areas of Africa. It is referred to as pashanabhedi, mao hou qiao rui
hua, makandi, and Indian coleus. How is it used? Traditionally this plant extract is used in Ayurvedic
medicine to treat a variety of conditions and disorders including, but not limited to the following.
Digestive problems – Stomach aches, intestinal spasms, nausea, gastric disturbances, and as a
purgative Skin problems – Allergies, infections, burns, ringworm, wounds, syphilis, insect bites
Aches and pains – Neck stiffness and rheumatism Female problems – Menstrual issues Heart
problems – Circulation and high blood pressure Other problems – Thyroid conditions, insomnia,
cancer, glaucoma, and obesity ... Show more content on Helpwriting.net ...
Forskolin is also used in Indian and Asian cuisines in its tuberous form as a sour pickle. What is in
it? Coleus contains several active compounds, but the most potent is forskolin, which contains
cAMP (cyclic adenosine monophosphate), a cell–regulating compound. This compound is extracted
from the tuberous root and used to make tinctures, powders, teas, pastes, and drops. When used for
high blood pressure, it may be used in an IV drip. What does it do? Forskolin is primarily known to
help you lose weight. It is known for its effectiveness for producing energy and fat burning by
increasing cAMP levels in the human body, which regulates cells. The results of increasing cAMP
production are that the body releases fatty acids and breaks down stored

The Prevalence Of Low Blood Pressure
With the global population suffering from an unprecedented distortion of the traditional age
distribution, discussion and scientific inquiry surrounding the nature and impacts of dementia
among the aging and the elderly is becoming increasingly prevalent within the public eye. One such
story, conducted by the Erasmus Medical Center and reported in a BBC News online report,
examines the prevalence of dementia in relation to preceding low blood pressure (Mundasad, 2016).
The article, as reflected in its concluding professional recommendations, aims to indicate low blood
pressure complications as a potential factor in developing dementia, thus informing consumer
healthcare decisions and contributing to an expanding body of medical knowledge. In describing
this study, BBC health reporter Smitha Mundasad explains the nature of the original endeavor.
Researchers from the Erasmus Medical Center in the Netherlands posed a topic of inquiry indulging
the research question of whether frequent incidents of low blood pressure have any impact on one's
likelihood of contracting dementia over their lifetime (Mundasad, 2016). Their suspected alternate
hypothesis states that frequent low–blood pressure incidents will increase the occurrence of
dementia within their sample participants. It is important to note that this hypothesis is directional,
as Mundasad mentions that previous research has linked high blood pressure to various forms of
dementia (2016). Thus, researchers had grounds to

Nursing Mobility And Safety
Mobility and safety are two nursing topics that are very related. Safety is the key to ensure that the
patient can remain mobile. It is important that the patient has ways to move around without fear of
falling. It is also imperative that the patient knows how to move safely and use mobility devices.
The nurse needs to understand how these two topics go together to ensure that the patient will
remained unharmed at the hospital and in the home. As stated earlier, safety is so important to make
sure that patient keeps their mobility. The surroundings need to be safe to prevent falls. When falls
are prevented, the patient remains mobile. One safety precautions to ensure that falls do not happen
is to have a clear area for the patient to be able to walk around. This means not having objects in
their pathway or rugs in their walkway. Having these objects in the way can cause the patient to
have a fall. Having rooms well lit will prevent falls. If they are able to see ... Show more content on
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There might be certain movements that can affect mobility in the future or could re–injure they
surgical site. For example, after a hip replacement surgery patients are given and abduction pillow.
According to "Hip Rehab After Surgery", the pillow is used to prevent the patient from dislocating
their new hip. After the surgery for safety reasons their mobility must be restricted while it heals.
When they do the surgery, they cut through muscles and those have to grow back. This will prevent
further injury and the patient will be able to get back their normal mobility after it is healed.
Although there are certain actions that post operation patients cannot do they still need to be mobile.
The patient is moved as soon as the patient is able to handle it. Getting the patient up will prevent
blood clots in their legs and promote blood circulation. Proper blood flow to the legs will mean that
they can remain mobile and stay

Orthostatic Hypotension: A Case Study
Everyday there are countless admissions to hospitals throughout the world for injuries due to falls.
More often than not, patients who suffer falls are elderly patients who have lost their balance. One
study states that in the United Kingdom, the number one cause of emergency room admissions to
the hospital is for those 65 years and older who have fallen.1 In order for this issue to be addressed
and corrected, one must take into consideration the variety of precipitants for falling. One of the
major reasons for falls is referred to as orthostatic intolerance. Orthostatic intolerance is defined as
"the development of symptoms such as lightheadedness and blurred vision when a subject stands up
and clears when sitting back down."2 There ... Show more content on Helpwriting.net ...
The first test, which may be performed, is referred to as autonomic reflex screening. The screening
is composed of three test which ultimately examine the patients blood pressure and heart rate
fluctuation in response to the valsalva maneuver. Another test that may be used is referred to as the
thermoregulatory sweat tests. The particular pattern an individual sweats can be indicative of a
possible neuropathy. Neuropathy is then suggestive that a lesion is present in the nerve causing a
fault in the circuitry responsible for maintaining the bodies postural blood pressure.2,16 The last test
may be performed to determine the cause of the orthostatic hypotension is a 24 hour urine sodium.
This test can be explained by the basic principle of osmosis. Water will always follow in the
direction of the sodium or salt. Thus, if the urine sodium is elevated, the kidneys are excreting
sodium, as well as, water. If the kidneys are excreting large amounts of water, the plasma volume
will be low, contributing to the occurrence of orthostatic hypotension.2,17 A urine excretion of
sodium ~170 mmol/24 hours is indicative of a normal plasma volume. Using these three screening
tests the provider should be able to determine if the cause of the orthostatic hypotension is
neurologically related, due to hypovolemia or venous

The Effects Of Pets On The Health And Physical Activity...
It is widely believed that pets can have a positive impact on the health and physical activity levels of
their owners. These three articles take a deeper look at the health effects pets have on their owners in
terms of physical activity, blood pressure levels, stress levels, and risk of allergy sensitization. This
study conducted by Allen, Shykoff, and Izzo evaluates the effect of social support intervention (pet
ownership) in relation to stress before and while undergoing ACE inhibitor therapy. This study
hypothesized that having a pet would help to lower blood pressure, heart rate, and renin responses to
psychological stress. The study had 48 participants, equally distributed between male and female,
with stage II hypertension and in a high–stress profession (stockbrokers). Participants were
randomized to either a control group (without pets) or an experimental group (who acquired pets
subsequently). After 1 month of observation, all participants completed, at–home, baseline mental
stress sessions. These sessions consisted of participants doing psychologically stressful tasks while
their systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and plasma
renin activity (PRA) were measured and recorded. After the first baseline session was completed, all
participants from both groups began lisinopril therapy (20 mg/d). At the same time, participants in
the experimental group were also instructed to get a pet cat or dog. Six months later,

Orthostatic Hypotension Case Study Essay
Case Study
Julia Atungsiri
Purdue University Global
Case study
1. What is the significance of the orthostatic hypotension, tachycardia, abdominal tenderness,
hematuria, joint pain, and petechiae? What is splinter hemorrhages and what is their significance?
Orthostatic hypotension is the reduction of the systolic pressure of at least 20mmHG or the dropping
of diastolic pressure of at least 10mmHg within three minutes of standing as compared to baseline as
such, the body is often unable compensate for the changes in the blood pressure values (Fournier et
al., 2016). The fall in the blood pressure is attributes to the fact that a small amount of blood collects
in the leg veins when a person stands as a result of gravity hence reducing ... Show more content on
Helpwriting.net ...
What are the major causes of infections?
References
Baddour, L. M., Wilson, W. R., Bayer, A. S., Fowler, V. G., Tleyjeh, I. M., Rybak, M. J., ... &
Bolger, A. F. (2015). Infective endocarditis in adults: diagnosis, antimicrobial therapy, and
management of complications: a scientific statement for healthcare professionals from the American
Heart Association. Circulation, 132(15), 1435–1486.
Fournier, P. E., Watt, G., Newton, P. N., Lamas, C. C., Tattevin, P., & Raoult, D. (2016). Blood
culture–negative endocarditis. In Infective Endocarditis (pp. 245–258). Springer, Cham.
Morton, P. G., Fontaine, D., Hudak, C. M., & Gallo, B. M. (2017). Critical care nursing: a holistic
approach (p. 1056). Lippincott Williams & Wilkins.
Pettersson, G. B., Coselli, J. S., Hussain, S. T., Griffin, B., Blackstone, E. H., Gordon, S. M., ... &
Woc–Colburn, L. E. (2017). 2016 The American Association for Thoracic Surgery (AATS)
consensus guidelines: surgical treatment of infective endocarditis: executive summary. The Journal
of Thoracic and Cardiovascular Surgery, 153(6), 1241–1258.
Thuny, F. (2016). Diagnostic Criteria for Infective Endocarditis. In Infective Endocarditis (pp. 81–
86). Springer,

Physical Therapy For A Left Total Hip Arthroplasty Surgery
Introduction: Physical therapist working in various clinical setting should be familiar with the
patient 's medical condition including medications that they are actively taking to ensure that any
symptoms associated with the drug are appropriately and safely considered. Here is an example of
an acute care patient in the orthopedic ward anticipating for a left total hip arthroplasty surgery.
HPI: S.J. is a 67 y/o Caucasian male with a history of left hip pain for two years. He has difficulty
walking due to left hip pain and utilizes a cane, can walk five blocks, climbs stairs leading with the
right leg. He denies any surgeries on the left lower extremity. He sought physical therapy, but he
does not feel that it is improving his pain but does believe it is improving his strength. He is
scheduled for a left total hip arthroplasty due to the progression of severe osteoarthritis of the left
hip as confirmed by a pelvic x–ray and MRI of the lower extremity without contrast. S.J. has taken
various medications that are listed on the current medication section of this note.
PMH: Osteoarthritis, hyperlipidemia, hypothyroidism, sciatica and hypertension.
CURRENT MEDICATIONS:
Acetaminophen 325 mg tablet PO TID as needed for pain. Max Acetaminophen 4000 mg/day (2000
mg if has liver disease)
Atorvastatin Calcium 40 mg tablet PO QD for cholesterol
Chlorthalidone 25 mg tablet PO QD for blood pressure
Diclofenac Na 75 mg EC tablet PO BID after meals for pain or

Reflection On High Blood Pressure
Description
The aim of this fieldwork reflection is to spread awareness about a serious health problem. This
problem is known as High Blood pressure in Hampton Park in the city of Casey. It came in an
attention during the research of community fact sheet assignment. In every year a number of people
suffer from high blood pressure include the adults and the elderly. In the Hampton Park, 27.3%
community suffer from High blood pressure (Health.Vic.2017).
Hypertension is a chronic medical health condition where blood pressure is increased. It describes as
systolic blood pressure 140 or above and diastolic blood pressure is 90 or more than is diagnosed as
hypertension (Health.Vic.2017). In the Hampton Park, the community suffers from high blood
pressure. It is one of the chronic medical health conditions.
Feeling
In high blood pressure, it makes the heart to work more fast and hard which leads to heart disease.
Hypertension is a leading cause of cardiovascular health problems such as heart attacks. Moreover,
old age, obesity and lack of physical activities/exercise also a high salt food, alcohol, and smoking.
It can cause high blood pressure.
Hypertension is a silent killer (Health.Vic.2017). It does not appear with warning signs and
symptoms. In Hampton Park, City of Casey many people do not perceive that they are suffering
from high blood pressure. In Hampton Park, people are busy in their working schedules. They prefer
to buy fast food and not eating healthy diets such

Vasovagal Syncope
Generally, before fully losing consciousness, presyncopal symptoms include feeling faint, dizzy,
lightheaded, hearing ringing, darkened or faded vision, and decreased hearing ability. The victim is
overpowered by unsteadiness and weakness before blacking out. Inevitably, symptoms of the
episodes continue until the vertigo (dizziness) overwhelms the victim, literally sending them into a
whirl. One can know when to worry if symptoms like chest pain, dyspnea (difficulty breathing), low
back pain, heart palpitations, severe headache, ataxia (loss of body movement control), or slurred
speech occur. After the victim wakes up from fully losing consciousness, he or she feels a sensation
of warmth, nausea, lightheadedness, temporary visual changes, ... Show more content on
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If there is no obvious or known cause, a non–invasive cardiac test, echocardiography, ambulatory
monitoring, stress test, and tilt–table test are necessary. If the fainting is triggered by a certain
position or movement like stretching or valsalva, it would be very helpful to do that specific
maneuver to trigger the symptoms while being monitored by a doctor (Hain). Valsalva is a forceful
exhalation, like one might do if their ears are plugged. While performing a tilt–table test, the doctor
will record the patient's blood pressure at a 70 degree tilt using a motorized bed. The results are
considered abnormal if there is a neurally mediated response like a sudden onset of hypotension
(very low blood pressure), bradycardia (very slow heartbeat), or both when the patient is kept in the
upright position which is the most common abnormality. The doctor will also monitor if there is
positional orthostatic tachycardia or dysautonomia, which is a gradual decrease in blood pressure
with little or no change in heart rate while moving from a lying down position to an upright
position.. The tilt–table's main purpose is to confirm autonomic dysfunction. Autonomic function is
the term used to describe the processes in our body that we do not control ourselves, like blood
pressure, heart rate, and digestion. Another test called ventilation–perfusion scanning is used for
suspicions of pulmonary embolism, which is a large blood clot blocking blood flow to organs. The
last experiment doctors may use is called Holter monitoring. This requires that a small device that
records every single heartbeat is to be worn for 24 hours along with a written log of any
symptom.There are many variations of Holter monitoring which extends the time and strictness

Life Changing Moment : What Is A Life Changing Moment?
Life Changing Moment On Tuesday morning November 8, 2016, I woke up with extreme pain in
my lower abdomen. When I got out of bed I was dizzy and had a hard time walking. I made it to the
bathroom and sat down on the toilet. When the pain did not start to feel any better, and all I could
see was black I yelled for my mother. When my mother got to me she just stared at me and asked me
what was wrong because my head was hanging and I could not speak. When she lifted my head, she
noticed my face was very pale and then I passed out. At this point she called for my father and when
he saw me he said we need to take her to the hospital. My father carried me to the car and they
rushed me to the hospital. On the way to the hospital I was lying down in the backseat crying and
screaming in excruciating pain, and did not know where I was. My then, twelve–year–old brother
began to cry because he had never seen me in so much pain. When we arrived at the hospital my
father carried me through the emergency room doors and the emergency room staff got me a wheel
chair. By this time, I was still in pain and lucid. My mom gave the clerk the minimal information
needed, described my condition, then I was immediately taken to an examine room. The nurse
pushed me to a room in the emergency area. This room was not like the regular hospital rooms. This
room did not have a door it just had a giant curtain to separate the room from the hallway. When
they got me in the room the nurse assisted me from the wheelchair to the bed. The pain was still
severe and I could barely lay still. The nurse kept telling me that I needed to be still so she could get
accurate vital signs. It was difficult to be still with the pain I was experiencing. Immediately, the
nurse asked me questions such as "where do you hurt?", "how long have you been hurting?", and
"when did the hurting begin?". I answered those questions as precisely as I could, so the nurse and
doctor would have a better understanding of what was happening. While the nurse was asking
questions, another nurse was sticking probes on my chest and connecting them to a machine; they
were doing an EKG (electrocardiogram). After this the nurse gave me an IV (intravenous therapy)
for them to

Elderly Dehydration Essay example
Most people don't think about dehydration; let alone elderly dehydration. It is a common problem, in
the aging, and often recognition along with treatment may be delayed; contributing to a high
mortality rate. (Lavizzo–Mourey, 1987) By recognizing a potential problem early, you may save an
older adult from a debilitating complication. (Hamilton, 2001) The prevention of elderly
dehydration will deter illness and increases life expectancy, along with decreasing unnecessary
hospitalization and cost.
There are several causes to elderly dehydration, which can be broken down into four groups:
physiological factors, psychological factors, functional impairments, and mechanical impairments.
(Hamilton, 2001) The physiological factors are: natural ... Show more content on Helpwriting.net ...
(Hamilton, 2001)
If, these signs and symptoms go undetected, for a long period of time, they will result in chronic
dehydration and cause several other medical issues. (Vasey, 2002) One of the results of chronic
dehydration is fatigue or energy loss which resembles depression. (Vasey, 2002) Constipation is
another result chronic dehydration, by removing too much excess liquid from stool making it hard to
expel. (Vasey, 2002) Chronic dehydration also contributes to digestive disorders such as: poor
digestion, gas, bloating, pain, nausea, ingestion, and loss of appetite. (Vasey, 2002) The average
body produces 7 liters of digestive juices daily; but a dehydrated individual will secrete less, thereby
causing improper digestion. (Vasey, 2002) Chronic dehydration causes high blood pressure due to
low blood volume and the vessels sharply contracting. (Vasey, 2002) It can also cause low blood
pressure in individuals, with weak vasoconstriction, who again, have a low blood volume. (Vasey,
2002) Chronic dehydration is also the culprit of gastritis and

Orthostatic Hypotension Essay
In this scenario, the subjected data is chest palpitation, lightheadedness and dizziness, the objective
data is elevated heart rate with irregular rhythm, orthostatic blood pressure readings, lying 135/90,
sitting 120/80, standing 100/60, and the client becoming dizzy and light–headed as he moves from a
sitting to a standing position while taking the blood pressure. The subjective and objective data
indicates that the patient has orthostatic hypotension. To determine what is causing the orthostatic
hypotension a more in–depth health history, physical assessment, labs and diagnostic testing would
need to be done.
Orthostatic hypotension is defined as a decrease in systolic blood pressure of 20 mm Hg or a
decrease in diastolic blood pressure ... Show more content on Helpwriting.net ...
It is difficult to do a cardiac assessment on someone who is uncooperative and in handcuffs with
multiple officers standing in a small room. When someone is uncooperative it is almost impossible
to complete an assessment also the assessment is usually being rushed by the officers because the
uncooperative patient is still a danger to others. By assessing the scene, I realized that when one
officer got near this particular patient it seemed to escalate his uncooperative behavior. I asked the
officer if he could leave the room, he stepped outside the room but the patient could still see him. I
asked the officer to please step out of the door way and explained to the patient that the officer had
left the room and would not be coming back this helped to calm the patient down enough so I could
compete my

Acupuncture Adverse Response
Case Report: Acupuncture Adverse Effect, Vasovagal Response
Introduction: The aim of this case report is to bring awareness to an uncommon but important
adverse effect of a vasovagal reaction when administering acupuncture. To explore the reasons
behind why this response can occur, and what steps can be taken to prevent it, and how to recognize
the signs it is occurring.
Case presentation: K.B. is a 31 year old Caucasian female who presented to the Robert Schad
Naturopathic Clinic in July of 2015. Her chief concerns were post–procedural hypothyroidism, and
Thoracic Outlet Syndrome. During follow–up appointments where K.B.'s thyroid medication and
monthly lab results were monitored, the remaining treatment time was focused on physical medicine
... Show more content on Helpwriting.net ...
It can lead to fainting, also known as syncope. Vasovagal syncope is the most common type of
fainting (5).
A vasovagal response occurs when an individual is exposed to, or experiences a trigger. The
response to the trigger results in a malfunction of components of the nervous system that regulate
heart rate and blood pressure (5). The vagus nerve in conjunction with the thoracic ganglia, are
responsible for the parasympathetic innervation of the heart, and therefore the lowering of the heart
rate (E wiki vagus nerve).
A multitude of events and health imbalances can trigger a vasovagal response. The long list of
triggers includes: stress, prolonged standing or upright sitting, after or during urination (micuration
sycope), standing up very quickly (orthostatic hypotension), during or post–biopsy procedures,
stress directly related to trauma, postural orthostatic tachycardia syndrome (POTS), severe
menstrual cramps, sensitivity to pain, sudden onset of extreme emotions, lack of sleep, dehydration,
hunger, being exposed to high temperatures, pressing upon certain places on the throat, sinuses, and
eyes, use of certain drugs that affect blood pressure, such as cocaine, alcohol, marijuana, inhalants,
and opiates, the sight of blood, low blood sugar, and rarely with IUD insertion

The Effect Of Water Ingestion Improved Haemodynamic...
4. Discussion
Previous studies found that water ingestion improved haemodynamic responses to gravitational
stress serving as therapeutic relief against hypotension that can be debilitating for most patients. We
hypothesized due to the fact that vitamin water is hypotonic in nature like water then it is likely to
illicit the OPR to fuel inadequate sympathetic drive and help with symptoms like dizziness upon
standing. However the effect of 500ml of water and vitamin water from the current study did not
entirely agree with the effect of water seen in patients with baroreflex dysfunction or autonomic
failure patients from previous investigations. 500ml of vitamin water had consistently shown a lack
of significant difference in blood ... Show more content on Helpwriting.net ...
Our results showed a significant difference between 50 ml and 500ml of vitamin water at baseline
level in the normal order (n=10) of consumption. The crossover also gave a significantly different
systolic reading (n=8) between 50ml and 500ml of water. This suggests that the average basal
haemodynamic state for the pooled data was different for different experimental runs highlighting
haemodynamic variability.
4.1 Vitamin water composition
Dragonfruit Vitamin water contains predominately 160mg of vitamin C per 500ml as the main
ingredient. There is evidence to show the benefit of vitamin C as adjuvant therapy for the treatment
of hypertension. Doses of vitamin C supplements ranging between 60–400mg were shown to have a
useful role in lowering blood pressure (both SBP and DBP). The corresponding averages of SBP and
DBP were declining after the ingestion of 50ml of vitamin water amongst 10 participants in our
pooled data (SBP: –1.40±2.35mmHg, DBP: –0.10±3.85mmHg). Likewise the same decrease in SBP
was evident with 50ml of water, which gave a decrease by 0.90±4.17mmHg. It may be possible that
vitamin C content negated the OPR. Blood pressure changes are sensitive to ascorbic acid levels
until a certain threshold; the effect of vitamin C was lowered in trials where the population had
already taken supplements due to renal

Alcohol Syncope
Abstract Alcohol consumption may be linked to syncopal events. The mechanism by which alcohol
may induce syncope is not well understood. Impairment of the response to orthostatic stress may be
involved. A growing body of medical evidence suggests that short–term alcohol consumption elicits
hypotension during orthostatic stress because of impairment of vasoconstriction. These findings
have implications for understanding of hemodynamic effects of alcohol and, in particular, for
understanding syncopal events that occur in association with alcohol intake. A 27–year–old African
American female with a previous syncopal event following alcohol consumption was brought to the
Emergency Department by ambulance after a witnessed ... Show more content on Helpwriting.net ...
It results in dizziness or syncope from transient diminished cerebral perfusion.
Case Report A 27–year–old, well–appearing African American female was brought to the
Emergency Department by Emergency Medical Services after a witnessed syncopal episode. The
only medical history is a previous alcohol–induced syncope 2 years ago. The patient does not have
any past surgical history. The patient only drinks socially. She does not smoke, and she denied any
drug use. The patient lives with mother, and works as a nursing assistant in a nursing home. The
patient admitted to drinking "a shot of vodka" approximately 10 minutes prior to syncopal episode.
The patient fell upon standing and hit the back of her head on the floor. Patient's significant other
who witnessed the syncopal event reported that loss of consciousness (LOC) lasted about 2 minutes.
EMS was consequently called. According to EMS, the patient was still on the floor, alert and
oriented only to self upon their arrival. She was lethargic. The patient did not remember passing out.
She was subsequently transported to the Emergency department. Patient did improve remarkably on
the way to the hospital. Upon arrival to the Emergency Department, patient was alert and

Reflection On High Blood Pressure
Description
This fieldwork reflection aims to spread awareness about a serious health problem. This problem is
known as High Blood pressure in Hampton Park in the city of Casey. It came inattention during the
research of community fact sheet assignment. In every year many people suffer from high blood
pressure include the adults and the elderly. In the Hampton Park, 27.3% community suffer from
High blood pressure (Health.Vic.2017).
Hypertension is a chronic medical health condition where blood pressure is increased. It describes as
systolic blood pressure 140 or above, and diastolic blood pressure is 90 or more than is diagnosed as
hypertension (Health.Vic.2017). In the Hampton Park, the community suffers from high blood
pressure. It is one of the chronic medical health conditions.
Feeling
In high blood pressure, it makes the heart to work more fast and hard which leads to heart disease.
Hypertension is a leading cause of cardiovascular health problems such as heart attacks. Moreover,
old age, obesity and lack of physical activities/exercise also a high salt food, alcohol, and smoking.
It can cause high blood pressure.
Hypertension is a silent killer (Health.Vic.2017). It does not appear with warning signs and
symptoms. In Hampton Park, City of Casey many people do not perceive that they are suffering
from high blood pressure. In Hampton Park, people are busy with their working schedules. They
prefer to buy fast food and not eating healthy diets such as fruit and

The Stages Of Clinical Reasoning
Clinical reasoning can be defined as, 'the process by which nurses (and other clinicians) collect cues,
process the information, come to an understanding of a patient's problem or situation, plan and
implement interventions, evaluate outcomes and reflect on and learn from the process' (Levett–Jones
& Hoffman 2013, p.4). It requires health professionals to be able to think critically and ensures
better engagement and results for the patient (Tanner 2006, p.209). The Quality in Australian
Healthcare Study (Wilson 1995, p.460) discovered that 'cognitive failure' resulted in approximately
57% of unfavourable clinical events involving the failure to produce and act correctly on clinical
information. It also recognises that often nurse's preconceptions and assumptions can greatly affect
patient care and by going through such a process, one can take into account the holistic nature of the
patient and provide the best, most appropriate care. Process Information The third stage in the
clinical reasoning cycle is process information. This involves the gathering of signs and indications
and the recognition of patterns (Levett–Jones & Hoffman 2013 p.5). It is also when one can begin to
form hypotheses and predict potential outcomes. In regards to Mrs Checkett's case, there are many
cues that need to be taken into consideration in order to best care for her. According to Chester and
Rudolph (2012, p.2), vital signs in the elderly change due to the reduction of function of
homeostatic

High Blood Pressure Research Paper
America is in one of its most violent wars, and up to this point it is losing miserably. Our obsession
with salt is killing us and the numbers will continue to rise unless we get a grip on sodium intake
and deduce our levels substantially. We are not without hope there are various things we can do to
lower High Blood Pressure (HBP). We will look at some of the recommendations that will help us to
live healthier and productive lives well into our twilight years. It will take some radical lifestyle
changes, but the sooner we start the better our quality of life will be. One of the first places to start is
to know our blood pressure levels. This can be done by purchasing a digital monitor. The average
for a healthy adult should be 80/100 if the number exceed those it is placing you heart at risk.
According to a Harvard health study, "as sodium accumulates, the body holds onto water to dilute
the sodium. This increases both the amount of fluid surrounding cells and the volume of blood in the
bloodstream." (Harvard pg1) All this pressure that is ... Show more content on Helpwriting.net ...
According to the Heart Association, "about 75 percent of dietary sodium comes from processed
foods; salt added at the table accounts for only about 6 percent." (American Heart Association) We
need to learn to reduce salt intake and that is a choice we can all make. By consuming fruits and
vegetables, we can accumulate potassium which has the direct opposite effect on blood pressure.
Potassium "can help relax blood vessels and excrete the sodium and decrease blood pressure"
(Harvard pg1) Some other things that can be done are stay away from processed foods and cut–
down or stop adding salt after a meal is served. We also need to educate ourselves on what is in our
products, reading labels can tell us a lot about what ingredients are in it. Reducing salt is not the
only thing we can

Clinical Manifestations Of A Health Concern And The...
Tanisha Lafayette
Widener University
Abstract
Advanced practice nurses are known for analyzing and collecting data to help implement
interventions and positive outcomes for the public. There are a numerous health conditions in the
United States that advanced practice nurses (APNs) play a vital role in research and practicing
evidence based medicine. The many influences that may negatively impact a patients health include
social, environmental, and physical factors. This paper will discuss the importance of researching
evidence on a health concern and the modalities developed through the implementation of programs
for postural orthostatic patients. There is a need for more to take part in the research and
contributions to evidence based research in understanding Postural Orthostatic Tachycardia and its
clinical manifestations in the general population.
Introduction
Defining Postural Orthostatic Tachycardia and Statistics Postural orthostatic tachycardia syndrome
(POTS) is considered an autonomic disorder, that affects between 1,000,000 to 3,000,000 people
worldwide (Dysautonomia International, ). "Postural orthostatic tachycardia syndrome (POTS), is an
autonomic disorder characterized by an exaggerated increase in heart rate that occurs during
standing, without orthostatic hypotension" (Thanavaro, 2011). This syndrome consist of an elevated
heart rate of 120 beats or more when changing positions from sitting to standing after standing for
10

The Common Disease Of Addison 's Disease
Abstract Addison's Disease goes unnoticed in a lot of people. Addison's is sometimes called the
uncommon common disease because people are walking around with it but the symptoms are so
closely associated with other illnesses, go undetected. Knowledgeable professionals are even hard to
find. People knowing living with Addison's Disease are constantly in fear not knowing if they were
to go in a crisis, who would have enough knowledge about the disease to assist. Yes, most first
responders, ER staff, physicians' offices, are clueless. There just isn't enough information to about
this disease to help people with it which is why I chose to be an advocate. My wife has the
uncommon common disease and immediately our lives would change. I won't say it was for worse
nor will I say for good, it's just changed. There are all kind of foundations out there trying to raise
awareness of this disease but they are mainly in the larger areas and major hospitals. I want as many
people as possible to know about this disease that really does makes it "impossible" to get out of
bed, to know about this disease that makes you feel "sick as a dog". I hope to help at least one
person know more about this disease each day. Let's raise awareness. Understanding Addison's
Disease and its impact Of all the things too hear the doctor say, why Addison's Disease. I felt numb.
I didn't know if I should cry or run. I was confused, again I asked why then I asked how. I was angry
for a moment but it later

The Anti Hypertensive Properties Of Doxazosin
Pharmacology
Doxazocin is an "alpha–adrenoceptor blocking drug" and it is used in both hypertension and benign
prostatic hyperplasia (Joint Formulary Committee, 2014). For the purpose of this essay, the main
focus will be on the anti–hypertensive properties of Doxazosin.
Selective α1 antagonists work on the post–synaptic α1 adrenoreceptors predominantly found in
vascular smooth muscle. These receptors are normally bound by norepinephrine or epinephrine to
mediate regulation of the cardiovascular system by the sympathetic nervous system. As can be seen
in Figure 1, these receptors are bound to Gq–proteins which have two signal transduction pathways.
One of the pathways forms IP3 (Inositol triphosphate) which then stimulates the release of Calcium
from the sarcoplasmic reticulum in a cardiac monocyte (Klabunde, R.E., 2013). The release of
calcium then stimulates contraction in the heart. By selectively inhibiting these adrenoceptors,
vasodilation occurs which in turn causes a decrease in arterial pressure (Rang and Dale).
With a mean half–life of 22 hours (Martindale, 2013), Doxazosin is considered to be a long acting
hypertensive drug. This means that it can be administered once daily, rather than multiple times.
With a good absorption when administered orally, the maximum plasma concentration happens two
to three hours after a dose (Martindale, 2013). It also states that doxazosin is roughly "98.3%"
bound to plasma, which means that it has an excellent distribution around

The Relationship Between Body Weight And Blood Pressure Essay
The Relationship between Body Weight and Blood Pressure The hypothesis is to determine the
Relationship between Body Weight and Blood Pressure. High blood pressure has been noted as one
of the leading non–infectious diseases around the world. According to Abdulle A. and his research
colleges, in their research they stated that high blood pressure contributes to an important and
prevalent risk factor to cardiovascular disease. The research finding of Abdulle A. et al. quoted that
"it appears from our study that one of the causes of this problem is the high level of obesity known
to elevate the risk for cardiovascular diseases." Harsh D. and Bray G. brought the attention of the
Framingham Study showing that the participants of both sexes demonstrated increasing blood
pressures with increased overweight. One of the earlier studies that contributed to health was "The
Framingham Heart Study" the study was introduced on the research of health by studying the
general causes of heart disease. According to Dr. William B. Kannel The Framingham Heart Study
was developed in 1948, the objective of the study was to understand the factors of Cardio Vascular
Disease by following its development with participants that have not yet developed overt symptoms
of Cardio Vascular Disease. The research will fallow participants for a long period of time to record
changes in towards their health. The researchers stated by Dr. Kannel recruited 5,209 men and
women between the ages of 30 and 62 the

Assessing Fall Risk Of Older Adults Living
Assessing Fall Risk of Older Adults Living in the Community
Rachael McCowen
Epidemiological Design and Statistics
University of West Florida
I. Background
In the absence of evidence to support a population–based approach to prevention and the imperative
to deliver cost–effective and efficient services, health care providers need risk assessment tools that
reliably identify at–risk populations and guide intervention by highlighting remediable risk factors
for falls and fall–related injuries. Such tools typically consist of a rating or scoring system designed
to reflect the cumulative effect of known risk factors for the purpose of identifying those at greatest
risk for sustaining a fall or fall–related injury [*]. Historically, fall risk tools have focused on
institutional settings with little attention to tools tested in community settings. Of the reviews that do
include community dwelling seniors, tools are typically limited to the assessment of balance with
little consideration of other risk factors [*].
Since 2000, three reviews have been published that detail a cross–section of fall–risk assessment
tools [*]. The focus has been on institutional settings with little attention to tools tested in
community settings. Most falls occur as a result of a dynamic interaction between intrinsic and
extrinsic factors, and as such interdisciplinary and multiagency intervention is likely to have the
greatest impact. Lack of a simple cause and effect relation in

A Reflection On Clinical Placement
Look Back Another day of my clinical placement 420 in orthopaedic unit began on July 4, 2015. I
received my patient and started to research a patient history and medications. At 0700 a shift report
started, I received information that my patient had fall at night shift without witnesses. By the policy
of Providence Healthcare a patient who had fall without witnesses should be automatically
monitored for head injury therefore, a Glasgow Coma Scale was initiated by previous nurse: every
15 minutes, then every hour, every two hours, and every 4 hours. This scale is to check and monitor
level of consciousness which possibly may decline after head injury. At this day we had a student as
a "nurse in charge", she volunteered to come with me to patient room and to supervise my work. For
this particular patient close monitoring of vital signs and neurologic assessment required. I
explained to the patient the purpose of frequent health assessment and started to work. Close patient
monitoring in addition to all daily routine activities was challenging to me because I never had a
patient with this diagnosis. Despite my explanation of the purpose of frequent assessments patient
stated that "I am fine, do not feel any discomfort, there is no need for that". While assessing patient
she keep asking a lot of questions such as why so many time why do I need to drink more than one
mouthful of water with my tablets, what these tablets for, why do I need to wait few minutes after

Classification Of Medication By Sarah Jennings
Stuti Patel
Unitek College
Ms.Brooks
Classification Of Medication
Sarah Jennings is a 45 years old female, 5 feet 6inches tall, 130lbs. Today she came in to see Dr.
Wallace for 3–month appointment. She has been diagnosed with hypertension, diabetes, and
cholesterol. Due her cholesterol medication she was asked to come in to get her liver function
checked. During her visit today she mentioned to the doctor she has had knee pain for the past few
days. It started after she tripped while hiking last week. Sarah also suffers with bipolar disorder, but
she has been doing well with the anti–depressant she is on. She is a very sweet, tiny, determined
lady who is trying her best to keep up with all her health issues. She has changed her diet and has
been good with exercising daily. Sarah has been taking prazosin for hypertension which a alpha
blocker. It blocks receptors in the arteries in smooth muscle. This helps relax the blood vessels and
leads to an increase in blood flow and a lower blood pressure. The most common side effects of are
dizziness, drowsiness, fatigue, headache, nervousness, irritability, stuffy or runny nose, nausea, pain
in the arms and legs, hypotension, and weakness. Also another side effect is first–dose orthostatic
hypotension because initially the patient has more sensitive to the blood pressure–lowering effects.
As patients continue to take the medication they become less sensitive and have fewer problems
with hypotension. There

High Blood Pressure Among African American Essay
High Blood Pressure among African American
Hypertension is a major health condition which affects many Americans. This health condition may
increase the risk of cardiovascular disease and stroke. A normal blood pressure consists of systolic
blood pressure divided by diastolic blood pressure, 120/80mmHg (millimeters of mercury). High
blood pressure is defined as systolic pressure which is greater than 140mm Hg, and diastolic
pressure which is over 90mm Hg. Hypertension influences the health outcomes of black Americans
more than other races in the United States. Racial discrimination and socioeconomic status are two
major factors which influence the rate of high blood pressure in the black American population.
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%,

Reflection On Head-To-Toe Assessments
This week, my shift at KLH was intense, but at the same time informative. I was able to successfully
meet my goal from last week of becoming more fluent with head to toe assessments. I have been
finding that regardless of each patient's acuity, it is becoming much easier to conduct a full
assessment without looking at my cheat sheet. Although I was not able to meet my goal of
incorporating complimentary and alternative medicine (CAM) into my practice, I was given the
opportunity later on during charting to recognize where I could have utilized them. Specifically, my
client was experiencing decreased lung sounds on expiration and crackles to her right lower lobe
(RLL). In hindsight, I recognize that I could have taken the opportunity to educate on deep breathing
or coughing techniques to clear her ... Show more content on Helpwriting.net ...
During one of my interactions, my patient rated her pain a 7/10 and I could tell that she was in
discomfort by her facial expressions and lack of conversation. By recognizing this I was able to
have a conversation with the RN around what could be given to alleviate her pain. The RN was
appreciative that I relayed the information and she happily gave her an analgesic. About an hour
later, while checking in on my patient, I recognized that she was much more at ease. I could also tell
that she was happy with my care as she quickly thanked me for my help and explained that the pain
was now tolerable at a 4/10. Throughout this experience I realized how quickly a patient's health can
change. The importance of doing hourly rounds was evident as had I not gone in to check on my
patients level of pain again, I would not have known that it had increased in such a short amount of
time. This was a positive experience for me as I felt that I was more involved with my client's care
and was able to really make a difference in her health and

Shepherd's Clinic Journal Paper
Clinical Journal Entry # 5: Shepherd's Clinic
Hours: 25.50 hours On this day, I presented my education presentation Nutrition for High Blood
Pressure at Shepherd's Clinics to patients and clients at the wellness center. I chose this topic due to
the high number of patients that report to the clinic with a diagnosis of hypertension. For example,
since beginning my practicum at the site, I took a tally of those with high blood pressure. More than
half the patients being seen by a provider each day had high blood pressure. In addition to the
patients seen at the clinic, in the United States the Centers for Disease Control and Prevention
reports 75 million Americans have high blood pressure (High Blood Pressure Fact Sheet, 2016).
Given these facts I wanted to address one big factor in reducing the risks of high blood pressure and
reducing the risk of developing heart disease and other health risk. This factor is nutrition, as food
plays a major role in managing diseases like blood pressure and diabetes. ... Show more content on
Helpwriting.net ...
For example, I drove around the neighborhood previously looking for healthy food choices at an
affordable price. However, I found that around the clinic, there were not many healthy food options
in walking distance. For example, Hillen Grocery store, a convenient store that sells snack options is
located eleven minutes walking distance from the clinic. Giant food market, which serves more
healthier options at a high price range, is located eighteen minutes walking distance from the clinic.
Because of this reason, I provided patients at the clinic with alternatives to remedy the problem.
Besides teaching them how to replace meals, I also gave them information about virtual
supermarkets provided through the program Healthy Baltimore

Anti Hypertensive Drugs Essay
Anti–hypertensive Drugs: The concern on whether anti–hypertensive's should be withheld in
patients who are hypertensive has been debatable in the recent past. Generally, the treatment of
hypertension among hospitalized patients is basically an opportunity to enhance the recognition and
treatment of blood pressure (Axon, Nietert & Egan, 2011, p.246). This is mainly because
hypertension is a basic risk factor for heart diseases, stroke, and death whose impact is widespread
to nearly 70 million adults in America. There have been numerous educational initiatives and
publication of treatment processes to address this condition in the past few decades. Despite these
measures, nearly 39 million Americans are at risk of hypertension because they have not reached
their desired or optimal blood pressure. The concern regarding the use of anti–hypertensive
medication as a treatment procedure for hypertension has mainly been centered on the optimal
choice of these agents. The other factors include the side effects of these drugs on a hypertensive
patient, especially coughing. While three categories of these drugs are linked with cough as a side
effect, they have varying casual explanations though angiotensin–converting enzyme (ACE)
inhibitors play a crucial role (Van Amburgh, 2011). The main objective for the use of anti–
hypertensives in dialysis patients is to obtain and sustain an optimal blood pressure or lessen it by
the least intrusive measures possible. While this is not

Hypertension (HTN) Or High Blood Pressure
In this essay, I will be talking about Hypertension(HTN) or High Blood Pressure. I have chosen this
topic for it is a common sickness, unfortunately, in America. Many people do not understand it and
many do not know how to treat it. I used to have Hypertension about a year before I am writing this
essay. Starting in summer 2015 I decided to start taking action to lose weight and fix my High Blood
Pressure. I decided to stop eating fast food all the time and made only once a month. I started
drinking more water and eating healthier. I lost 10 pounds in 2 months. I eventually gained the
weight back due to me growing taller in such short time. I continue to eat healthier and strive to
make a certain goal.
Hypertension is a chronic medical condition

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