Study Document
Medical Interventions for African-American Males With Hypertension Case Study
Pages:2 (620 words)
Sources:1+
Subject:Health
Topic:Hypertension
Document Type:Case Study
Document:#15592388
Hypertension / High Blood Pressure
What are the symptoms of hypertension and what are the reasons that people get hypertension? What ethnicities are most prone to hypertension? The answer is that African-Americans are most prone to hypertension -- in particular male African-Americans over the age of 60. What is the best treatment for hypertension for those older African-American males? This paper discusses these issues using available literature.
Hypertension
Hypertension is a problem with people worldwide and is found in all populations "except some primitive communities that live in cultural isolation" (Nadar, 2015). Hypertension is caused by "abnormally elevated blood pressures" and is often called the "silent killer" because people don't always know they have hypertension, Nadar writes on page 3 of his book. About 6% of adult deaths in the whole world result from hypertension, and the first signs of hypertension often are diagnosed when a person suffers a "myocardial infarction or a stroke" (Nadar, 3).
Treating Hypertension -- for any Race or Ethnicity
The National Institutes of Health (NIH) first of all suggests "healthy lifestyle habits" as a way to control high blood pressure (HBP). Becoming physically active, maintaining a healthy weight, avoiding smoking and trying to manage stress are recommendations at the top of the list of ways to treat hypertension. As for medicines, NIH suggests diuretics, beta blockers, ACE inhibitors, angiotensin II receptor blockers, and alpha blockers.
African-American Men and Hypertension
African-Americans have "significantly higher" blood pressure in routine examinations than non-African-Americans do (Gulledge, et al., 1999). Older age and being an African-American are "independent predictors of diastolic blood pressure increases," Gulledge explains on page 54. Noncompliance with drug therapy and high rates of hypertension patient "dropout rates" are associated with African-Americans for a number of reasons, including the fact that low income populations in inner cities are exposed to poor environments and a lack of access to health care, Gulledge explains.
Drug Interventions for African-American Males with Hypertension
Diuretics are more effective in treating hypertension in African-Americans than in Caucasians, Gulledge explains, but angiotensin-converting enzyme (ACE) inhibitors and beta blockers are "not as effective" (54).
The peer-reviewed Medscape articles on treating African-Americans does not offer dosage and scheduling of medications but it does offer interventions. Dr. John Flack, et al., writes in the American Journal of Cardiovascular Drugs that most African-American male patients' hypertension will "not be controlled to below goal BP levels consistently over the…
Sample Source(s) Used
Works Cited
Flack, J.M., Nasser, S.A., and Levy, P.D. (2011). Therapy of Hypertension in African
Americans. American Journal of Cardiovascular Drugs, 11(2), 83-92.
Gulledge, J., and Beard, S. (1999). Hypertension Management: Clinical Pathways,
Guidelines, and Patient Education. Burlington, MA: Jones & Bartlett Learning.
Related Documents
Study Document
Hypertension and the Family Definition
M., 2009, p. 1474). IMPACT on the FAMILY: Although hypertension is one of the most prevalent of all disorders in the United States, it does not affect nor impact the family of a person with this disorder as much as other diseases, such as heart disease, stroke, Alzheimer's and other disorders associated with the central nervous system. Overall, hypertension does affect a person's family in one important way, being the build-up of
Study Document
Patient Education on Hypertension Newly Diagnosed
Hypertension, or elevated blood pressure, is the excessive amount of pressure generated as a result of blood flowing against the arterial wall. High blood pressure can be created when there is a great volume of blood passing through the arteries, or when there is narrowing of the arterial lumen, or both. A common analogy is that of a garden hose: when there is more water passing through the hose or
Study Document
Women Veterans and Hypertension in
Of primary concern are the 7% who are not enrolled in the VHA but qualify for coverage, the 10% living in poverty, the 7% without any health coverage, and the 0.2% who suffer from compensable PTSD and have undiagnosed hypertension. Outreach programs will be developed to enhance access to blood pressure screening and treatment, in collaboration with MEDVAMC, Texas Department of Health and Services Commission (TDHSC), and facilities providing
Study Document
Educational Intervention on the Balance
Literature Review 1. The dilemma of Obesity Mokdad et al., (1999) in his study found that the issue of unhealthy weight, overweight and obesity are perhaps one of the rising concerns for the Americans in the 21st century as more and more U.S. citizens become vulnerable to the circumstantial risks and dangers of the phenomenon (Mokdad et al., 1999). It is usually the body mass indexes (BMI) that indicate whether a person
Study Document
Awareness and Management of Hypertension
Introduction
Health disparities refer to avoidable dissimilarities existing in the occurrence of violence, disease and injury or in the opportunities for enjoying peak health which is faced by minority and social disadvantaged ethnic and racial populations and communities. Health differences are present across every age group, even in the older adults. Even though general health and life expectancy have both gotten better of recent, the Centres for Disease Control and
Study Document
Applying the Nursing Process to
Therefore, a nurse must be fully aware of these sensitivities when providing care to a patient, especially when the patient is a member of cultural group from outside the U.S. The third criteria is social organization. For example, most African-American families tend to be based on a matriarchal system with either the mother or another female member of the family serving as its leader. This matriarch may also serve as