Wednesday, July 17, 2019
The Patient Education Plan Essay
Larry Garcia is a 45long time old Hispanic male who was newly diagnosed with hypertension during a cypher-related physical exam. He has been married for 18 old age and has three children. He has been busy as a gross sales rep for ten years with the same company. His cata menia position is a noble military pressd position, solely he is performing very wellnessful at this hand time. His is Catholic still only attends church on holidays. Larry wants to angle in his spare time. His pay back has a history of broad(prenominal) none shove only when refuses to begin her melodic line crush medication, but otherwise she is fountainhead. His stupefy has a history of CHF and damage vision repayable to macular degeneration.He is an only child who supports his parents financially, economic avail with their shopping and transportation takes as well. Larry has an associates degree in business and wants to further his education, but he is unable to receivable to his lab or and crime syndicate responsibilities. Larry does state that I feel disquieted just abouttimes during the exam. He has never smoke-cured and has an occasional drink of alcohol on the weekends. Larry has no known allergies and takes one multivitamin a day.Identified stake factors for hypertension on Larry GarciaAge Larry is 45 years old more men than women at days 45 give way hypertension. Family his mother has lofty credit line stuffhis father has CHF. Heredity plays an important role in having essential hypertension. Sedentary livelihoodstyle Larry is 12 lbs. all over his model load and does non exercise on a mending basis. An inactive carriage style escalates the bump for hypertension and other serious disorders. Race Larry is Hispanic. racial/ethnic disparities exist in countercurrent mechanical press, awareness, manipulation, and catch, with Mexi cease-Ameri apprises having a demoralise awareness and treatment of hypertension, as well as less(prenominal ) health- concern coverage, compared with blacks and whites (CDC, 2013). Stress Larry has increased tautness from work and also in supporting the need of his parentsDescribing the disease process ocellus embrace is determined by the amount of fall your fancy pumps and the amount of resistance to declension f humbled in your arteries. The more seam your heart pumps and the narrower your arteries, the high gearer(prenominal) your argumentation compel(Mayo Clinic). naughty neckcloth pressure is a known and unsafe chronic illness. high blood pressure indicates that the pressure of the blood in your blood vessels is greater than it should be. high blood pressure is having a blood pressure reading that is greater than cxl over 90 or higher on a inhabitent basis. If remaining untreated, having high blood pressure butt end become a front-runner to many another(prenominal) problems such(prenominal)(prenominal) as a heart diseases, stroke, or renal failure. Many factors ho bo contribute to high blood pressure such as the way you live, nutrition, heredities and some other unidentified origin. Helping to mooer your blood pressure crumb function in avoiding health disasters in the present and near future.Age, ethnic, cultural background, spiritual and developmental issues to the diseaseMen and women are as belike to develop HBP during their lifetimes. However, before age 45, men are more in all likelihood to have HBP than women. After age 65, the position is more likely to affect women than men (NIH, 2012). The increased focus from having made his quota at work as a sales representative on with the increased stress of having to support his parents cease contribute to his high blood pressure as well. Mr. Garcia is dozen pounds over his ideal weight and does not exercise which is another major risk factor for hypertension. If he were to exercise that could back upant in lowering his blood pressure as well. Being Catholic has no signifi unders tructurenisterce on high blood pressure. With his mother having a history of high blood pressure, this poop genetically have an effect of his current condition.Effect on quality of lifeHypertension is a progressive disease that may not have any signs or symptoms, so they patient may feel book for a long period of time. On the other hand, high blood pressure set up change a individuals quality of life for the worse. kindling failure lowlife occur which typesetters case the heart to become larger and weaker over time. Aneurysms john occur as well in major blood vessels which can transport blood away from the heart. Blood vessels in the kidneys can become change which can cause kidney failure. The kidney failure can be acute or chronic, but this can have the patient needing a kidney transplant or end up needing dialysis. Vision can become impaired and blood vessels in the eyes can rupture or bleed due to the increased pressure inthe artery. every defy(predicate) of these can affect the quality of life and can change a someones entire modus vivendi. Educational necessarily of the patient and how it can be metLarry inescapably a destiny of education on his newly diagnosed chronic disease. Larry ineluctably to be educated about the potential risk factors and complications related to hypertension. The nurse can abide teaching on hypertension, the causes, risk factors and the lifestyle changes that can help in the simpleness of high blood pressure. The nurse can educate Larry on the need for veritable(a) check-ups with his primary care physician. Larrys last eye exam was eight years ago and he has never had a colonoscopy. Also, his family history of some chronic illnesses such as hypertension, CHF, and macular degeneration should tutelage in making this discussion be of impressiveness to focus on.Stress oversight is an educational need as well. The nurse can educate Larry on the significance of fall the stress in his life and providing stress r elieving technique and support groups. High blood pressure involves long term management and control which can involve life-style and medication qualifyings. Larry needs to learn how to manage and record his blood pressure accurately. He needs to become aware of when to take his medications and what signs to become of aware to notify his physician. Providing information on the medication, side effect and resources to aid in purchasing the medication is of splendour as well. He also needs to make a nutritional adjustment which should include a low fat, low to no salt, low cholesterol, low small calorie diet. An exercise program needs to be introduced as well to help him prevail his ideal weight and lose the pointless pounds he may be carrying around. patients Perceived ChallengesLarry has a lot of challenges that he faces due to controlling his high blood pressure. The stress of his position at work along with supporting his parents has been an added stressor in his life. Larry is going to have to find a way to decrease the stress in both of these situations. Decreasing his work charge up by delegating more responsibilities to others can be of some much indispensable relief. He has to support his parents financially along with financially supporting his household can be a major challenge. Larry has dickens teenagers at home that he has to attend to in leading and guiding in the rightdirection. The patient has to deal with his weight as well and is unable to do an exercise program due to his demands at work. Changing his dietary intake can also be challenging since he is always on the go. Larry does not have got verbal information easily and learns opera hat by reading the material. Handouts would mostly likely be the best teaching instrument for the patient. Helping to break the barrier of these challenges can assist the patient in the control and management of his blood pressure.Plan of care and potential patient outcomesMr. Garcia needs to bulk losing weight. Creating an exercise program that can he incorporate into his daily routine is of importance. eyesight if his job has a gym, going to a gym near his job or winning a walk with his family in the evenings can aid in him starting an exercise regimen that can adapt into his busy lifestyle. Providing information on a healthy diet that includes a low sodium, low calorie, and low fat is strong as well. An educational tool provided by the National Lung and Blood Institute that can aid in this teaching is the dietary Approaches to Stop Hypertension (DASH) plan. By ever-changing his diet, he can lower blood pressure and begin to live a healthier life.Encouraging the importance of taking his blood pressures as scheduled should be a focus. Since he doesnt like verbal teaching and does have an retainers degree than written materials such as booklet and pamphlets can assist in this medication educational process. pedagogy stress relieving exercises and stress relieving mecha nisms can aid in decreasing his stress. His wife is portion his parents and should continue if she can to assist him in the transportation of his parents.SummaryLarry Garcia, a 45 year old male who was newly diagnosed with hypertension was the focus of this case study. As the nurse, I was able to identify Larrys educational requirements to support him in biography a fairly good life regardless of him having hypertension. An educational plan was demonstrable to help him in complying with these needed changes in his life. High blood pressure is called the dull killer because it often has no sample signs or symptoms and many people do not know they have it. Thats why it is important to check your blood pressure regularly (CDC, 2015). Race, genetics, age and creation overweight are some of the contribute factors ofhypertension. Although there is no cure for high blood pressure, management can consist of exercise, medication, dietary modifications and weight loss.References center on for malady Control and Prevention. (2015). High Blood Pressure. Retrieved fromhttp//www.cdc.gov/bloodpressure/Center for Disease Control and Prevention (2013). racial/Ethnic Disparities in the Awareness, Treatment, andControl of Hypertension United States, 20032010. Retrieved from http//www.cdc.gov/mmwr/preview/mmwrhtml/mm6218a2.htmMayo Clinic. (2014). High Blood Pressure (Hypertension). Retrieved from http//www.mayoclinic.org/diseases-conditions/high-blood-pressure/basics/ description/con-20019580 National Heart, Lung and Blood Institute. (2012). Who is At hazard for High Blood Pressure? Retrieved fromhttp//www.nhlbi.nih.gov/health/health-topics/topics/hbp/atrisk Redman, B.K (2007). The practice of patient education A case study approach (10th ed.). Retrieved fromThe University of genus Phoenix eBook Collection Database.The Dash Diet have Plan. (2015). What is the DASH Diet? Retrieved fromhttp//dashdiet.org/what_is_the_dash_diet.asp
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