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Specialty: Nursing
Condition: Hypertension

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Total 105 results found since Jan 2013.

Higher antihypertensive dose increases risk of falls in older people
Commentary on: Callisaya ML, Sharman JE, Close J, et al. Greater daily defined dose of antihypertensive medication increases the risk of falls in older people—a population-based study. J Am Geriatr Soc 2014;62:1527–33. Implications for practice and research Clinicians should be aware of the increased risk of falls with high-dose antihypertensives. More clinical trials are needed to understand appropriate dose selection of antihypertensives in older patients. Context The recent Eighth Joint National Committee (JNC-8) guidelines have relaxed the systolic blood pressure goal for adults over 60 years to <15...
Source: Evidence-Based Nursing - June 22, 2015 Category: Nursing Authors: Lee, D. S. H., Goeres, L. M. Tags: Long term care, Drugs: cardiovascular system, Stroke, Hypertension, Ischaemic heart disease Care of older people Source Type: research

Managing high blood pressure after a stroke.
Authors: Abstract High blood pressure is associated with poor outcome after stroke but it is not known if existing antihypertensive drugs should be temporarily withdrawn or continued. This trial compared a group given transdermal glyceryl trinitrate with a group not receiving this treatment and also compared patients who continued existing antihypertensive drugs with those who stopped taking them. PMID: 26018482 [PubMed - as supplied by publisher]
Source: Nursing Older People - May 28, 2015 Category: Nursing Tags: Nurs Older People Source Type: research

Association between self-reported health and sociodemographic characteristics with cardiovascular diseases in adults
CONCLUSION The differences in association of self-rated health with these diseases can indicate how individuals with certain characteristics cope with the disease, allowing for more individualized and specific health care. OBJETIVO Analizar la asociación entre las características sociodemográficas y la autopercepción de salud con relación a la presencia de enfermedades cardiovasculares y la asociación de esa autopercepción con la clase de enfermedad. MÉTODO Estudio transversal, del tipo encuesta poblacional, llevado a cabo con 1.232 individuos con edades entre 20 y 59 años, de ambos sexos, residentes en la región...
Source: Revista da Escola de Enfermagem da USP - March 20, 2015 Category: Nursing Source Type: research

Family History of Stroke Among African Americans and Its Association With Risk Factors, Knowledge, Perceptions, and Exercise
Conclusions: Family history of stroke was common in this sample; however, it did not translate into better understanding of stroke or better exercise behaviors and intentions. More can be done to identify African Americans with a FHS, especially those with multiple risk factors, to educate them about the significance of FHS while promoting lifestyle change and self-management.
Source: Journal of Cardiovascular Nursing - February 14, 2015 Category: Nursing Tags: Articles: Online Only Source Type: research

The Effect of Health Education on Taiwanese Hypertensive Patients’ Knowledge and Cognition of Stroke
ConclusionsFurther studies with a longer follow‐up (6 months or 1 year) are needed to evaluate the long‐term effects of health education on stroke knowledge and cognition among patients with hypertension. Linking Evidence to ActionAn outpatient health education program using a CD‐ROM and printed information for hypertensive patients can improve the patients’ knowledge and cognition of stroke.
Source: Worldviews on Evidence-Based Nursing - February 1, 2015 Category: Nursing Authors: Yu‐Hsuan Tang, Chich‐Hsiu Hung, Hsing‐Mei Chen, Tsung‐Hsien Lin, Yi Liu Tags: Original Article Source Type: research

Assessing Patient Decision-Making Capacity: It’s About the Thought Process
Fred Jones is a 64-year-old man who presents to the emergency department with visual changes and left-sided facial numbness that started 2 hours earlier, after an argument with his wife. He states, “I want to make sure I’m not having a stroke.” His medical history is significant for hypertension. His medications include lisinopril, hydrochlorothiazide, and simvastatin. He is being evaluated for a cerebral vascular accident (CVA) with an onset of symptoms of less than 4 hours. Nursing assessment finds a National Institutes of Health Stroke Scale score of 1, with the loss of left upper quadrant peripheral visual fields.
Source: Journal of Emergency Nursing: JEN - January 9, 2015 Category: Nursing Authors: Melanie A. Mitchell Tags: Clinical Source Type: research

Perianesthesia Implications of Obstructive Sleep Apnea
Obstructive sleep apnea (OSA) is a complex medical condition that affects not only the airway but also the cardiopulmonary, endocrine, and central nervous systems. Obstructive sleep apnea can usually be identified with a focused history and physical examination and is commonly associated with obese, middle-aged men with hypertension and glucose intolerance. A high index of suspicion for OSA should arise when reports of loud snoring, nighttime arousal, and acid reflux accompanied by a history of stroke, atrial fibrillation, or congestive heart failure are elicited during a perianesthesia evaluation. Perianesthesia risk in O...
Source: Critical Care Nursing Quarterly - December 11, 2014 Category: Nursing Tags: Original Articles Source Type: research

Sexual dysfunction common in people with coronary heart disease, but few cardiovascular changes actually occur during sexual activity
Commentary on: Bispo GS, de Lima Lopes J, de Barros AL. Cardiovascular changes resulting from sexual activity and sexual dysfunction after myocardial infarction: integrative review. J Clin Nurs 2013;22:3522–31. Implications for practice and research Risk of myocardial infarction (MI) or arrhythmia with sexual activity is low, despite anxieties expressed by patients. Sexual counselling is needed to assist patients who wish to be sexually active and maintain the quality of their sex life. Further research is needed to identify the most efficacious sexual counselling interventions. Context Patients with post-MI often re...
Source: Evidence-Based Nursing - December 10, 2014 Category: Nursing Authors: Steinke, E. E. Tags: Adult nursing, Drugs: cardiovascular system, Stroke, Hypertension, Ischaemic heart disease, Sexual and gender disorders, Internet, Arrhythmias, Health education, Smoking, Tobacco use Source Type: research

Elastic compression stockings fail to prevent post-thrombotic syndrome after a first deep vein thrombosis
Commentary on: Kahn SR, Shapiro S, Wells PS, et al.. Compression stockings to prevent post-thrombotic syndrome: a randomised placebo-controlled trial. Lancet 2014;383:880–8. Implications for practice and research Elastic compression stockings should not be routinely used for the prevention of post-thrombotic syndrome (PTS) following a first deep vein thrombosis (DVT) episode. The role of elastic compression stockings in PTS prevention should be further examined. Context Post-thrombotic syndrome (PTS) is a chronic complication of deep venous thrombosis (DVT) characterised by clinical features ranging from minor limb s...
Source: Evidence-Based Nursing - December 10, 2014 Category: Nursing Authors: Kanaan, A. Tags: Adult nursing, Drugs: cardiovascular system, Stroke, Hypertension, Venous thromboembolism, Pulmonary embolism, Dermatology Source Type: research

Health disparities in Chinese Americans with hypertension: A review
Publication date: September 2014 Source:International Journal of Nursing Sciences, Volume 1, Issue 3 Author(s): Mei-Lan Chen , Jie Hu Hypertension is a leading risk factor for stroke and cardiovascular disease in the United States. Chinese Americans have poorer control of high blood pressure than Caucasian Americans and are at higher risk for hypertension. This review presents and discusses the factors known to be associated with health disparities affecting Chinese Americans with hypertension, including biological, genetic, sociocultural and environmental factors, as well as health behaviors, and health literacy. Cultur...
Source: International Journal of Nursing Sciences - November 4, 2014 Category: Nursing Source Type: research

Hypertension Management Guidelines Update and Research on the Importance of Blood Pressure Control
Abstract: According to the Centers for Disease Control and Prevention (CDC), more than 65 million adults in America have hypertension (HTN) and fewer than half of those 65 million people have their blood pressure (BP) under control. More than 1,000 deaths occur each day related to HTN and Americans are at an increased risk of complications related to uncontrolled BP such as heart failure, stroke, myocardial infarction, and kidney disease (CDC, 2014). Data from the National Home and Hospice Survey, which is conducted by the CDC, indicate that 41% of home care patients have HTN (Caffrey et al., 2011). This research brief col...
Source: Home Healthcare Nurse - November 1, 2014 Category: Nursing Tags: research briefs Source Type: research

Review of article: Hypertension in 2014 making sense of the guidelines by Kristine Anne Scordo, PhD, RN, ACNP-BC, FAANP, Kim Anne Pickett, MS, APRN, CDE (Nurse Practitioner 2014;39:18-23)
Hypertension is among the most common modifiable conditions that, if not detected early with appropriate treatment, can cause a host of medical conditions, such as stroke, kidney failure, myocardial infarction, and death. Multiple clinical trials have demonstrated increased risk for cardiovascular disease and overall mortality in people with uncontrolled hypertension.1,2 In 2010, cardiovascular disease was the leading cause of death in the United States, and hypertension was ranked as 13th1,2 From 2003 to 2010, the Centers for Disease Control and Prevention estimated the overall prevalence of hypertension in US adults ≥1...
Source: Journal of Vascular Nursing - August 19, 2014 Category: Nursing Authors: Karen R. Fitzgerald Tags: Clinical Column Source Type: research

A transitional care model for low-income older adults does not reduce readmission rates or emergency department visits during care transitions
Commentary on: Ohuabunwa U, Jordan Q, Shah S, et al.. Implementation of a care transitions model for low-income older adults: a high-risk, vulnerable population. J Am Geriatr Soc 2013;61:987–92. Implications for practice and research A relatively simple, low-cost care transition intervention can encourage low-income, predominantly African-American elders to better utilise primary care, posthospital discharge. An adequately powered study is needed in order to enable stronger conclusions to be drawn, particularly regarding the model's impact on hospital re-admission and emergency department (ED) visits. Studies benefit...
Source: Evidence-Based Nursing - June 17, 2014 Category: Nursing Authors: Nadash, P. Tags: Health policy, General practice / family medicine, Care of the older person, Dementia, Stroke, Hypertension, Memory disorders (psychiatry), Health service research, Diabetes, Metabolic disorders Source Type: research

Peripheral Arterial Disease Screening Within a Hispanic Community
Peripheral arterial disease (PAD) affects 8-12 million Americans annually. By 2050, PAD is estimated to affect 9.6-16 million Americans over age 65. PAD develops when the arteries supplying blood to the extremities become narrowed, largely due to atherosclerosis. Typically PAD refers to diseases of the arteries in the legs which are plagued by fatty deposits that progress and result in varying degrees of stenosis. With decreased blood flow to the leg muscles, individuals with PAD experience a cramp or ache which causes them to stop and rest. As PAD advances, infections and ulcers may develop. Additionally, individuals wit...
Source: Journal of Vascular Nursing - June 1, 2014 Category: Nursing Authors: Kathleen M. Large, M. Eileen Walsh Tags: 2014 SVN National Conference Poster Abstracts Source Type: research