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School
Chamberlain University College of Nursing *
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Course
505 505
Subject
Medicine
Date
Dec 6, 2023
Type
pptx
Pages
16
Uploaded by Conner80
Hypertension in the
African American
Community
Devan S. Gaskin
November 12th, 2021
NR505NP-60577
Contents
•
Introduction
•
Practice Issues
•
PICOT Question
•
Literature review
•
Recommendations
•
Conclusion
•
Resources
•
Outcomes
Introduction
Hypertension has been a health issue that has plagued the
African American community for a long time.
With this PICOT
question, we are able to see if medication management or
lifestyle changes can be beneficial to this particular community
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Practice
Issues
Hypertension if African
American males
Hypertension in African
American females
Lifestyle/Diet
Hypertensi
on in
African
American
Males
•
Many may be uninsured or underinsured
•
Despite being employed, many can not
afford the healthcare coverage and maintain
their homes.
•
Stressors
Hypertensi
on in
African
American
Females
•
Genetics
•
Pregnancy
•
Socioeconomics
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Diet/Lifest
yle
•
Financial Responsibilities
•
Food Deserts
•
Medication Compliance
PICOT
Questi
on
•
In the African-American community, what is
the effect of diet change in comparison to
medication management on the reduction
of high blood pressure to be completed over
3 months.
Literary
Review
•
In a quantitative study, it was shown
that
a specific genotype that is in the genes of
African Americans predisposes us to
hypertension through fluid retention
•
This was a randomized study of almost
30, 000 individuals .
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Literary
Review
In a mixed methods study, 68 women were
followed and it was shown that self
management of hypertension can reduce
the anxiety of those who have it during and
after pregnancy.
Literary
Review
In a meta-analysis study, it was shown that
lifestyles such as smoking and improper diet
has a negative effect on the people of
Ethiopia when it comes to hypertension.
Recommendati
ons
•
The recommended practice change
to help this community would be
diet and exercise.
•
Many in this community are
already struggling with the
stressors of
what they can afford
or not, but talking 30 minute walks
around their neighborhood is free
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Recommendati
ons
•
The key stakeholders include the
health care system as a whole and the
patient.
•
We are in the business of treating
people and not keeping them in the
hospital longer.
•
Once a regime is set for a patient it is
our duty to make sure they stick with
it.
Once they feel better, they are
more likely to stick with a program
Recommendati
ons
•
Using proper education of medications
given to treat hypertension is just ne
way to insure adherence.
•
As the practitioner, we are also
supposed to advocate to make sure the
patient it able to afford the medications
we are prescribing or an equivalent
•
If exercise is apart of that regime we
have to set obtainable goals with the
patient so that they stick with it
Conclusion
In conclusion, there are many factors that
cause hypertension in the African American
community.
Genetics is something we can not
control, but diet and lifestyle we can.
In order
to correct the issue, we have to work with the
patient to set up a plan whether it is with
medications or just diet changes, to make sure
we set them up for success.
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References
•
American Heart Association. (n.d.).
How Do I Follow a Healthy Diet
Pattern?
Https://Www.Heart.Org/-/Media/Files/Health-Topics/Answers-by-Heart/How-Do-I-Follow-a-Healthy-Diet.Pdf.
https://www.heart.org/-/media/Files/Health-Topics/Answers-by-Heart/How-Do-I-Follow-a-Healthy-Diet.pdf
•
Anderson, A. (2021, July 6).
Heart Disease And Hypertension In Black Women
. Franciscan Health.
https://www.franciscanhealth.org/community/blog/hypertension-heart-disease-black-women
•
Cairns, A. E., Tucker, K. L., Crawford, C., McManus, R. J., & Powell, J. (2020). Implementing self-management: a mixed
methods study of women’s experiences of a postpartum hypertension intervention (SNAP-HT).
Trials
,
21
(1).
https://doi.org/10.1186/s13063-020-04394-z
•
Centers for Disease Control and Prevention. (2020, November 2).
African American Men and High Blood Pressure Control
| cdc.gov
. https://www.cdc.gov/bloodpressure/aa_sourcebook.htm
•
Duckett, P., & Artiga, S. (2014, July 8).
Health Coverage for the Black Population Today and Under the Affordable Care Act
.
KFF. https://www.kff.org/racial-equity-and-health-policy/fact-sheet/health-coverage-for-the-black-population-today-and-
under-the-affordable-care-act/
•
Gavidia, M. (2020, July 30).
High Levels of Chronic Stress, High Blood Pressure Linked in African Americans
. AJMC.
https://www.ajmc.com/view/high-levels-of-chronic-stress-high-blood-pressure-linked-in-african-americans#:
%7E:text=African%20Americans%20who%20report%20high%20levels%20of%20chronic,serving%20as%20possible
%20catalysts%2C%20according%20to%20study%20findings.
•
Genes Tied to High Blood Pressure Found in Black Americans
. (2013, September 17). MedicineNet.
https://www.medicinenet.com/script/main/art.asp?articlekey=173626
•
Pickering, T. G. (2001, January 1). Why Is Hypertension More Common in African Americans? Medscape.
https://www.medscape.com/viewarticle/407721#:%7E:text=Introduction.%20In%20the%20last%20article%20of%20this
%20series%2C,Caucasians%2C%20but%20the%20reasons%20for%20this%20remain%20obscure.
•
Spence, J. D., & Rayner, B. L. (2018). Hypertension in Blacks.
Hypertension
,
72
(2), 263–269.
https://doi.org/10.1161/hypertensionaha.118.11064
•
Tesfa, E., & Demeke, D. (2021). Prevalence of and risk factors for hypertension in Ethiopia: A systematic review and meta
‐
analysis.
Health Science Reports
,
4
(3). https://doi.org/10.1002/hsr2.372