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Related Concept Videos

Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

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The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
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Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

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Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
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Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
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Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
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Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
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Updated: Nov 8, 2025

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
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Improving hypertension knowledge, medication adherence, and blood pressure control: A feasibility study.

Beatrice Remy Marseille1,2, Yvonne Commodore-Mensah1,2, Patricia M Davidson3

  • 1Department of Nursing, Johns Hopkins University School of Nursing, Baltimore, MD, USA.

Journal of Clinical Nursing
|April 19, 2021
PubMed
Summary

A culturally tailored education program proved feasible for Haitian immigrants with hypertension, significantly improving blood pressure, medication adherence, and knowledge. This highlights the potential for advanced practice nurses to lead such interventions for better health outcomes in diverse communities.

Keywords:
blood pressure controlhealth promotionhypertensionknowledgemedication adherencepublic health

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Area of Science:

  • Public Health
  • Health Disparities
  • Nursing Education

Background:

  • Hypertension affects over 26% globally, with 45.4% prevalence in the U.S.
  • Black populations, including Haitian immigrants, experience disproportionately high hypertension rates.
  • Effective management strategies are crucial for this demographic.

Purpose of the Study:

  • To assess the feasibility of a culturally tailored education program for Haitian immigrants diagnosed with hypertension.
  • To improve hypertension knowledge and medication adherence in this population.

Main Methods:

  • A pre-test and post-test feasibility study design was employed.
  • Forty-four Haitian immigrants participated in an evidence-based, culturally tailored education program.
  • Outcomes measured included blood pressure, medication adherence (Hill-Bone Scale), and hypertension knowledge (Hypertension Knowledge Test).

Main Results:

  • Forty-two participants completed the study; mean age was 61.95 years, 59% female.
  • Significant reductions in systolic (143 to 126 mmHg) and diastolic (85 to 78.5 mmHg) blood pressure were observed.
  • Medication adherence and hypertension knowledge significantly increased post-intervention.

Conclusions:

  • Culturally tailored interventions are feasible for healthcare providers to implement in managing hypertension among Haitian immigrants.
  • Advanced practice nurses are well-positioned to lead such evidence-based programs.
  • Further research is needed to optimize hypertension management strategies for Black immigrant communities.