population

Romina Alejandra Dana

 

 

                                                                Population Selected

The population I selected for my project are African American women 50 years of age and older with a perpetual incidence of hypertension and sometimes with high cholesterol and diabetes which makes a dangerous combination. My goal is instruction and awareness in self-primary prevention.

                                                              Determinant for Hypertension

   Hypertension makes people at high risk for cardiovascular disease to name a few, and black women have the most significant levels of hypertension compared to other ethnic groups. I believe one of the reasons for this disproportion can be process and fast-food diet, emotional intensity in the way they experience emotions,  and lack of attention to food preparation due to a hectic lifestyle.

   My primary suspicion about early disease causatives like cardiovascular disease, stroke, and even some types of cancer was based on the hypothesis that middle age women especially of African descent but also Caucasians, who suffer from the potential for hypertension are the contributing aspect of a negative effect on the pathophysiology and normal functioning of the body.

   According to the National Library of medicine in the article “Women’s Health” racial and ethnic minorities suffer disproportionately high rates of hypertension and hypertension-related morbidity and mortality.

My assumption is based on that as women grow older and they gain weight their cholesterol also increases, and now in a hectic lifestyle with spouses, children, schools assignments, work, and survival, the degree of stress with all these contributors results in that middle age African American women are in high risk for stress and anxiety and consequently hypertension.

                                                           Nursing Interventions

Meditation and mindfulness-based interventions are very helpful.  My proposal to decrease the incidence of this physiological malfunctioning is based on education, instruction, and awareness of the potential for this situation by using emerging therapeutic interventions instead of delivering drugs as a primary line of care. During my last week practicum, I expanded some knowledge and understanding of the reason why medical providers haste to prescribe pharmaceuticals as the main line of prevention and management, as well as not to always make testing on viral vs bacterium infections like it would be a sputum test or strep swabbing. According to my preceptor, the insurance will not be happy with so much testing. After three consecutive visits with an abnormal blood pressure reading, the nurse practitioner cannot take chances that can result in a catastrophic result. The practitioner is held accountable if the right medication and dosage were not prescribed to a patient with elevated blood pressure and a bad outcome results in harm, that’s why non-medical therapeutic interventions will not be sufficient under the Florida health system.

 

                                                               Citatiion

Kalinowski J, Kaur K, Newsome-Garcia V, Langford A, Kalejaiye A, Vieira D, Izeogu C, Blanc J, Taylor J, Ogedegbe O, Spruill T. Stress interventions and hypertension in Black women. Womens Health (Lond). 2021 Jan-Dec;17:17455065211009751. doi: 10.1177/17455065211009751. PMID: 34254559; PMCID: PMC8280834.