Health Promotion
SunflowerYT
SummaryofCommentsonQEP.pdf
Writing Tutoring Review DISCLAIMER: I typically only highlight or comment on an error the first time I see it.
Please check your paper for additional instances of that error.
Top Priority Revisions
Additional Resources Grammar Checker Improve your writing using a grammar checker. I recommend Grammarly. You can use their online tool or download it onto your computer to use in office. You will need an account to access the full capabilities. Grammarly offers a free version at the following link: https://www.grammarly.com/grammar-check
Grammarly for Microsoft Word and Outlook (free) https://www.grammarly.com/office-addin
cover page, reference page APA formatting
explicitly identify modifiable vs non-modifiable risk factors
missing comparison/contrast of what would happen if the patient does or doesn't follow the recommendations, how would their health improve or be negatively impacted
Summary of Comments on Yolande Tumot.pdf This page contains no comments
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Health Promotion
Yolande Tumot
Miami Dade College
NUR1211L
Dawn Cooperman
03/15/2022
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Page: 2 Number: 1 Author: gcharle1 Subject: Highlight Date: 3/16/2022 8:08:07 AM Cover Page APA 7th Edition Title of the Paper (in bold) (skip line) Name School of Nursing, Miami Dade College NUR XXXX: Title of the Course Professor’s Name (Dr. John Doe) Assignment Due Date (Month day, YEAR) * no running head * page # upper right hand corner * no special formatting * placed about halfway down the page __________________________________________ Additional Resources Student Title Page Guide (pdf download) https://libraryguides.mdc.edu/ld.php?content_id=52539997
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Health Promotion
Hypertension
Hypertension is one of the most common cardiovascular conditions in the United
States and worldwide. So severe is this disease that it may result in premature death, stroke,
chronic kidney failure, coronary artery disease, and myocardial infarction if untreated.
Statistics indicate that 25% of adults in western nations are hypertensive (Oparil et al., 2018).
However, most of them are unaware of having this problem. Hypertension refers to elevated
blood pressure levels. Current criteria for diagnosing hypertension include having systolic
blood pressure readings of more than 130mmHg and diastolic blood pressures of higher than
80mmHg at more than two reproducible measurements. Additionally, systolic blood
pressures of between 130-139mmHg and diastolic blood pressures of 80-89mmHg are
classified as prehypertension (Hinkle & Cheever, 2018).
The risk of hypertension and other cardiovascular diseases increases with aging,
although other factors significantly predispose one to these diseases. Individuals from the
African American ethnicity are highly predisposed to having hypertension in their lives
compared to other ethnic groups. Furthermore, being overweight or obese, poor dietary habits
like taking too salty foods, cigarette smoking, excessive alcohol consumption, and being
stressed increase the chances of one having high blood pressure. Moreover, hypertension is
regarded as a silent killer as it often lacks any signs and symptoms except elevated blood
pressure readings, although symptoms may appear in case of vascular damages (Hinkle &
Cheever, 2018). Some of the symptoms of severe hypertension include hemorrhages,
arteriolar narrowing, and papilledema. Therefore, prevention through lifestyle modification
and timely diagnosis and treatment are crucial for managing hypertension and avoiding
complications.
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Number: 1 Author: gcharle1 Subject: Highlight Date: 3/16/2022 8:08:48 AM Body page title should exactly match cover page title. Should also only be on one line. Number: 2 Author: gcharle1 Subject: Cross-Out Date: 3/16/2022 8:49:21 AM Number: 3 Author: gcharle1 Subject: Cross-Out Date: 3/16/2022 8:50:24 AM Number: 4 Author: gcharle1 Subject: Cross-Out Date: 3/16/2022 8:50:29 AM Number: 5 Author: gcharle1 Subject: Cross-Out Date: 3/16/2022 8:49:58 AM Number: 6 Author: gcharle1 Subject: Rectangle Date: 3/16/2022 8:14:59 AM Faulty Parallelism When writing lists, each item on the list must have the same overall structure. The first item in the list sets a pattern that the other items have to follow. (i.e. if the first item is a noun, everything else must be a noun too) Correcting faulty parallelism is like playing a game of one of these things is not like the others. Here’s an example: This weekend I went shopping, hiking, and I swam at the beach. Checking for Parallel Language 1. Create separate sentences for each item on your list. a. This weekend I went shopping. b. This weekend I went hiking. c. This weekend I went I swam at the beach. 2. Assess It’s now clear that I swam at the beach doesn’t fit the pattern set by sentence a. Shopping and hiking are present tense participle verbs (verbs ending in -ing), whereas I swam at the beach has a subject (I) and a past tense predicate (swam at the beach). 3. Make necessary changes Correct: This weekend I went shopping, hiking, and swimming. Correct: This weekend I went shopping at the mall, hiking in the canyon, and swimming at the beach. Now the sentence is parallel! ____________________________________________________________________________________ ADDITIONAL RESOURCES Parallel structure | Syntax | Khan Academy https://www.youtube.com/watch?v=2l2FgUrln1A Parallelism: The Secret to Great Writing https://www.youtube.com/watch?v=Y8pIidfrSG4
Number: 7 Author: gcharle1 Subject: Cross-Out Date: 3/16/2022 8:13:02 AM obesity Number: 8 Author: gcharle1 Subject: Cross-Out Date: 3/16/2022 8:14:41 AM stress Number: 9 Author: gcharle1 Subject: Cross-Out Date: 3/16/2022 8:14:14 AM a person doesn't take food, a person can however eat, consume, etc. Number: 10 Author: gcharle1 Subject: Highlight Date: 3/16/2022 8:51:43 AM Run-On Sentence A run-on is two or more complete sentences that are combined into one longer sentence without proper punctuation. Typically, in a run- on, the first sentence is followed by a comma rather than a period or other appropriate punctuation mark.
Comments from page 3 continued on next page
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Health Promotion
Hypertension
Hypertension is one of the most common cardiovascular conditions in the United
States and worldwide. So severe is this disease that it may result in premature death, stroke,
chronic kidney failure, coronary artery disease, and myocardial infarction if untreated.
Statistics indicate that 25% of adults in western nations are hypertensive (Oparil et al., 2018).
However, most of them are unaware of having this problem. Hypertension refers to elevated
blood pressure levels. Current criteria for diagnosing hypertension include having systolic
blood pressure readings of more than 130mmHg and diastolic blood pressures of higher than
80mmHg at more than two reproducible measurements. Additionally, systolic blood
pressures of between 130-139mmHg and diastolic blood pressures of 80-89mmHg are
classified as prehypertension (Hinkle & Cheever, 2018).
The risk of hypertension and other cardiovascular diseases increases with aging,
although other factors significantly predispose one to these diseases. Individuals from the
African American ethnicity are highly predisposed to having hypertension in their lives
compared to other ethnic groups. Furthermore, being overweight or obese, poor dietary habits
like taking too salty foods, cigarette smoking, excessive alcohol consumption, and being
stressed increase the chances of one having high blood pressure. Moreover, hypertension is
regarded as a silent killer as it often lacks any signs and symptoms except elevated blood
pressure readings, although symptoms may appear in case of vascular damages (Hinkle &
Cheever, 2018). Some of the symptoms of severe hypertension include hemorrhages,
arteriolar narrowing, and papilledema. Therefore, prevention through lifestyle modification
and timely diagnosis and treatment are crucial for managing hypertension and avoiding
complications.
____________________________________________________________________________________ Additional Resources Run-Ons and Comma Splices https://www.youtube.com/watch?v=Fh45mhVsZrU What is a Run-On Sentence? https://www.youtube.com/watch?v=veZX6uI84SU
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Patient Description
Patient DS was admitted on 3/2/2022 with complaints of elevated blood pressures,
headache, nausea, and noisy abdominal area. The patient was oriented x4. The code status
was full code with a temperature of 36.6, BP of 150/94, SpO2 of 100%, and heart rate of 79.
The weight of the patient was 190 lbs and height of 5’7. The patient took hypertensive
medications at home, and he was given hydralazine (IV) at the hospital.
Analysis
While the care provided to DS is consistent with the guidelines, additional
interventions are required to achieve optimal blood pressure control. First, the nursing staff
needs to conduct a comprehensive physical examination of the patient to identify any signs of
organ damage by palpating peripheral pulses for weak, delayed, or absent pulses indicative of
severe peripheral disease (Hinkle & Cheever, 2018). Laboratory tests like urinalysis, kidney
function tests, and blood chemistry are also significant for determining organ damage
secondary to hypertension.
Second, evidence-based guidelines recommend the utilization of both non-
pharmacological and pharmacological therapies for the management of hypertension. Clients
like DS having the risk factors of hypertension such as smoking, being overweight, being
male, and having an advanced age should be advised by the nurse on lifestyle modifications.
The appropriate lifestyle changes for the at-risk patients include engaging in physical
activities, weight loss, smoking cessation, and modifying dietary choices (Oparil et al., 2018).
Specifically, the Dietary Approach to Stop Hypertension (DASH) diet helps decrease
elevated blood pressure when coupled with weight loss in susceptible clients. The DASH
eating plan involves a high intake of vegetables, fruits, and low-fat products. Restricting
sodium intake and raising potassium intake from the diet are also instrumental for high blood
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Number: 1 Author: gcharle1 Subject: Highlight Date: 3/16/2022 8:52:20 AM blood pressure should be singular Number: 2 Author: gcharle1 Subject: Cross-Out Date: 3/16/2022 8:59:36 AM Implementations or Recommendations Number: 3 Author: gcharle1 Subject: Cross-Out Date: 3/16/2022 8:53:29 AM with Number: 4 Author: gcharle1 Subject: Highlight Date: 3/16/2022 8:25:10 AM Faulty Parallelism Faulty parallelism (see previous comment on parallel language)
Number: 5 Author: gcharle1 Subject: Cross-Out Date: 3/16/2022 8:53:30 AM
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pressure management (Hinkle & Cheever, 2018). Thus, DS should be encouraged to avoid a
sedentary lifestyle for optimal blood pressure control.
Pharmacological options exist for the management of hypertension. The first-line
drugs for controlling hypertension and lowering the risk of cardiovascular conditions include
angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARBs),
calcium channel blockers (CCB), and thiazides. Therapy entails combining two or more of
these drugs with a gradual increase of doses to achieve blood pressure of less than 130/80
mmHg. ACE inhibitors lower blood pressure by hindering the conversion of angiotensin I to
angiotensin II consequently decreasing the cumulative peripheral resistance. Common ACE
inhibitors include enalapril, ramipril, captopril, and lisinopril. However, nurses should be
cautious of angioedema, a potentially life-threatening complication of ACE inhibitors
therapy. Similarly, ARBs lower peripheral vascular resistance by inhibiting the function of
angiotensin II at the receptor. Some common ARBs include losartan, candesartan, valsartan
and Olmesartan (Hinkle & Cheever, 2018). During ACE inhibitors and ARBs therapy, nurses
need to monitor for hyperkalemia which is a potential complication from these medications.
Summary
Hypertension is a life-threatening illness that requires prompt management to reduce
complications and prolong life. The risk of being hypertensive usually increases with age.
Also, it is common among African Americans, males, smokers, alcoholics, obese, overweight
individuals, and people who do not exercise adequately. Thus, lifestyle modifications by
losing weight, adopting the DASH diet, engaging in physical activities, quitting cigarette
smoking, lowering alcohol intake, and avoiding stress help manage hypertension (Oparil et
al., 2018). Similarly, proper compliance to antihypertensive medications such as ACE
inhibitors, CCB, ARBs, and beta-blockers is instrumental for lowering elevated blood
pressures.
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Number: 1 Author: gcharle1 Subject: Highlight Date: 3/16/2022 8:30:37 AM obese people
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Reflection
This assignment was an eye-opener for me regarding hypertension and its
management. Specifically, I learned about the changed system for diagnosing hypertension. I
learned that current guidelines for diagnosing hypertension include staging hypertension from
normal to stage 2. Mainly, systolic blood pressures of 120-129mmHg and diastolic blood
pressures of greater than 80mmHg are classified as elevated BP, unlike the previous
classification of prehypertension. This revision in classification aims to portray the increasing
risk of cardiovascular illnesses with increasing systolic or diastolic blood pressures. This new
information made me feel great about choosing the nursing profession as I can aid in the
prevention of hypertension through proper health education to clients with elevated blood
pressures. I intend to apply the information learned from this assignment in my future nursing
career. I will also encourage patients to frequently check their blood pressure and modify
their lifestyles to reduce the risk of hypertension and other cardiovascular conditions. I
realized that both pharmacological and lifestyle changes are essential in managing
hypertension.
This page contains no comments
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References
Hinkle, J. L., & Cheever, K. H. (2018). Brunner and Suddarth’s textbook of medical-surgical
nursing. Wolters kluwer india Pvt Ltd.
Oparil, S., Acelajado, M. C., Bakris, G. L., Berlowitz, D. R., Cífková, R., Dominiczak, A. F.,
Grassi, G., Jordan, J., Poulter, N. R., Rodgers, A., & Whelton, P. K. (2018).
Hypertension. Nature reviews. Disease primers, 4, 18014.
https://doi.org/10.1038/nrdp.2018.14
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Number: 1 Author: gcharle1 Subject: Cross-Out Date: 3/16/2022 8:08:51 AM Number: 2 Author: gcharle1 Subject: Highlight Date: 3/16/2022 8:09:17 AM capitalize Number: 3 Author: gcharle1 Subject: Highlight Date: 3/16/2022 8:10:17 AM Capitalization: Journal Titles The name of the journal should be written in title case, meaning the first letter of all important words are capitalized. The title should also be written in full, not abbreviated. *italicize the journal title and the volume number (ex. …Journal of Nursing, 4(56)…)
