Mrs. Caroll Williams Case Study - Nursing Assignment Help

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Assignment Task:

Answer both of the below questions:

Question 1: Outline the modifiable and non-modifiable features of Hypertension; the incidence/prevalence of hypertension in Australia; and discuss the hypertension grading system used within Australia [500 words].

Question 2: Read about Mrs. Caroll Williams below. Using this Template, present an evidence-based education plan for Caroll. It should discuss all aspects of cardiac health including physical, social, and psychological, and set goals to improve Caroll's health. The plan should include the interdisciplinary team where appropriate [500 words].

Mrs. Caroll Williams

Caroll Williams is a 42-year-old Aboriginal woman with a 7-year history of hypertension first diagnosed during her last pregnancy. Her family history is positive for hypertension, with her mother dying at 56 years of age from hypertension-related cardiovascular disease. In addition, both her maternal and paternal grandparents had cardiovascular disease. At a routine GP visit, Caroll reports recent history of headache and general weakness. She also reports that she has taken a number of medications for her hypertension in the past, but stopped taking them because of the side effects. She could not recall the names of the medications.

Currently Caroll is prescribed Diltiazem 30mg/twice daily and Ramipril 5mg/Nocte, which she admits to taking irregularly because “... they bother me, and I forget to renew my prescription.” Despite these medications, Caroll's blood pressure remains elevated, systolic pressure ranging from 150-155mmHg and diastolic pressure ranging from 110-114 mmHg. Caroll admits that she has found it difficult to exercise, stop smoking and change her eating habits. Findings from a complete history and physical assessment are unremarkable except for the presence of:

  • Moderate obesity (BMI 38.5)
  • Minimal retinopathy
  • A 25-year history of smoking approximately one pack of cigarettes per day.

 

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