Highlights
Question 1: Part of Nursing management of hypertension is conducting a nursing assessment. For this question you will need to discuss cardiovascular assessment and outline your assessment findings for Mrs. Caroll Williams case. In your response you will need to identify abnormal findings form Caroll's case study and any modifiable or non-modifiable risk factors present in Carolls case. (You will need to use literature to support your response- in-text citation and reference list at the end) [500 words].
Question 2: Care planning and Health promotion are a vital part of nursing management; they help to improve the health of individuals and reduce the overall cost to the health services long term. Using this Template, present an evidence-based health education plan for Caroll to ensure we meet her care needs and provide health promotion to improve her health her overall health. Your health education plan should discuss all aspects of cardiac health including physical, social and psychological, and set clear goals to meet the care needs and improve Caroll's health. The plan should include the interdisciplinary team where appropriate. (Hint: You must use the template attached, in-text citations are included in the column labeled references and full reference are included in the reference list at the end with references from questions 1).
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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