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Blood Pressure Management

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Heart disease. 14. STROKE RISK AWARENESS SURVEY. Check all that applies to you. ... ABCs of Preventing Heart Disease, Stroke and Heart Attack. 18 ... – PowerPoint PPT presentation

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Title: Blood Pressure Management


1
Blood Pressure Management
  • Liz Rhodes, RN
  • ECU Student Nurse

2
PROBLEM
  • Uncontrolled blood pressures related to
    medications, poor diet, and decreased physical
    activity

3
GOAL
  • To motivate a change in behavior patterns and
    activities to control blood pressure for stroke
    prevention

4
OBJECTIVES
  • List four modifiable risk factors for strokes
  • State the importance of controlling blood
    pressure.
  • List different types of foods which are healthy
    and not healthy.
  • Verbalize the importance of a healthy lifestyle
    to prevent a stroke
  • Interpret BP results after participation in blood
    pressure screening and document results if
    follow-up required
  • Complete the stroke risk factor form from using
    obtained knowledge of program
  •  Be aware that there are others available for
    assistance
  • Desire a more positive healthy life style
  • Identify reasons for not taking medications
  •  

5
BLOOD PRESSURE
  • How can I tell if I have high blood pressure?
  • High blood pressure usually has no symptoms.
  • Many people have high blood pressure for years
    without knowing it.
  • It's called the "silent killer."
  • Hypertension is the medical term for high blood
    pressure.
  • It doesn't refer to being tense, nervous or
    hyperactive.
  • You can still have high blood pressure even if
    you are a calm, relaxed person.http//www.americ
    anheart.org/presenter.jhtml?identifier4473

6
Why is Blood Pressure Management Important?
  • There is a progressive increase in the risk of
  • stroke
  • Elevated BP one of the most common reasons
  • Elevated BP places unnecessary stress on blood
    vessels
  • Coronary (heart) disease (Kaplan Rose, 2008).

7
Factors related to High Blood Pressure
  • A family history of high blood pressure
  • Age - The incidence of high blood pressure rises
    in men after age 35 and in women after age 45
  • Gender - Men are more likely to have high blood
    pressure than women
  • Race - Approximately 33 percent of
    African-Americans have high blood pressure,
    compared to 25 percent of Caucasians

8
Potential Reasons For Not Taking Medications
  • Poor eye sight
  • Impairs ability to read prescription and
    understand labeling on bottle
  • Limited hearing
  • Critical communication from health care provider
    is diminished
  • Limited mobility
  • Decreased mobility and dexterity can limit a
    person's ability to
  • have prescriptions filled
  • to open and close childproof containers
  • Memory Loss
  • Problem with recalling prescription instructions
    from healthcare provider

9
Potential Reasons For Not Taking Medications
  • Economic Condition
  • Limited income
  • Increase in prescription costs
  • Depression
  • Social and Health Beliefs
  • beliefs can be based on
  • misconceptions
  • faulty information
  • cultural conditioning

10
Blood Pressure Guidelines
11
Why is Blood Pressure ManagementFor Stroke
Prevention Important?
  • Strokes
  • Leading Cause of Disability in the U.S.
  • 3rd Leading Cause of Death in the U.S.
  • N.C. lies in the Stroke Belt
  • The Stroke Belt has the highest morbidity and
    mortality from Stroke in the U.S.
  • The Buckle of the Belt includes NC, SC and
    Georgia

12
TYPES OF STROKES
  • Hemorrhagic Stroke
  • Blood vessels in the brain rupture
  • Ischemic Stroke
  • Blood clots or fatty deposits block vessels that
    supply the brain with blood.

13
Modifiable Risk Factors of Strokes
  • High cholesterol
  • Hypertension (high blood pressure)
  • Exercise
  • Diet
  • Tobacco
  • Doubles stroke risk
  • Increases blood pressure
  • Obesity
  • Alcohol
  • 4 oz. wine or equivalent may be protective
  • Diabetes
  • Cardiac Disease
  • Atrial Fibrillation
  • TIA/Prior stroke

14
PREVENTION
  • Eating a well balanced diet
  • Exercise
  • Compliance with medications
  • Management of
  • Diabetes
  • HTN
  • Heart disease

15
STROKE RISK AWARENESS SURVEY Check all that
applies to you. If you check two or more,
please see a healthcare professional and
determine what you can do to lower your risk.
  • AGE
  • ____ You are a man over 45 or a woman over 55
    years old.
  • FAMILY HISTORY
  • ____ Your father or brother had a heart attack
    before age 55 or your mother or sister had one
    before age 65.
  • MEDICAL HISTORY
  • ____ You have coronary artery disease, or you
    have had a heart attack.
  • ____You have had a stroke.
  • ____You have an abnormal heartbeat.
  • Tobacco SMOKE
  • ____ You smoke, or live or work with people who
    smoke every day.
  • Total CHOLESTEROL and HDL cholesterol
  • ____ Your total cholesterol level is 240 mg/dL or
    higher.
  • ____ Your HDL (good) cholesterol level is less
    than 40 mg/dL if youre a man or less than 50
    mg/dL if youre a woman.
  • ____ You dont know your total cholesterol or HDL
    levels.

16
Risk assess cont.
  • BLOOD PRESSURE
  • ____ Your blood pressure is 140/90 mm Hg or
    higher, or youve been told that your blood
    pressure is too high.
  • ____ You dont know what your blood pressure is.
  • PHYSICAL INACTIVITY
  • ____ You dont accumulate at least 30 minutes of
    physical activity on most days of the week.
  • Excess BODY WEIGHT
  • ____You are 20 pounds or more overweight.
  • DIABETES
  • ____ You have diabetes or take medicine to
    control your blood sugar.
  • American Heart Association. (2008). Personal risk
    assessment form. Accessed on September 12, 2008
    at http//www.strokeassociation.org/presenter.jhtm
    l?identifier3034972

17
Stroke is a Medical Emergency
18
ABCs of Preventing Heart Disease, Stroke and
Heart Attack
19
  • http//www.strokeassociation.org/presenter.jhtml?i
    dentifier3034972

20
Heart-Healthy Cooking Tips
  • Eat less cholesterol, salt and saturated and
    trans fats.
  • Eating less saturated fat and trans fat helps to
    lower blood cholesterol levels.
  • Eating fewer calories will help you lose weight,
    especially when you also enjoy regular physical
    activity.
  • Eating less salt and more potassium helps control
    blood pressure in most people.
  • Focusing your diet on foods such as fat-free and
    low-fat dairy fruits, vegetables and whole-grain,
    high-fiber foods is essential to good health.

21
Here are some tips to help make your meals
healthful
  • Frying
  • Steam, stir-fry, broil, or bake foods in olive
    oil or canola instead of deep-frying in bacon
    grease or shortening.
  • Salt
  • Use lemon juice, vinegar, garlic, hot red pepper
    flakes, and onions or other low-salt spices
    instead of salt.
  • Use little or no salt when you cook, spaghetti,
    noodles, hot cereal or rice. 
  • Salad Dressing
  • Use low-fat, low-calorie or fat-free salad
    dressings.
  •  

22
TIPS continued
  • Butter
  • Use soft tub margarine instead of butter, or use
    other spreads that are lower in trans fat,
    cholesterol, and saturated fat such as a stick of
    margarine.
  • Eggs
  • Limit egg yolks to three or four per week, or eat
    egg whites instead. 
  • Meat
  • Buy fresh lean cuts of meat and trim the fat
    before cooking.
  • Eat chicken, turkey, and very lean pork or beef.
  • Remove the skin from poultry before cooking
    except when roasting a whole chicken.
  • Roast, broil, or bake meats instead of frying
    them.
  •  

23
TIPS continued
  • Oils
  • Use olive, canola, corn, or safflower oil in
    cooking.
  • Use calorie-free, fat-free cooking spray to
    provide a non-stick surface for grills, bake
    ware, and wok-ware.
  • Fat
  • Limit saturated calories to less than 7 percent
    of your total calories and trans-fat calories to
    less than 1 percent of your total calories.
  •  

24
AREA DIETICIANS
  • Renee L Kemske
  • MPH RD LDN
  • Orange County Health Dept
  • 2501 Homestead Rd
  • Chapel Hill, NC 27514
  • Phone (919) 968-2022 x309
  • Email rkemske_at_co.orange.nc.us
  • Areas of Practice
  • Individual Counseling, Group Counseling,
    Programs/Workshops,
  • Cardiovascular/Hypertension, Diabetes, General
    Nutrition/Wellness, Gerontology, Weight Control

25
AREA DIETICIANS
  • Anne-Marie Scott
  • UNC Wellness Center
  • Health Education Dept
  • 100 Sprunt St
  • Chapel Hill, NC 27517
  • Phone (919) 843-2163
  • Email a_scott_at_uncg.edu
  • Areas of Practice
  • Individual Counseling, Group Counseling,
    Programs/Workshops
  • Cardiovascular/Hypertension, General
    Nutrition/Wellness, Gerontology, Weight Control

26
AREA DIETICIANS
  • Elizabeth A Watt
  • RD LDN
  • The Wellness Center at MeadowMont
  • 100 Sprunt St
  • Chapel Hill, NC 27517-7811
  • Phone 919-843-2163
  • Email ewatt_at_unch.unc.edu
  • Areas of Practice
  • Individual Counseling, Group Counseling,
    Programs/Workshops,
  • Cardiovascular/Hypertension, General
    Nutrition/Wellness, Weight Control

27
AREA DIETICIANS
  • Kara M Mitchell
  • MS RD LD
  • Duke Center for Living
  • 1300 Morreene Rd
  • Durham, NC 27710
  • Phone (919) 660-6818
  • Email mitch068_at_mc.duke.edu
  • Areas of Practice
  • Individual Counseling, Group Counseling,
    Programs/Workshops
  • Cardiovascular/Hypertension, Diabetes, General
    Nutrition/Wellness, Vegetarian, Weight Control

28
FITNESS CENTERS
  • Carolina Fitness
  • 503-C West Main StCarrboro, NC 27510
  • phone (919) 960-9910
  • O2 Fitness
  • View Website
  • 300 Market Street, 110 (Southern
    Village),Chapel Hill, NC 27516
  • phone (919) 942-6002

29
FITNESS CENTERS
  • The Wellness Center at Meadowmont
  • View Website
  • 100 Sprunt StChapel Hill, NC 27517
  • phone (919) 966-5500
  •  
  • World-Renowned Residential Program-- Duke
    University Diet and Fitness Center
  • 1-800-235-3853
  • http//www.dukehealth.org/Services/DietAndFitness/
    About/index/DFC20Brochure20Inside.pdf
  • Check with your physician be for starting any
    physical fitness program

30
Prescription Drugs
  • WALMART/SAM'S CLUB
  • 4 Prescription Drug Program Heart Health
    Blood Pressure Medications
  • Target
  • 4 Prescription Drug Program
  • UNC Hospital
  • Program for free medications.
  • An application needs to be filled out and
    submitted.
  • It does go by income.
  • (Check with your physician for generic
    medication prescription for area programs)

31
Things to Remember
  • Help decrease your risk for a stroke or recurring
    stroke by
  • Maintaining a healthy diet
  • Exercise Program
  • Check with your physician before starting
  • Control your blood pressure
  • Monitoring/keep tract of results
  • Medications
  • Medical follow-up
  • If you think you are having a stroke, call 911
    immediately! (See the following signs
    symptoms)

32
Signs Symptoms of Strokes
  • Sudden numbness or weakness
  • Sudden confusion, trouble speaking or
    understanding
  • Sudden trouble seeing
  • Sudden trouble walking, dizziness, or loss of
    balance or coordination
  • Sudden, severe headache

33
Thank You
34
Resources
  • American Heart Association AHA. (2008). Diet
    and Nutrition. Site accessed on September 29,
    2008 at http//americanheart.org/presenter.jhtml?i
    dentifier1200010
  • American Heart Association. (2008). Personal risk
    assessment form. Accessed on September 12, 2008
    at http//www.strokeassociation.org/presenter.jhtm
    l?identifier3034972
  •  American Heart Association AHA, (2008). Stroke
    risk factors. Site accessed on September 29, 2008
    at http//www.americanheart.org/presenter.jhtml?id
    entifier9217
  •  
  • American Heart Association AHA/American Stroke
    Association ASA. (2007). Lets talk about
    lifestyle changes to prevent stroke. Site
    accessed on September 29, 2008 at
    http//www.strokeassociation.org/downloadable/stro
    ke/1219770019473Lifestyle20Chgs20to20Prevent20
    Stroke.pdf
  •  
  • American Stroke Association ASA. (2008).
    Converging risk factors. Site accessed on
    September 29, 2008 at http//www.strokeassociation
    .org/presenter.jhtml?identifier3027394
  • American Stroke Association ASA. (nd). Stroke
    risk awareness survey. Site accessed on
    September 29, 2008 at http//www.strokeassociation
    .org/downloadable/stroke/1130509929967PTES20Risk
    20Assessment20Card.pdf
  • Dufresne, J. Greene, V. (1990). Medication
    regimens Causes of non-compliance. Department of
    Health and Human Services Offices of Inspector
    General. Accessed on October 6, 2008 at
    http//www.oig.hhs.gov/oei/reports/oei-04-89-89121
    .pdf
  • Every Day Health Network. (2008). Stroke center
    Blood pressure guidelines Accessed on October 27,
    2008 at http//www.everydayhealth.com/publicsite/
    index.aspx?puid1c66ebdb-25c5-4042-bd9b-051cb3f9e6
    23xidgslps_kwcidblood20pressure2525548814gc
    lidCMyQ8Z6rzZYCFQS7sgodBWgGzQ
  • Kaplan, N. Rose B. (2008). What is goal blood
    pressure in treatment of hypertension? Retrieved
    on October 19, 2008 from Up to date at UNC
    -Chapel Hill.
  • Sebastian, J. G. in M. Stanhope J. Lancaster
    (2008). The nurse leader in the community. Public
    health nursing Population-centered health care
    in the community. (7th ed.). St. Louis, MO
    Mosby.
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