Emergency Department Patients With Acute Severe Hypertension

Kleinschmidt, Kurt; Levy, Phillip D.; Wyman, Allison; Dasta, Joseph F.; Mayer, Stephan A.; Amin, Alpesh; Pollack, Charles V.; Shorr, Andrew F.; Froehlich, James B.; Multz, Alan S.; Peacock, W. Frank

doi:10.1097/hpc.0000000000000014

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Palpitations are a common reason why men attend the ED ( Probst et al, 2014 ) and a third of these visits are linked to an acute cardiac event ( Probst et al, 2014 ). Chest pain, hypertension, and heart failure are other common CVD-related reasons for male ED visits ( Czarnecki et al, 2014 ; Kleinschmidt et al, 2014 ; Storrow, Jenkins, & Self, 2014 ). CVD risk factors such as smoking, poor diet and sedentary lifestyles are modifiable and therefore, preventable, especially within PHC ( Farrell & Keeping-Burke, 2014 ; Harvard University, 2014 ).…”

Section: Emergency Care and Men’s Healthmentioning

confidence: 99%

Nurse Practitioners and Men’s Primary Health Care

Oliffe

Kelly

2015

Am J Mens Health

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Though life expectancy sex differences are decreasing in many Western countries, men experience higher mortality rates at all ages. Men are often reluctant to seek medical care because health help-seeking is strongly linked to femininity, male weakness, and vulnerability. Many men are also more likely to access emergency care services in response to injury and/or severe pain instead of engaging primary health care (PHC) services. Nurse practitioners are well positioned to increase men’s engagement with PHC to waylay the pressure on emergency services and advance the well-being of men. This article demonstrates how nurse practitioners can work with men in PHC settings to optimize men’s self-health and illness prevention and management. Four recommendations are discussed: (1) leveling the hierarchies, (2) talking it through, (3) seeing diversity within patterns, and (4) augmenting face-to-face PHC services. In terms of leveling the hierarchies nurse practitioners can engage men in effectual health decision making. Within the interactions detailed in the talking it through section are strategies for connecting with male patients and mapping their progress. In terms of seeing diversity within patterns and drawing on the plurality of masculinities, nurse practitioners are encouraged to adapt a variety of age sensitive assessment tools to better intervene and guide men’s self-health efforts. Examples of community and web based men’s health resources are shared in the augmenting face-to-face PHC services section to guide the work of nurse practitioners. Overall, the information and recommendations shared in this article can proactively direct the efforts of nurse practitioners working with men.

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Section: Emergency Care and Men’s Healthmentioning

confidence: 99%

Nurse Practitioners and Men’s Primary Health Care

Oliffe

Kelly

2015

Am J Mens Health

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Hot Topic: Global Burden of Treating Hypertension—What is the Role of the Emergency Department?

2017

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Hypertension (HTN) is the most common modifiable risk factor for cardiovascular disease (CVD) morbidity and mortality worldwide. Lower- and middle-income countries (LMICs) are projected to bear the vast majority of this disease burden, but local and regional health care delivery systems in these countries are ill equipped to meet this need. Emergency care is receiving increased recognition as a crucial component of public and community health. The rapid evolution of emergency care in LMICs provides a unique opportunity to develop innovative strategies, incorporating existing strengths of emergency departments, to address this paradigm shift in the disease burden associated with HTN on a global scale.

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Emergency Department Patients With Acute Severe Hypertension

Abstract: ED patients with severe hypertension were more likely to be admitted to the hospital if they were >75 years of age, presented with shortness of breath or altered mental status, or had a creatinine >1.5 mg/dL and were not on hemodialysis.

Cited by 2 publications

References 13 publications

Nurse Practitioners and Men’s Primary Health Care

Nurse Practitioners and Men’s Primary Health Care

Hot Topic: Global Burden of Treating Hypertension—What is the Role of the Emergency Department?

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