Hypertension in special populations

CAM Use Among Older Adults Age 65 or Older with Hypertension in the United States: General Use and Disease Treatment

“…1 Ethnic minorities are especially vulnerable to hypertension. 3 Despite the availability of medical management guidelines and a plethora of effective pharmacologic agents, hypertension is not well controlled among older adults. Fewer than half of adults Ն60 year of age under treatment for hypertension meet appropriate treatment guidelines, and fewer than 30% of all patients with hypertension in this age group have adequately controlled blood pressure.…”

Hypertensive Disorders of Pregnancy

“…Nurses should carefully monitor women who are considered to be at greater risk for developing preeclampsia. The risk factors for preeclampsia include age older than 40 years, nulliparity, African American ethnicity, presence of preexisting disease (e.g., chronic hypertension, renal disease, diabetes mellitus), multifetal pregnancy, family history of pregnancy-induced hypertension, and previous preeclampsia if a multipara (Flack et al, 2002). Obese women (body mass index of 29 or higher) are 3 times more likely to develop preeclampsia than nonobese women (Dekker & Sibai, 2001).…”

“…Therefore, all other interventions are designed to safeguard the mother while allowing time for fetal maturity. Although delivery cures preeclampsia, its effect is not immediate and women remain at risk of continuing problems, including eclampsia, as long as 5 days postpartum (Flack et al, 2002). Careful postpartum follow-up is vitally important as hypertension and proteinuria may persist for weeks (NHBPEP, 2000).…”

“…They also contribute significantly to stillbirths and neonatal morbidity and mortality (National High Blood Pressure Education Program Working Group [NHBPEP], 2000). Hypertensive disorders can result in cerebral hemorrhage, disseminated intravascular coagulation (DIC), hepatic failure, acute renal failure, and abruptio placentae (Flack, Peters, Mehra, & Nassar, 2002). The pathogenesis, classification, and treatment of high blood pressure (BP) in pregnancy differ from nonpregnant care, especially as there are two patients to consider simultaneously and because severe complications can occur rapidly within hours of the initial diagno-sis.…”

BASNEF model intervention on blood pressure modification among hypertensive diabetic patients

“…[6] Cardiovascular diseases are responsible for 75% of diabetic patients’ death. [7] Some studies have revealed that blood pressure control in patients has protective effect on cardiovascular morbidity and mortality as compared to nondiabetic patients. [8]…”