Case Study: KB
Patient Information: KB, 36, Female, Black
S.
CC (chief complaint): "My mother took my blood pressure and it was a little higher than it should be"
HPI: KB is a 36-year-old black female, who is 30 5/7 weeks pregnant. She presents with a complaint of high blood pressure noted by her mother. She also reports recent headaches but no other symptoms such as epigastric pain, vision changes, or nausea. She has noticed slight swelling and weight gain of 17 lbs to date. Fetal movement has been normal and she denies any leaking fluid, vaginal bleeding, or contractions. Prior to her pregnancy, she was on hctz for borderline BP but stopped it when she underwent IVF. Her blood pressure has since remained "pretty normal". Her current BP is 162/90 with a pulse of 82, respirations 16, and temperature 98.2 orally.
Current Medications: Prenatal vitamins
Allergies: None reported
PMHx: Borderline hypertension. No history of major illnesses. Currently in her first pregnancy, conceived through IVF.
Soc & Substance Hx: Non-smoker, non-drinker, no recreational drug use. Works as a teacher.
Fam Hx: Mother living with hypertension. No known genetic disorders.
Surgical Hx: None reported.
Mental Hx: None reported.
Violence Hx: No current or historical concerns about personal, home, community, or sexual safety.
Reproductive Hx: Currently 30 5/7 weeks pregnant (G1 P0), conceived via IVF. No complications reported.
ROS: GENERAL: Slight swelling noted, 17lbs weight gain since the start of pregnancy. CARDIOVASCULAR: High blood pressure readings at home. RESPIRATORY: Breathing is unlabored, respirations 16. NEUROLOGICAL: Complains of headache. GENITOURINARY/REPRODUCTIVE: Normal fetal movement, no vaginal bleeding or fluid leakage.
O.
Physical exam: KB is alert, oriented, and in no apparent distress. Fetal heart rate and movement are within normal limits. Peripheral edema noted in the lower extremities.
Diagnostic results: Lab work for CBC and glucose are within normal limits. BP is...
…about the benefits and risks of prescribed medications. Also, I see the need for better screening practices for hypertension in pregnant women, especially those with a history of high blood pressure.From a health promotion and disease prevention perspective, I would say that I feel that more emphasis could be placed on lifestyle measures. For Kita, this could mean focusing on maintaining a healthy weight, getting in at least some regular exercise, adhering to a more balanced diet, and being better about monitoring her blood pressure levels. I think there is also a need to consider her personal, socioeconomic, and cultural background. Her reluctance to take prescribed medication could possibly point to possible misconceptions or fears about pharmaceuticals that may have developed as a result of exposure to certain media. However, I understand that I would need to address these issues sensitively, keeping in mind her individual beliefs…
References
Mruma, H. A., McQuillan, R., & Norrie, J. (2020). The association of malaria infection andgestational hypertension in Africa: systematic review and meta-analysis. Journal of Global Health, 10(2). https://doi.org/10.7189%2Fjogh.10.020417
Tanner, M. S., Davey, M. A., Mol, B. W., & Rolnik, D. L. (2022). The evolution of thediagnostic criteria of preeclampsia-eclampsia. American Journal of Obstetrics and Gynecology, 226(2), S835-S843. https://doi.org/10.1016/j.ajog.2021.11.1371
Thomas, C. A., Anderson, R. J., Condon, D. F., & de Jesus Perez, V. A. (2020). Diagnosis andmanagement of pulmonary hypertension in the modern era: insights from the 6th world symposium. Pulmonary therapy, 6, 9-22. https://link.springer.com/article/10.1007/s41030-019-00105-5
Hypertension among African-Americans Nursing Process and Health Promotion of Groups and Community Theory Hypertension is very rampant in African-Americans, and health providers link it with three major chronic diseases, which include; stroke, kidney and heart diseases. This paper examines the incidence of hypertension in African-Americans in the five subsystems of the SDS Assessment Categories. African-Americans suffer high risks of organ damage as well as stroke and heart diseases, caused by hypertension. Health
Hypertension, Hypercholesterolemia, Depression Hypertension, Hypercholesterolemia, and Depression: A Case Scenario Mr. P is a 65-year-old Hispanic male who presents to the clinic with a symptomatology that leads to three broad closely associated diagnoses: hypertension, hypercholesterolemia and depression. A review of the clinical presentation, history, physical examination and lab values indicate the following primary concerns: Total cholesterol of 280mg/dL, high-density lipoprotein (HDL) of 25mg/dL, low-density lipoprotein (LDL) of 189mg/dL, a blood pressure of
Hypertension One of the major health problems that the American society and the whole world experience is the prevalence of hypertension or high- blood pressure- caused illnesses or deaths in many people today. A special report made by the website Lifeclinic.com stated that almost 50 million Americans have hypertension, "1 in every 4 adults" (2002). This statistic illustrates the increasing number of people who are gradually suffering and eventually dying due
M., 2009, p. 1474). IMPACT on the FAMILY: Although hypertension is one of the most prevalent of all disorders in the United States, it does not affect nor impact the family of a person with this disorder as much as other diseases, such as heart disease, stroke, Alzheimer's and other disorders associated with the central nervous system. Overall, hypertension does affect a person's family in one important way, being the build-up of
Other factors include a history of alcohol and tobacco use, and dietary assessment including saturated fat and caffeine. Also certain prescribed and over-the-counter medications, herbal remedies, and illicit drugs may be factors, as well as psychosocial and environmental factors such as family situation, employment status, working conditions, and educational levels (Guidelines). Aside from routine physical examinations, laboratory tests, such as urinalysis, blood cell count and blood chemistry may be used
Hypertension In this text, I concern myself with hypertension. In so doing, I will amongst other things discuss its causes and possible complications. Further, I will also highlight treatment and control options with a particular emphasis on lifestyle changes, exercises, etc. Causes Hypertension could either be secondary or essential (Toth and Cannon, 2010). Unlike secondary hypertension, essential hypertension has no clear or exact cause. For this reason, this category of hypertension is often
Our semester plans gives you unlimited, unrestricted access to our entire library of resources —writing tools, guides, example essays, tutorials, class notes, and more.
Get Started Now