Preview

Nursing Case Study Essay

Good Essays
Open Document
Open Document
519 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Nursing Case Study Essay
Patient X’s doctor has been trying to convince him to practice better lifestyle habits to for several years to help combat his hypertension (on antihypertensive medication for 3 years), diabetes (6 years) and growing waistline. A recent routine check-up revealed a deterioration of his lipid profile (TC 260, TG 310, HDL 29, LDL 170) and fasting glucose of 172. Patient X is 55 years old, weighs 245 lbs and he is 5’10 .

1) Hypertension: Weight control to lower the risks associated with hypertension include a diet low in sodium and high in potassium. The risk of hypertension is lower when salt intake is lower and potassium helps reduce blood pressure by increasing the amount of sodium excreted in the urine. The DASH eating plan is the best option for maintaining hypertension. Physical activity is also a major lifestyle modification that should be adopted. Engaging in regular aerobic physical activity such as a brisk walk will lower the risk of hypertension.
…show more content…
Low glycemic index diets have been shown to reduce complications associated with diabetes. Exercise is also a key factor to controlling diabetes. A 3-5 days of the week exercise, which focuses on caloric expenditure and duration rather than intensity, has been proven to increase insulin sensitivity and glucose tolerance. *Exercise can reduce other risk factors such as weight control, lipid profile, and hypertension.

Lipid Profile: Elevated triglycerides are best treated with increased physical activity and weight reduction. Aerobic exercise, weight reduction, smoking cessation, and moderate alcohol consumption will favorably affect HDL-C and lower LDL-C.

After comparing these three aspects, it is easy to see that a diet focused on weight management, smoking cessation, and physical activity involving aerobic exercise will greatly lower Patient X’s risk factors for hypertension and

You May Also Find These Documents Helpful

  • Good Essays

    Mr. S's Bma Case Study

    • 915 Words
    • 4 Pages

    o. Lose weight – losing 10 pounds will lower his BMI to where it is in the normal zone. Weight loss will also lower his total cholesterol, triglycerides, LDL-c, as well as his blood pressure, and will help manage his diabetes and glucose…

    • 915 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Hello Mr. Brown thank you for coming back for your follow up on your test results. My name is Laura Bramlett and I am the Physician Assistant (PA) that will be going over your tests results. First I would like to give you some good news. Your Triglycerides is at 145 mg which is a normal range. Triglycerides are fats, oils, and waxes known as Lipids that are in your body and their functions are energy storage, insulation, and protection.…

    • 1065 Words
    • 4 Pages
    Better Essays
  • Satisfactory Essays

    Control salt intake. No saturated fats. Eat more complex carbohydrates (veggies, whole grains, legumes and fruits.) Get more physical activity. Men and women who are physically active are at a decreased risk of…

    • 355 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Nursing Care Case Studies

    • 303 Words
    • 2 Pages

    R/s Mr. Jessie Brown has bladder cancer and he suffers from chronic pain. R/s Mr. Brown’s friend Marie Isert (87 year-old) is taking care of him. R/s Ms. Isert can’t adequately take care of Mr. Brown. R/s Ms. Isert is physically unable to care for Mr. Brown and there is a concern regarding her memory lapse. R/s Mr. Brown fell and Ms. Isert had to call EMS for help and it took 3 EMT to lift Mr. Brown. R/s Mr. Brown’s cognitive is okay but due to him always in pain, the pain deters him from communicating. R/s Mr. Brown can’t walk and Ms. Isert has to assist him. R/s Ms. Insert carefully gives Mr. Brown pain medication around the clock. R/s Mr. Brown’s pain control is not adequately. R/s the situation is not safe Mr. Brown nor Ms. Isert. R/s the transport chair can’t fit into the room. R/s Mr. Brown is confined to his bedroom with no room to maneuver.…

    • 303 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Journal4

    • 509 Words
    • 2 Pages

    The experiment showed that age and body weight contribute greatly to the blood pressure of an individual. Persons that were obese and in an older age demographic had greater instances of hypertension. Hypertension occurred earlier in males than in females. Hypertension seemed to be greater influenced by behavior/lifestyle choices than family history.…

    • 509 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Consume fewer foods with sodium (salt), saturated fats,trans fats, cholesterol, added sugars, and refined grains…

    • 570 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    According to "Mayo Clinic" (2016), "Metabolic syndrome is a cluster of conditions — increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels — that occur together, increasing your risk of heart disease, stroke, and diabetes". Mr. C exhibits the problems, such as high blood pressure, high fasting blood sugar and abnormal cholesterol and triglyceride levels. Apply aggressive lifestyle changes such as diet and exercise to management these problems. If the diet and exercise cannot help, medications to control blood pressure, cholesterol levels, and blood glucose are necessary ("Mayo Clinic", 2016). In addition, the bariatric surgery would be the last option.…

    • 119 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Advanced beginner has some expectations of care from past experience, or a mentor has pointed out the principles that guide their action.…

    • 373 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Essay On Blood Pressure

    • 551 Words
    • 3 Pages

    According to Ronald Hamdy (2001), “The availability of effective and safe medication to reduce blood pressure has dramatically changed the impact and natural course of hypertension, enormously expanded the scope and influence of medicine, transformed the role of physicians in society, and may have been a turning point in the history of mankind.” Discovering that people have high blood pressure allows physicians to prescribe their patients with the correct medicine to treat the high blood pressure. Before the development of medications to reduce or prevent hypertension, there was very little that could be done to manage it (Hamdy, 2001). “The Kempner diet was tasteless, unappetizing, monotonous, and insipid. The only other alternative to the Kempner diet was a bilateral lumbar sympathectomy, a major procedure during that period, and one that was limited to only the relatively young and fit,” according to Hamdy.…

    • 551 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    "Solutions to Overcome Obesity and Hypertension." Allabthealth.com: Health Articles, Health Magazine, Health News, Wellness and Information. Web. 14 Jan. 2012. .…

    • 1526 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Fchp Mod 3 Ques 1

    • 320 Words
    • 2 Pages

    Educating patients to choose healthy meals, snacks and foods high in fiber/low in fat/sodium can help prevent high blood pressure, one of the precursors of heart disease. Nurses encourage patients to maintain a healthy weight as this will also decrease the risk for heart disease.…

    • 320 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Annotated Bibliography

    • 1241 Words
    • 5 Pages

    Walking is the cheapest way and easiest way for average person to keep fit, but playing sport ball game is much strenuous. Aerobics exercise can prevent high blood pressure, high cholesterol and keeps blood sugar in check. Swimming is especially beneficial for old people suffering from arthritis and joint pains. Yoga is also an ideal choice to maintain physical and mental fitness. After you have followed the eight disciplines of Ashtanga yoga in your daily life, you will enjoy a disease free life from diabetes, obesity, high blood pressure, digestive disorder and respiratory diseases. Even routine chores can also help us to lose calorie and a few weights. (Mela)…

    • 1241 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    Cardiovascular Disease

    • 4202 Words
    • 17 Pages

    d.i. Triglycerides are serum lipids that constitute an additional atherogenic risk factor. A fasting triglyceride level above 150 mg/dL in adults is considered elevated and is a risk factor for heart disease and stroke…

    • 4202 Words
    • 17 Pages
    Powerful Essays
  • Best Essays

    References: Touchette, N. (2005). American Diabetes Association Complete Guide to Diabetes (4th ed,). Alexandria, VA (p.6 para.3)…

    • 2318 Words
    • 10 Pages
    Best Essays
  • Better Essays

    There are many community based programs that help promote and are available for use to help decrease hypertension. Many local churches have health clinics and blood pressure/ cholesterol…

    • 1352 Words
    • 6 Pages
    Better Essays