Teaching Plan for High Blood Pressure Management
June 19, 2023
Introduction
Hypertension is defined as a medical condition in which the blood pressure in the arteries is elevated. This elevation makes the heart work harder than usual to circulate blood through the blood vessels. Many adults suffer from this condition and are not aware of the debilitating illnesses that can occur due to hypertension. According to the New York City Department of Health and Mental Hygiene, “about 3 in 10 adult New Yorkers have been told they have high blood pressure, hundreds of thousands more have it but don’t know it”. (New York City department of Health and Mental Hygiene, 2012).
According to Porth and Matfin “The prevalence of hypertension with advancing age to the extent that half of people aged 60-69 years and approximately three fourths of people 70 years and older are affected”. (Porth & Matfin, P.525, 2009). This research supports the idea that the elderly population has the highest prevalence of High blood pressure. The goals for the Healthy People 2010 is to “increase the quality and years of life and to eliminate health disparities” (Allender, Rector,Warner, P 11, 2010). In meeting the goals for Healthy People 2010; as nurses we need to assess the geographic communities for the population that are more susceptible to Hypertension. As Community Health student Nurses, we target Senior Centers in the communities where the elderly population are more accessible for teaching.
Client Assessment
I had the opportunity to do clinical rotation at the Senior Stein Center; temporarily located at 245 East 17th street, New York, NY. The Senior Stein Center is a community Center, which caters to individuals from ages 60 and over, the members are diverse in race and ethnicity. They range from Caucasian, black, and, Asian. The religion aspect just to name a few consists of: Catholic, Christian, and Jewish. Although members are from different communities, however the majority members reside in the neighboring communities such as Stuyvesant Peter Cooper, Gramercy Park, and Murray Hill. According to the community Health Profile for Gramercy Park and Murray Hill, residents in the area are older than Manhattan and New York City population; 14% of the residents are 65 and older, compared to Manhattan and NYC that are 12%. The education level for this population is very high in comparison to Manhattan and NYC overall. Gramercy Park and Murray Hill scored at 71% for college graduate, while Manhattan scored at 49% and NYC at 27%. (Community Health profile, Gramercy Park and Murray Hill, 2006). Although Gramercy Park and Murray Hill neighborhood is diverse in race and ethnicity; which consist of White, Black, Asian, Hispanic and other, there are a higher proportion of whites than the other race and ethnicities. In fact Gramercy Park and Murray Hill has a higher portion of white residents in comparison to Manhattan and NYC overall. (Community Health profile, Gramercy Park and Murray Hill, 2006).
The residents at Gramercy Park and Murray Hill rank higher on the health indicators then other NYC neighborhoods. They are less likely to consider their health status as fair or poor. According to the Community Health Profile, Gramercy Park and Murray Hill residents rates their health as “fair” or “poor” at only (9%), while Manhattan rates at (18%) and New York City overall at ( 21%). Furthermore, goal # 3 (keep your heart healthy) , indicates Gramercy Park and Murray Hill scores less in heart disease hospitalization in comparison to other NYC neighborhoods. However, Gramercy Park and Murray Hill residents scored poorly at goal # 1 (have a regular Doctor or Other Care Provider). According to the Community Health Profile, “25% of residents do not have a regular doctor, compared to the Take Care New York target of less than 20%. (Community Health profile, Gramercy Park and Murray Hill, 2006).
In regards to this research there is a higher need for the elderly in this community to be educated. Because they do not have regular doctors they are more likely not to follow-up with doctors’ visit consistently. Furthermore, each visit is with a different physician; trust may be difficult to attain which will decrease compliancy. Also this can discourage the
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