Large Database Journal Human Hypertension

Large Database Journal Human Hypertension

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Large Database Journal Human Hypertension

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Large Database Journal Human Hypertension

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Hypertension is the name used to refer to high blood pressure, precisely; the illness is a significant risk factor that causes cardiovascular disease. Notably, it is not only familiar but also it is a significant public health issue. In the coming days, Hypertension prevalence’s is expected to increase steadily, primarily, rapid incidence increases it due to poor lifestyle factor, for instance, physical inactivity, excessive use of alcohol and tobacco and people having a diet which are rich in salt and having fatty food highly processed (Tikhonoff et al., 2016). The disease burden is noted to spread at high speed from countries already developed than to emerging economies. Hypertension currently considered as a global health concern. Moreover, a report from the World Health Organization indicated that the growth of industries with processed food had impacted the amount of salt in diets globally which has played a significant role in hypertension prevalence. 
Importance to Nursing
In a society, nurses play a significant role in the process of educating, giving advice and measuring people blood pressure. Precisely, the education is essential since it provides modified behaviour that is related to people diet, stress, weight and physical activity. Nurses were first involved not only in measuring but also monitoring blood pressure and patient education (Mills et al., 2016). As the awareness of hypertension is increasing in most of the world, nurses are gaining skills in assessing health status of patients, adjusting their medications, addressing barriers to hypertension not only care but also control, primarily, nurses are becoming more involved not only in the process of assessment of patient but also management of hypertension. Fundamentally, as hypertension continuous to become a burden to society, the role of nurses also expand. They are increasing their focus on advancing practice nurses known as nurse practitioners. Notably, they have the legal authority in prescribing not only antihypertensive  but also other medications independently
Personal Reflection
Reporting As I was attending my patients, I come across a patient who was having a severe headache, chest pain, difficult while breathing and irregular heartbeat. First I thought the patient was suffering from either fever or malaria when I was analysing the symptoms that he give me, I had to take a sample of his blood for testing.
Responding First I become stranded for a while as I figured out what could the patient suffering from, moreover, the patient seems to be having stress and faces difficulties while breathing hence I was merciful to her.
Relating After figuring out that the patient had difficulties while breathing and faces irregular heartbeat, the skills, and knowledge I have to enable me to remember first to measure the blood pressure of the patient. Since the patient could be suffering from hypertension.
After the situation happened, I realized that it is entirely different from the reasoning of a student as compared to a health professional when analysing the symptoms of a patient. Skills a health professional has are essential in analysing patient symptoms.
Reconstructing The situation influenced my learning since. First I realized that many people have hypertension but don’t bother to attend to a health professional to know their blood pressure. Moreover, after learning this, I realized that in the future everybody in society should know his blood pressure 
High blood pressure can damage an individual body before its symptoms develops. Basically, if this burden is left uncontrolled, it can led to disability and sometimes fatal death. Globally, half of individual suffering from hypertension and are untreated die of heart diseases that are associated to poor blood flow and due to stroke. This paper will develop a search strategy thus finding the best evidence for clinical practice of hypertension.
PICO (Quantitative)
Population  Headache
Intervention Taking medication like thiazide diuretics
Control Rest
Outcome Pain relief
PICo (Qualitative)
Phenomenon of Interest
Research Question
What are best practices essential in prevision of high blood pressure prevalence? 
Search Strategy
The keyword used in searching evidence is prevention. Precisely, best practices are essential as they aim at lowering the increased prevalence of high blood pressure. Furthermore, practices such as eating health food, decreasing salt in diet are all significant. Individual should also increase their physical activity and at the same time maintain a healthy weight and limit alcohol drinking. The method used in conducting the research are using sample conducted by other researchers and asking questioners.
Best Evidence
Best Practice Level of Evidence Study Design In-text Citation in APA 6th Format
Physical activity High Cross sectional study (Malbrain at al., 2015)
Healthy diet High Prospective study (Mills et al., 2016)
Weight management High Cross sectional studies (Tikhonoff et al., 2016)
Physical activity High Cohort study   (Dorobantu et al, 2014)
Health management High Case controlled study (Li et al., 2016)
Health and diet management High Mata analysis studies (Tocci et al., 2017)
Physical activity High Prospective study Cifkova, Fodor, & Wohlfahrt, 2016)
Weight management High Case controlled study Yoon, Fryar, & Carroll, 2015)
According to a survey conducted in 2010, it indicated that 31.1% adult’s population had hypertension, precisely, for high-income nations it was 28.5% while for low and middle-income countries 31.5% respectively. The people of an adult with hypertension were about 1.39 billion and 1.04 billion for high and middle-income nation respectively (Malbrain at al., 2015). The trend has been increasing every year indicating that there is a global hypertension disparity. Primarily, there is a need for a collaborative mechanism to be undertaken with an objective combating the emerging hypertension burden mostly in countries that are in the category of low and middle income.  
A study conducted by The World Report it estimated that by 2025 more than 1.56 billion of the world population would be suffering from hypertension. Fundamentally, it will influence an economic burden (Mills et al., 2016). Hence public awareness, prevention, treatment and means of controlling the further increase of cases of hypertension is an essential public health awareness.    
Primary hypertension doesn’t have an identifiable cause. However, it develops over time, precisely, and this kind of blood pressure develops slowly to a human body. The primary factor that influences this kind of blood pressure are; genes as indicated by scientific researchers some individuals are genetically predisposed to hypertension. Mostly, it is affected by not only gene mutations but also genetic abnormalities that are inherited Tikhonoff et al., 2016). Other causes include physical change and the environment that an individual lives. Meanwhile, for secondary hypertension, in most scenarios, it occurs quickly, and there is high likelihood to be more severe than primary hypertension, precisely, for secondary hypertension the lifestyle of a person mostly influences it.
Malbrain, M. L., De Waele, J. J., & De Keulenaer, B. L. (2015). What every ICU clinician needs to know about the cardiovascular effects caused by abdominal hypertension. Anaesthesiology intensive therapy, 47(4), 388-399.
Mills, K. T., Bundy, J. D., Kelly, T. N., Reed, J. E., Kearney, P. M., Reynolds, K., … & He, J. (2016). Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation, 134(6), 441.
Tikhonoff, V., Hardy, R., Deanfield, J., Friberg, P., Muniz, G., Kuh, D., … & Richards, M. (2016). The relationship between affective symptoms and hypertension—role of the labelling effect: the 1946 British birth cohort. Open heart, 3(1), e000341.
Yoon, S. S., Fryar, C. D., & Carroll, M. D. (2015). Hypertension prevalence and control among adults: United States, 2011-2014. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.
Dorobantu, M., Darabont, R., Ghiorghe, S., Arsenescu-Georgescu, C., Macarie, C., Mitu, F., … & Craiu, E. (2014). Hypertension prevalence and control in Romania at a seven-year interval. Comparison of SEPHAR I and II surveys. Journal of hypertension, 32(1), 39-47.
Li, W., Gu, H., Teo, K. K., Bo, J., Wang, Y., Yang, J., … & He, X. (2016). Hypertension prevalence, awareness, treatment, and control in 115 rural and urban communities involving 47 000 people from China. Journal of hypertension, 34(1), 39-46.
Tocci, G., Nati, G., Cricelli, C., Parretti, D., Lapi, F., Ferrucci, A., … & Volpe, M. (2017). Prevalence and control of hypertension in the general practice in Italy: updated analysis of a large database. Journal of human hypertension, 31(4), 258.
Cifkova, R., Fodor, G., & Wohlfahrt, P. (2016). Changes in hypertension prevalence, awareness, treatment, and control in high-, middle-, and low-income countries: an update. Current hypertension reports, 18(8), 62.

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