Dr. John Chovan
Essential, hypertension, RAAS, pathophysiology
Medicine and Health Sciences | Nursing
Hypertension effects 30% of the total population with incidences higher in socioeconomically deprived areas. This nurse will research the pathophysiology of essential hypertension to gain a thorough understanding of the disease and provide evidence based guidelines to assist the patient population in care and maintenance of hypertension. Control of this disease will decrease the incidence of complications that increase morbidity and mortality including cerebrovascular accidents and myocardial infarctions.
Hypertension is known to be the most common modifiable risk factor for cardiovascular related deaths in the United States (Fontil, Bibbins- Domingo, Nguyen, Guzman, & Goldman, 2017). Although hypertension is a largely controllable disease, nearly fifty percent of the population live with uncontrolled hypertension. The incidences of uncontrolled hypertension are greater in those with low socioeconomic status. Often times, this population is seen in street medicine clinics or in community health centers. Hypertension control is multifaceted and includes dietary and medication compliance; research has shown an opportunity for improvement exists within community health centers in the form of utilization of evidence- based practice. Alterations in medication prescription is one of the recommendations that may assist the population in achieving increased control of hypertension. Beginning with a thorough understanding of the disease process will assist in understanding why current evidence based practice recommendations are made, therefore increasing the likelihood that practitioners will utilize these recommendations to assist patients in controlling this life threatening disease.
Rodriguez- Tercius, Melinda, "Essential Hypertension" (2017). Master of Science in Nursing (MSN) Student Scholarship. 218.