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These strategies often include pharmacologic and nonpharmacologic therapies, natural remedies, and/or changes in patient behavior. For hypertension patients, behavioral changes including increased exercise, healthier diet, and smoking cessation have proven to be particularly beneficial. However, it is important to recognize that treatment and management plans centered around changes in behavior often require greater patient commitment. This creates the need for patient-provider collaboration, as well as appropriate patient education. When patients are actively involved in their own care and better understand implications of their disorders, they are more likely to adhere to treatment plans.
Case study:
Presentation
T.C. is a 16-year-old white female with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 3 years ago when she presented with mild polyuria and polydipsia. T.C is 5′1″ and has always been on the large side, with her weight fluctuating between 220 and 240 lb. T.C loves to eat and does not exercise.
Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control .
Hypertension was diagnosed 2 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 170/90 mmHg on three occasions. T.C initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated. Start the essay off with the above presentation .
Write a 2 page essay starting off with the above presentation in the essay description of a patient who presented with a hypertension ( above presentation) problem during your Practicum Experience. Explain the patient’s history including drug treatments and behavioral factors.
Then, suggest two health promotion strategies for the patient. Include suggestions for reinforcing hypertension management.
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