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Thursday, July 31, 2014

Nursing Management of Hypertension



Nurses have a great role in providing care for patients with hypertension in addition to the necessity of having the proper skills needed for this job. One of the cardiovascular disease common risk factors is hypertension and this makes it very important to give due care to hypertension diagnosis and this raises the importance of asking a skillful nurse by the patient so as to avoid high blood pressure measurements as blood pressure has to be well and accurately taken before doing any diagnosis and this must happen for three times at least. Each patient has his own blood pressure measurements which let the physician decide the proper treatment whether it was a pharmacological or a nonpharmacological one. A nurse's role here depends on providing the patient with the required support and education in addition to giving the patient advice regarding his or her blood pressure as this includes teaching the patients how to follow on a suitable diet in nutrition, guiding the patient towards doing the proper sport and how to be on the right weight. A skilled nurse also has to advise the patients not to smoke or drink alcohol.The nonpharmacological treatment stresses on physical activities and salt restriction which are two factors that could reduce high blood pressure in addition to stopping smoking. When the hypertension patient stops smoking, blood pressure may be high at sometimes but this risk is better than letting the patient have cardiovascular by smoking that's why it is important for a nurse to educate the hypertension patients how to quit smoking. Avoiding 'white-coatsyndrome is a main reason why a nurse should provide hypertension patients with utmost care that depends on blood pressure standardized measurement.

Nurses can work within a team in order to participate in hypertension care as this can include home visitations, interventions and follow up programs which increases the success of nursing interaction with patients as nurses' job is not only a coordinator into the team but also a nurse is a translator who can convey the messages of physicians to patients such as educating them how to follow a special diet and what suitable medications can be taken and explain too them the benefits of such medications.
Nursing care for hypertension patients includes many kinds of programs as a nurse can work by herself following a special program which is detailed with the necessity consultation of physicians when needed and this can be added to the nursing follow up visits which could be every three months and this technique enables the nurse to encourage the patients to change their lifestyles sooner and be responsible for their health and improvements.University courses are very important to be given to nurses who are prepared to work in hypertension care in order to enhance their professionalism in the nursing field and to be at a high standard of quality.

 Procedural techniques are important to be explained to such nurses who also should be educated how to communicate with the patients putting in their considerations the differences among their patients such as their cultural backgrounds, religions, educational level and the degree of the disorder.  

  
  

Wednesday, July 30, 2014

Nursing Care for Digestive and Gastrointestinal disorders

The (GI) tract has many abnormalities which can leave their effects on other organs of the body such as bleeding, inflammation, perforation, cancer and obstruction for example. The gastrointestinal tract can have circulatory disturbances and can get aged. The normal function of the GI can be affected by many factors which leave symptoms such as anxiety and stress. In some cases, there are born babies with GI tract malformations which are not very common and prematurity is not considered a main cause for them, they can be anywhere and ranging in severity as they could be minor or very serious. Treatment by surgical operations is an effective solution for them and there is a good chance that the baby could lead a normal life later and pass the normal development procedures like any other child but there are some GI tract malformations which leave serious outcomes on the child.  Nursing care for patients with GI tract problems is very important and each case needs special care, for example; patients with Upper Gastrointestinal Disorders such as those having them in the mouth need high nursing care which includes a special nursing care plan as the disorder could include infection, inflammation and neoplastic lesions or Pathophysiology which could be caused by irritants or mechanical trauma or Manifestations as the patient suffers great pains. Collaborative care is highly needed in order to detect any problems through the intensive observation for the patient and there must be treatments that include mouth cleansing which are chosen according to each  case so as not to cause pain for the patients. The nursing care goal here is to reduce the patients feelings of pain, reduce the symptoms and insure that the patient is able to eat and swallow drinks easily and safely. A patient is asked by the nurse to stop smoking, stop eating spicy foods or drinking alcoholic substances. Straws using is effective when learnt by a skilled nurse.