Nursing Essay on Hypertension Management

Nursing essay

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY...................................................................................................................................3
Policy .....................................................................................................................................9
Case Study............................................................................................................................10
CONCLUSION .............................................................................................................................13
REFERENCE.................................................................................................................................14

INTRODUCTION
Long term condition is the health related problem or illness which can be just manage or
controlled by the different medication and treatment but can not be cure (Joglekar, Sastry,
Coulson 2018). Such type of health care issues are asthma, hypertension, diabetes, arthritis etc.
health care organization (NHS) provide different types of primary and secondary care to their
population which is facing the long term disease. Primary care system involve the community
and GPs services, in which health care organization provide the services such as community
health awareness, home care professional, residential care professionals and availability of care
facility's at conmen region. Secondary care is related to the specialized treatment at hospital with
higher skilled specialist. This report is considering the patient management who is seafaring from
the hypertension, patent whit hypertension need the long term treatment and care. Because it is a
long term medical condition, where blood pressure increases more then the normal limit and it is
causes due to the bad lifestyle and stress.
MAIN BODY
Pathophysiology
This is the field of scientific study in which pathology and psychology work together to
find-out the psychological cause of the disease or health care problem. Along with the analysis
of its fundamental mechanism. In this report the health care issue is hypertension and long term
condoning of patient, is consider, analysed and evaluated. According to the Andrew Hughes
2017 Hypertension prevalence estimates in England, research journal. It has been analysed that
approx 11.8 million of adults from the age group of 16 to older in England is was seafaring from
hypertension. Estimated as 26.2% of the adult population.
Hypertension Pathophysiology
blood flow and pressure is manage by the four mechanisms inside the body such as
Sympathetic nervous system activities , vascular endothelium activities, renal system
functioning and activities of endocrine system. Sympathetic nervous system is the process
of the response for a specific situation, such as rest and danger (Sarkar, Webster, and

Gallacher 2018). Which is activated inside the body by sensing the situation, where
hormones are secreted for particular type of seances. So the unbalanced secretion of
hormones cases the high blood pressure, by effecting other three mechanism. SNS
activity's in response of the different situation increases or decreases the blood pressure. It
increases the heart rate by cardiac contraction. The increasing heart rate, along with the
cardiac contraction causes the vasoconstriction of peripheral arterioles. Which simulate the
secretion of renin from kidney and then RAAS activation is occur which increases the
blood pressure with the aid of angiotensin production. Vascular endothelium which plays
important role in the blood pressure by the production of vasoactive substances, such as
nitric acid and endothelin and this substance work as potent vasoconstrictors, which cause
the high blood pressure (Etyang, Warne, Kapesa 2016). The renal system is can be a
contributor of hypertension, by its increased reabsorption of sodium and water into the
blood. The endocrine system imbalanced hormone secretion is can also be a cause of
hypertension, such as the increased the angiotensin- 2 stimulate secretion of aldosterone
from adrenal cortex. Which causes the high blood pressure through sodium and water
retains on blood. Hypertension some time not posses the major symptoms, and in some
cases it can be analysed by the symptom's such as sever headache, fatigue, chest pain,
shortness of breath.