Scholarly Project: Case Study on Health Concerns and Teaching Plan

This case study analyzes the actual and potential health concerns of a 60-year-old African American male executive presenting with dizziness, headaches, and sleep difficulties. His vital signs indicate high blood pressure, leading to the identification of high blood pressure as an actual health concern and heart disease as a potential health concern. The study proposes a teaching plan encompassing health promotion and illness prevention strategies, including physical exercise, a healthy diet, stress management, and regular health screenings. The plan aims to mitigate the risks associated with high blood pressure and heart disease, emphasizing lifestyle modifications and proactive health monitoring. The conclusion underscores the importance of recognizing and addressing health concerns through targeted prevention strategies.

Scholarly Project

Table of Contents
INTRODUCTION ..........................................................................................................................3
Actual or Potential Health concerns............................................................................................3
Teaching plan...............................................................................................................................3
CONCLUSION ...............................................................................................................................4
REFERENCES................................................................................................................................1

INTRODUCTION
Nursing is the practice of providing care for the vulnerable and those who are in need of
care. Identification of health concerns is necessary to assess prevention strategies regarding
health concerns (Rodrigues and et.al., 2018). In the given case, a male patient is having some
health concerns. The project will analyse the actual and potential health outcomes and teaching
plan for the patient in case study.
Actual or Potential Health concerns
In the given case study, the weight of the patient was 158 lbs which is normal for the
males of this age. His temperature and oxygen rates were also assessed as normal. However,
form his check-up following concerns were reported:
Actual health concern
In the given case study, the actual Health concerns for the patient is High blood pressure
because the patient is having blood pressure more than than the normal rate. As per Fuchs, and
Whelton (2020) , the normal BP is less than 120 and over 80. Blood Pressure of 140 and above
90 is considered high blood pressure stage 2. there are various causes which can lead to high
blood pressure such as overweight, obese, lack of physical activity, excessive alcohol
consumption, stress, genetic, family history and old age. It can also be caused due to sleep apnea.
In the case study, the patient is an African descent who is above the age of 60. The major
health concern for the patient is High Blood pressure as he is experiencing high blood pressure
and sleep apnea. According to a study African-Americans, people above the age of 35 and
people who experience sleep apnea are more likely to develop high blood pressure (American
Heart Association, 2017).
It is very important to assess the health concern of high blood pressure as it can lead to stroke,
heart failure and atherosclerosis in patient.
Potential Health concern
The Potential Health concerns in the given case study can be heart disease as the patient
is feeling dizzy, experiencing heavy episodes of severer headaches, high blood pressure and is
unable to sleep at night.
As per the views of Benjamin and et.al., (2018), heart disease can cause hypertension,
enhance Blood Pressure, stroke, heart failure and heart attacks. People who are over the age of
50 and have high blood pressure are more particular to get this disease. The patients experiencing

heart diseases can often develop re-current awakeness, which are also known as insomnia and
sleep apnea.
The patient works for almost 12-13 hours every day in a weeks and also looks after his
parents. He is having high blood pressure, but is also experiencing dizziness and severe
headaches. Dizziness can lead to potential fall risk. He is unable to sleep at night. These
symptoms report potential health concern of heart disease in patient. His high blood pressure can
also be a potential cause of heart disease. It is very important to assess the potential health
concern of heart disease as it can lead to high blood pressure, difficulty in breathing and
hypertension in patient (Del Re and et.al., 2019).
Teaching plan
Health promotion or illness prevention strategies are the programs undertaken to improve
health at every stage of life.
Strategies for actual health concern
For the patient in the case study, regarding his actual health concern of high blood pressure
following health promotion and illness prevention strategies can be used:
 Physical exercise: The patient in the case study works in a high tech company for almost
13 hours per day a week. He has a family of which he also have to look after. This limits
his physical activities. Lack of physical activity is also causing sleep disorders and
dizziness to the patient. Lack of physical activities can cause various heart diseases such
as high blood pressure.
Regular physical activities can lower the risk of high blood pressure. It can help in controlling
the weight and reducing the conditions which might cause high blood pressure in the patient
(Arango and et.al., 2018). Any physical movements such as taking stairs, gardening or brisk
walking can help the patient to receive various health benefits.
 Healthy diet: In the case study, the lifestyle of the patient is very stressful and busy
which might cause poor diet. Although the patient is having normal weight as per his age,
but poor diet can enhance his actual concern of high blood pressure.
A healthy diet can help in protection from various diseases such as high blood pressure. Healthy
diet can improved blood pressure rates if a eating plan involves vegetables, fruits, whole grains
and low fat dairy foods etc. Healthy diet also helps in better quality sleep.

Strategies for potential health concern
For the patient in the case study, regarding his actual health concern of high blood
pressure following health promotion and illness prevention strategies can be used:
Stress management: The patient's lifestyle is very stressful and busy. This enhances the risks of
heart diseases and unhealthy diet plans. He have less time to sleep and physical activities will
contribute a lot in creation of stressful life (D'Alessandro and et.al., 2017).
To manage stress various alternatives can be adopted such as physical activities, yoga,
exercises and meditation. These strategies can help the patients in improving their health and
which ultimately leads to better heart health.
Regular health screening: The patient was feeling dizzy and had experienced the episodes of
headaches. After these incidents he went for check-up. He did not had regular health check-ups.
High blood pressure and other causes can probably lead to damaging heart and blood
vessels causing heart diseases (Pascoe and et.al., 2020). The regular screening of the blood
pressures, cholesterol levels and type-2 diabetes screening can help in prevention of heart
diseases. Regular health check-up can identify the symptoms of diseases at early stages and early
identification can help in prevention of those diseases.
CONCLUSION
From the above discussion it can be concluded that, recognition and assessment of
various health concerns is significant in order to prepare prevention strategies. In the given case,
actual and potential health risks of high blood pressure and heart disease were recognized for
which a teaching plan consisting of Health promotion or illness prevention strategies is provided.

REFERENCES
Books and journals
American Heart Association, (2017). What is high blood pressure?.South Carolina State
Documents Depository.
Arango, C. and et.al., (2018). Preventive strategies for mental health. The Lancet Psychiatry.
5(7). pp.591-604.
Benjamin, E.J. & et.al., (2018). Heart disease and stroke statistics—2018 update: a report from
the American Heart Association. Circulation. 137(12). pp.e67-e492.
D'Alessandro, D. & et.al., (2017). Strategies for disease prevention and health promotion in
urban areas: the Erice 50 Charter.
Del Re, D.P. & et.al., (2019). Fundamental mechanisms of regulated cell death and implications
for heart disease. Physiological reviews. 99(4). pp.1765-1817.
Fuchs, F.D. & Whelton, P.K., (2020). High blood pressure and cardiovascular disease.
Hypertension. 75(2), pp.285-292.
Pascoe, M. & et.al., (2020). Physical activity and exercise in youth mental health promotion: A
scoping review. BMJ open sport & exercise medicine. 6(1). p.e000677.
Rodrigues, F.A. & et.al., (2018). Patient safety in a neonatal unit: concerns and strategies
experienced by parents. Cogitare Enferm. 23(2). p.e52166.
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