Uncontrolled Hypertension Evidence

Uncontrolled Hypertension: Evidence-Based Project

  • Many people live along with hypertension today and cannot control its signs and development because of different reasons. Hypertension is defined as a public health problem that many people around the whole world experience (Villarreal, Nielsen, & Samudio, 2018).

    Uncontrolled hypertension causes serious damage to the body, and it is expected to gain control over it. Ephraim et al. (2014) say that African American patients face considerable self-identified barriers in carrying out hypertension and recommend achieving blood pressure control for African American patients to identify new non-pharmacological interventions with the engagement of a patient, family, and healthcare workers. In this paper, the purpose is to investigate African American patients aged between 18 and 35 years who may have hypertension and analyze if education on lifestyle modifications with medication therapies can reduce the incidence of cardiovascular diseases.


    Uncontrolled hypertension can provoke heart-related diseases and complications in African American patients. It happens when the level of blood pressure increases considerably, and the blood moves in the arteries fast, causing the damage of artery walls. Hypertension is defined as a health condition that is characterized by systolic pressure of more than 140 mm Hg and diastolic blood pressure of more than 90 mm Hg (Ephraim et al., 2014). Healthcare workers, as well as people at home or pharmacies, can check the level of blood pressure with the help of a sphygmomanometer.


    Hypertension among African American patients is one of the major clinical problems. It is explained by a high prevalence of elevated blood pressure in the chosen population (Ortega, Sedki, & Nayer, 2015). When the occurrence of high blood pressure is related to such comorbidities as diabetes or kidney disease, the increase of morbidity and mortality in this group is also observed. Uncontrolled hypertension in the black population is associated with obesity and Sodium intake, especially in women (Ortega et al., 2015). The prevalence of uncontrolled hypertension in patients aged 25 and over was about 40% in 2008 and continues growing today (World Health Organization, 2014). Overall, both men and women are at risk of having high blood pressure that is hard to control.

    Clinical Presentation

    Uncontrolled hypertension is not the primary diagnosis that African American patients can have. Clinical presentation of this condition may include shortness of breath, regular or acute headache, or unexplainable nasal area bleeding (World Wellness Organization, 2015). A few patients may grumble about chest discomfort, fatigue, or eyesight problems (World Wellness Organization, 2015). Lastly, the usage of illegal medicines, alcohol, or cigarette boosts the possibility associated with having stress issues (World Health Business, 2015). Each individual has to become properly interviewed plus examined by the healthcare expert.


    The main danger of uncontrolled hypertonus in African United states patients is the particular possibility of problems. Hypertension is a good asymptomatic disease, plus if it continues to be untreated, fatal results can be noticed (Villarreal et ing., 2018). For instance, hypertension can impact the task of the particular heart and guide to heart assault or stroke (World Health Organization, 2015). To prevent complications, individuals should be properly informed to become ready in order to manage the problem.


    As quickly a patient appointments a doctor, the particular measurement of bloodstream pressure is needed to create a final analysis. There is the special pressure m, also known because a gauge, that will is used simply by therapists. Normal stress is around 120/80 mm Hg (World Health Organization, 2015). Hypertension is described as uncontrolled launched equal to or even more than 140/90 mm Hg (World Health Organization, 2015). It is suggested to measure bloodstream pressure regularly plus report on any kind of change.

    Conclusion with PICOT Question

    In general, out of control hypertension is really a severe health problem that should be properly handled and controlled within African Americans. They have to control their stress and reduce the particular risks of cardio complications by utilizing unique medication and studying available lifestyle adjustments. In addition, it is suggested to involve members of the family in the therapy process. In the particular future project, these PICOT question could be developed: “For Black patients aged among 18 and more than 30 years who have out of control hypertension and get care from the community health middle (P), does ongoing education on lifestyle modifications like healthy eating habits and 30-minute physical activity daily with patient and family engagement (I), compared to medication therapy alone without education and family engagement (C), contribute to better control of blood pressure and the reduction of the incidence of cardiovascular diseases and strokes (O) over a 1-year period (T)? ”


    Ephraim, P. L., Hill-Briggs, F., Roter, D. L., Bone, L. R., Wolff, J. L., Lewis-Boyer, L., … Boulware, L. E. (2014). Improving urban African Americans’ blood pressure control through multi-level interventions in the achieving blood pressure control together (ACT) study: A randomized clinical trial. Contemporary Clinical Trials, 38(2), 370–382. Web.

    Ortega, L. M., Sedki, E., & Nayer, A. (2015). Hypertension in the African American population: A succinct look at its epidemiology, pathogenesis, and therapy. Nefrología, 35(2), 139–145. Web.

    Villarreal, V., Nielsen, M., & Samudio, M. (2018). Sensing and storing the blood pressure measure by patients through a platform and mobile devices. Sensors, 18(6), 1805-1830. Web.

    World Health Organization. (2014). Global health observatory (GHO) data: Raised blood pressure. Web.

    World Health Organization. (2015). Q& As on hypertension.  Web.

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