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Mrs. Trudy Jackson is a 75-year-old African American woman who has had hypertension for the past...

Mrs. Trudy Jackson is a 75-year-old African American woman who has had hypertension for the past 15 years. She states that she does not always take her pills because they cost $250 a month; if she feels ok, she does not take them.

1. How do African American rates of hypertension and corresponding morbidity and mortality compare to other groups?

2. What is the nurses’s responsibility regarding educating Mrs. Jackson about her hypertension?

3. What potential barriers may affect Mrs. Jackson’s health behavior?

4. What additional information would you want to know about Mrs. Jackson?

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Answer: The rate of hypertension of African American people is the highest as compared to the other groups whereas the morbidity and mortality rate is minimum as they tend to live longer as compared to the other groups.

The nurse should educate the patient about hypertension and it major effects on the body. The nurse should inform the patient that if she did not manage her high blood pressure then her kidney can be damaged so, therefore, reducing high blood pressure to a normal level may help to prevent heart attacks, strokes and kidney problems. Nurse should inform her about the diet such as eating low sodium diet, increase in consumption of more fruits to increase potassium and a walk daily for 30 minutes may help to maintain her hypertension.

The potential barriers that may affect Mrs. Jackson’s health behavior as she is unable to take medications for hypertension because it cost too much for her and she can not afford it, so when she feels better she did not take medicines. The food consumption i.e. lifestyle of Mrs. Jackson's as well as her daily activities or any kind of abnormality in urination etc. are the additional information which should be known.

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