Nursing Paper on Increasing the Proportion of Adults with Hypertension

Adults with Hypertension

Hypertension is one of the most ubiquitous yet nettlesome medical problems that affect people worldwide. This is a long-term medical problem in which one’s blood pressure is abnormally higher than normal. This condition affects approximately 30% of the adult population worldwide and accounts for up to 6% of adult’s deaths. Hypertension is widely referred as a ‘silent killer’ because it is asymptomatic (does not show symptoms). While the condition is predominant in adults, it also affects children (Martins & Norris, 2012).  Essentially, some groups are more prone to the condition than others. For example, obese people are more likely to have hypertension compared to those who are not obese. The disorder also increases the mortality and morbidity associated with coronary heart disease, stroke, congestive heart failure, and end-stage kidney disease (Gulledge et al., 1999).  It has been identified as one of the major causal risk factors for the development of cardiovascular disease and renal disease (Martins & Norris, 2012). Reducing the mortality and morbidity caused by hypertension will go a long way in achieving Healthy People 2020’s goal of promoting the health of Americans and subsequently allowing them to live longer.

Targeted subculture or population

According to recent research studies, the prevalence of hypertension among African Americans, especially the women is among the highest in the world. It is estimated that about 38.8% of African American adults suffer from hypertension compared to 28.7% of Mexicans and 27.2% of non-Hispanics Whites (Gulledge et al., 1999). The high prevalence of the disorder among African Americans explains the high at risk of suffering and succumbing to strokes, renal diseases, and cardiovascular diseases. The onset of the condition among African Americans usually occurs earlier than among other groups. Hypertension rates are twice as high for young African Americans as for their peers in other racial/ethnic groups (Gulledge et al., 1999). The risk factors for hypertension among the group include genetics, age, the environmental, diet, and behavioral patterns. Hypertension among African Americans is characterized by an early onset, increased severity, markedly greater organ damage, and a lower degree of control.

How the project relates to the Healthy People 2020

Healthy people 2020 project was launched in the year 2010 with the key objective of improving the health of the nation. Its vision is to ensure that people are healthy and have longer life spans. For people to live healthy lives, it is imperative for health organizations to initiate an array of effective preventive measures against hypertension and its associated illnesses. In order to attain this objective, it is important to device ways of mitigating further increase of hypertension. This project relates to the Healthy People 2020 as it discusses how to prevent and treat hypertension among African American population.

Summarize the articles

According to Gulledge (1999), the asymptomatic nature of hypertension has made it difficult for medical practitioners to diagnose it early. In most cases, the condition is diagnosed after one has renal failure or cardiovascular diseases.  In addition, African Americans suffering from obesity were at an even higher risk of getting hypertension than any other different population. Martins & Norris, (2012) found out that more African Americans die from hypertension related illnesses in comparison to the White population. Half of the mortality disparity between the two groups is directly attributed to hypertension.

Interrelation between the articles and the Health Promotion Project

In the last few decades, the world has witnessed an unprecedented rise in the incidence of lifestyle diseases. The occurrences of these diseases are largely dependent on a person’s lifestyle. Some of the prevalent lifestyle diseases that have caused great concern worldwide include; hypertension, heart disease, stroke, and type 2 diabetes.  It has become imperative for the public health sector to address that various causative factors for lifestyle illnesses such as; hypertension, diabetes, and cancer. Lack of physical exercise, poor nutrition, drug abuse, smoking, and alcoholism are some of the predominant causative factors for chronic lifestyle diseases. It is therefore eminently important for people to adopt new lifestyles that will help them to evade hypertension among many other lifestyle diseases. According to the authors of the two articles, proper nutritional diet and physical exercises are paramount preventive measures that allow individuals to maintain a normal blood pressure. To evade hypertension and it’s resultant diseases, the authors recommend the public to cease certain risky behaviors such as smoking and drinking of alcohol. Stress reduction and weight maintenance are also important lifestyle changes that are meant to optimize blood pressure and blood sugar control. To reach a wider audience, it is crucial to develop an effective awareness campaign that is aimed at informing and educating the public on hypertension and the various preventive measures. In addition, it is essentially important for African Americans to go for regular medical checkups for medical practitioners to diagnose hypertension while it’s at its early stages. In essence, the above lifestyle changes are not only important for the prevention of hypertension but also for the prevention of all lifestyle diseases.


Conclusion and Summary

African Americans are known to exhibit some of the highest incidence and prevalence of abnormally elevated high blood pressure in the world. Hypertension, like any other lifestyle diseases predisposes its victims to cardiovascular diseases and renal illnesses. To evade hypertension and other lifestyle diseases, it is imperative for African Americans to adopt proper diet, exercise, non-stressful activities, and regular medical checkups.




Martins, D., & Norris, K. C. (2012). Hypertension in African Americans. In Nephrology Secrets (Third Edition) (pp. 481-484).,+guidelines,+and+patient+education&hl=en&sa=X&ved=0ahUKEwihtPfOuOTcAhVJxoUKHRK8DOMQ6AEIJzAA#v=onepage&q=Hypertension%20management%3A%20Clinical%20pathways%2C%20guidelines%2C%20and%20patient%20education&f=false