Hypertension Management in the Elderly

2018 ◽  
pp. 101-113
Author(s):  
Samar A. Nasser ◽  
Keith C. Ferdinand
2009 ◽  
Vol 25 (2) ◽  
pp. 207-212 ◽  
Author(s):  
Mary V. Corrigan ◽  
Muralidhar Pallaki

Heart Views ◽  
2019 ◽  
Vol 20 (1) ◽  
pp. 11 ◽  
Author(s):  
Ahmad Alsarah ◽  
Osama Alsara ◽  
Ghassan Bachauwa

Hypertension ◽  
2005 ◽  
Vol 45 (6) ◽  
pp. 1113-1118 ◽  
Author(s):  
Karen Tu ◽  
Norman R.C. Campbell ◽  
Minh Duong-Hua ◽  
Finlay A. McAlister

2020 ◽  
Vol 4 (1) ◽  
pp. 518
Author(s):  
Emdat Suprayitno ◽  
Naily Huzaimah

ABSTRAKHipertensi adalah penyakit kronis yang umum di seluruh dunia dan faktor risiko utama penyakit kardiovaskular. Penyebab utama penyakit ini yaitu faktor genetika, perilaku dan gaya hidup. Kesadaran yang rendah pada  penanganan hipertensi menjadi penyebab utama dalam terjadinya komplikasi stroke. Desa Karanganyar Barat Kecamatan Kalianget Kabupaten Sumenep Merupakan salah satu desa yang terletak di daerah pesisir dan juga banyak terdapat tambak garam. Data posyandu lansia Desa Karanganyar Barat menyebutkan bahwa angka kejadian hipertensi pada lansia sangat tinggi bahkan kunjungan posyandu terbanyak adalah penderita hipertensi mencapai 70%. Para lansia ini juga kurang memahami dampak jangka Panjang hipertensi seperti stroke. Tujuan dalam pengabdian untuk meningkatkan pengetahuan lansia dalam mencegah komplikasi hipertensi. Mitra dalam pengabdian ini adalah kader posyandu lansia di Desa Karanganyar Barat Kecamatan Kalianget Kabupaten Sumenep, Peserta dalam kegiatan ini adalah lansia penderita hipertensi sebanyak 15 orang. Metode dalam kegiatan ini yaitu penyuluhan, ceramah dan diskusi. Keberhasilan acara ini tampak dari semangat dan antusiasnya lansia. Lansia juga berperan sangat aktif dalam menjawab evaluasi tentang materi yang telah disampaikan. Pelaksanaan kegiatan pengabdian terlaksana dengan lancar, Sebagian besar 93% (14 lansia) meningkat pengetahuannya dengan kategori pengetahuan baik sedangkan 6,7% (1 orang) dengan kategori pengetahuan cukup dalam mencegah komplikasi hipertensi serta berkomitmen dalam melaksanakan semua anjuran dari tim pengabdian untuk mencegah komplikasi stroke. Kata kunci: lansia; hipertensi; komplikasi hipertensi. ABSTRACTHypertension is a common chronic disease worldwide and a major risk factor for cardiovascular disease. The main causes of this disease are genetics, behavior, and lifestyle. Low awareness of hypertension management is the main cause of stroke complications. Karanganyar Barat Village, Kalianget District, Sumenep Regency is one of the villages located in a coastal area and there are also many salt ponds. Data from the Posyandu for elderly in Karanganyar Barat Village states that the incidence of hypertension in the elderly is very high, even if the most posyandu visits are hypertension sufferers reaching 70%. The elderly also do not understand the long-term impact of hypertension such as stroke. This research aims to increase the knowledge of the elderly in preventing complications of hypertension. Partners in this service are elderly posyandu cadres in Karanganyar Barat Village, Kalianget District, Sumenep Regency. Participants in this activity were 15 elderly people with hypertension. The methods in this activity are counseling, lectures, and discussions. The success of this event was evident from the enthusiasm and enthusiasm of the elderly. The elderly also play a very active role in answering evaluations of the material that has been delivered. The implementation of service activities was carried out smoothly, most of the 93% (14 elderly) increased their knowledge with the good knowledge category, while 6.7% (1 person) with the category of knowledge was sufficient in preventing complications of hypertension and committed to carrying out all recommendations from the service team to prevent complications stroke. Keywords: elderly; hypertension; complications of hypertension.


2018 ◽  
Author(s):  
Yinzi Jin ◽  
Mingxia Jing ◽  
Luyu Zhang ◽  
Suhang Song ◽  
Xiaochen Ma

BACKGROUND Hypertension is a rapidly growing epidemic in China. Yet, it remains inadequately controlled, especially in rural areas. The internet has shown potential for better health management in different settings; however, few studies have investigated its role in hypertension management in China. OBJECTIVE This study aims to examine the association between internet access and hypertension awareness, treatment, and control among elderly Chinese adults and to investigate whether the association between internet access and hypertension management differed between those living in urban and rural areas. METHODS We obtained data from the nationally representative survey of the China Health and Retirement Longitudinal Study in 2011. Hypertension was defined as (1) average systolic blood pressure of ≥140 mm Hg or average diastolic blood pressure of ≥90 mm Hg or (2) currently taking antihypertensive medications. The outcome assessed included hypertension awareness, treatment, and control. The key independent variable was defined as whether one had internet access at home. We performed multivariate logistic regressions for each of the 3 outcomes. RESULTS Among 5135 hypertensive respondents (age 62.4 [SD 9.9] years; 2351/5135, 45.78% men), 12.89% (662/5135) had internet access at home. Compared with those who had no internet access, internet access was positively associated with hypertension awareness (odds ratio [OR] 1.36, 95% CI 1.07-1.73) and treatment (OR 1.38, 95% CI 1.09-1.75), but not with control (OR 1.19, 95% CI 0.90-1.58). Internet access reduced urban-rural disparity in hypertension awareness by 9.6% (P=.02), treatment by 8.3% (P=.05), but not in control. In addition, the moderating effect of internet access on urban-rural disparities in hypertension management was larger among females. The decreased urban-rural disparities were primarily driven by that internet access improved the management level in rural areas. CONCLUSIONS Despite the low rate of internet access among the elderly population, the internet shows its potential as a platform for achieving better hypertension management in China. Strategies for reducing the disparities in hypertension management and overall disease burden of hypertension among the elderly population might consider the internet as a platform.


Author(s):  
J. Jacob ◽  
M.F.M. Ismail

Ultrastructural changes have been shown to occur in the urinary bladder epithelium (urothelium) during the life span of humans. With increasing age, the luminal surface becomes more flexible and develops simple microvilli-like processes. Furthermore, the specialised asymmetric structure of the luminal plasma membrane is relatively more prominent in the young than in the elderly. The nature of the changes at the luminal surface is now explored by lectin-mediated adsorption visualised by scanning electron microscopy (SEM).Samples of young adult (21-31 y old) and elderly (58-82 y old) urothelia were fixed in buffered 2% glutaraldehyde for 10 m and washed with phosphate buffered saline (PBS) containing Ca++ and Mg++ at room temperature. They were incubated overnight at 4°C in 0.1 M ammonium chloride in PBS to block any remaining aldehyde groups. The samples were then allowed to stand in PBS at 37°C for 2 h before incubation at 37°C for 30 m with lectins. The lectins used were concanavalin A (Con A), wheat germ agglutinin (WGA), phytohaemagglutinin (PHA) and pokeweed mitogen (PWM) at a concentration of 500 mg/ml in PBS at pH 7.A.


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