Hypertension in Older Adults
Develop a PowerPoint presentation on a clinical case that was seen during your experience or a topic that is of interest to you.
- Select a health problem that primarily affect the older adult population. Suggested Topics: Anemia of Chronic Disease, Rheumatoid Arthritis, Restless Legs Syndrome, or Hypertension.
- Provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level.
- Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder.
- Provide patient education for management, cultural, and spiritual considerations for care must also be addressed.
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Hypertension in Older Adults
Submission Instructions:
- Presentation is original work and logically organized. Followed current APA format including citation of references.
- Power point presentation with 10-15 slides were clear and easy to read.
- Speaker notes expanded upon and clarified content on the slides.
- Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style
Overview of the Topic
Hypertension is a major public health concern, particularly in the aging population. It is estimated that over 70% of adults aged 65 and older in the United States have hypertension (Whelton et al., 2018). As individuals age, vascular changes such as arterial stiffening and reduced baroreceptor sensitivity contribute to the rising prevalence. The cellular pathophysiology involves increased sympathetic nervous system activity, endothelial dysfunction, and altered sodium handling by the kidneys, which together contribute to elevated systemic vascular resistance and blood pressure.
Assessment and Treatment in Advanced Practice
Advanced practice nurses (APNs) must use age-sensitive approaches when assessing hypertension in older adults. This includes monitoring for orthostatic hypotension, cognitive impairment, and medication side effects. Treatment should be individualized, starting with lifestyle interventions such as sodium restriction, weight management, and physical activity. Pharmacologic management often begins with low-dose thiazide diuretics, ACE inhibitors, or calcium channel blockers, with close monitoring to avoid hypotension and falls. Genetic factors such as polymorphisms in the renin-angiotensin-aldosterone system may also influence medication response.
