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Thesis and Dissertation Library -Detail

Non-Pharmaceutical Management of Hypertension among Middle-Aged and Older Adults: A Literature Review
by Melinda  Sue Darling

Degree: MSN, Family Nurse Practitioner
Institution: The University of Arizona -College of Nursing
Committee Chair: Kathleen Insel, PhD, RN and Ruth Taylor-Piliae, PhD, RN
Year: 2009
Type of Document: MastersProject
Keywords: hypertension, complementary therapy

Abstract: Hypertension is prevalent globally, accounting for 13.5% of deaths and 6% of total disability life-years in 2001. Hypertension is implicated in the etiology of numerous disease processes: 54% of stroke, 47% of ischemic heart disease, 75% of hypertensive disease, and 25% of other cardiovascular disease worldwide. It is distressing to note that such pervasive negative effects are related to a modifiable cause because hypertension can effectively be treated. Hypertension is primarily treated pharmaceutically; however, research on adjunct non-pharmaceutical therapies is accumulating and they are increasingly recommended. Well researched interventions include lifestyle modifications such as diet, exercise, dietary supplementation and mind-body practices, educational interventions, and technology-based interventions. Due to the prevalence and disease causing potential of hypertension, clinicians should be familiar with all evidence-based interventions, which may contribute to the management of hypertensive patients. In this review, extant literature is reviewed, analyzed, and clinical recommendations are made.

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