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Management of hypertension on frail patients

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1.Based on the article you reviewed concerning older adults and management of hypertensive; identify reasons for change in management treatment of systolic blood pressure (150-250 words – Cite with in-text citations and sources on the Reference page.)

The benefits of lowering blood pressure in old patients were considered controversial for a long period of time. This is ascribed to the fact that some studies demonstrated that lowering blood pressure in old patients led to a reduced death rate; whereas some showed that it contributed immensely to an increased death rate (Lally & Crome, 2007). Also, none of the studies had conducted a study with enough patients of age eighty and above so as to give a precise answer on the importance of the drug therapy for this group. Earlier guidelines involved commencing antihypertensive therapy when (SBP) systolic blood pressure was more than 160, DBP (diastolic blood pressure) was more than 105 or there was an organ likely to be damaged. The HYVET (Hypertension in the Very Early Trial) helped to shed light on the controversy explicated above. The study comprised of three thousand, eight hundred and forty five patients who were eighty years and above old, and had an SBP of 160 and above (DiWang & Lam-Antoniades, 2013). The most favorable blood pressure mark was determined to be 150/80 and it was linked with reduced risk of death from any cause, death from stroke, as well as heart failure (Warwick, Falaschetti, Rockwood, Mitnitski, Thijs, Beckett, Bulpitt & Peters, 2015). It was also realized that a reduction in the blood pressure would result to ischemic strokes. The study results implied that frailty alone should not be the only criterion used to decide whether or not the medication of a person aged eighty and over with an antihypertensive to reduce blood pressure to a mark of 150/80 mmHg is reasonable (DiWang & Lam-Antoniades, 2013).

John Wilkes Booth Essay

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Born on May 10, 1838, John Wilkes Booth was a stage actor. His parents were Junius Brutus Booth and Mary Ann Holmes. They settled near Bel Air in Harford County, which was in Maryland. He was the ninth of ten children. His father legally married Holmes on May 10, 1851. According to Nora Titone, the shame and ambition of Wilkes and his brother felt spurred them to strive. They were rivals who sort achievement and acclaim. Edwin became a Unionist, while Wilkes was Abraham Lincoln's assassin (Smith, 1992).

U.S Progressive Era DBQ Essay

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Widespread social activism and political reform marked the Progressive Era. The period was from the 1890s-1920s, in the United States. The objective was to eliminate corruption in the government. The target was the political machines and their bosses. The establishing of direct democracy would only be possible after eliminating the corrupt representatives from the office. The proponents also sought to regulate monopolies and corporations via antitrust laws (Gould, 2010).

Atomic Bomb Essay

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An atomic bomb is an explosive device. It gets its destructive force from nuclear reactions. They could be either fission or a combination with fusion. The two release quantities of energy from small amounts of matter. The first test gave out the same as approximately 20,000 tons of TNT. The initial thermonuclear bomb resulted in about 10,000,000 Tons of TNT.

Alien and Sedition Essay

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Before the Alien and Sedition Acts, the Democratic-Republicans had spurred opposition on the Federalists. They were even supporting France amidst the French Revolution. Others felt that such a revolution would have been necessary to overthrow the US government. The European unrest was slowly bleeding over into the U.S. The country seemed ready to tear itself apart. The Federalists believed that the French and the French-sympathizing immigrants the cause of these. According to them, the two acts would guard against the threat of anarchy.

Fri Aug 30 11:39:15 +0000 2019

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