Your Numbers Tell Your Story. Jennifer Stafford, RN Legacy Meridian Park Medical Center

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1 Your Numbers Tell Your Story Jennifer Stafford, RN Legacy Meridian Park Medical Center

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4 One in three Americans has high BP. Thirty percent of those with high BP don t know they have it. Only half of those with high BP have it well controlled.

5 High Blood Pressure: The Silent Killer Normal Blood Pressure Ranges /50-80 What the numbers mean Getting to goal and keeping it there

6 Anatomy Lesson of one of your most important numbers March 14, 2014 LEGACY HEALTH 6

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8 Blood Pressure s Effect on YOU: What nobody ever tells you about high blood pressure There is more to the story than risk of heart attack & stroke Brain Kidney Eye Nerves Heart Failure Blood Vessel Damage

9 The Cardiovascular Connection Blood vessel lining damage Thickening of heart walls Heart Failure Heart attack Atypical & Prodromal symptoms

10 Blood Vessel Damage

11 Making your heart work too hard all the time has consequences: Thickening of the muscle wall leading to heart failure Damage to vessel linings Increased risk of heart attack & stroke

12 The Heart Failure Connection

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14 Clot Formation and the Role of Aspirin: 4 Baby Aspirin 4 Life Photos courtesy of Boehringer Ingleheim International GmbH, by Lennart Nilsson.

15 The story on aspirin

16 The Brain Connection: Stroke is a Brain Attack

17 More Brain Connections Increased risk of dementia & nerve damage Vascular dementia is the second most common form of dementia, 40 percent of dementia cases in older adults. Vascular dementia is caused by reduced blood flow to the brain usually from a stroke or series of strokes. While the strokes may be unnoticeably small, the damage can add up over time, leading to memory loss, confusion, and other signs of dementia. Vascular dementia: a subtle, progressive decline in memory and cognitive functioning. Blood supply carrying oxygen and nutrients to the brain is interrupted by a blocked or diseased vascular system. Blocked blood supply for longer than a few seconds can cause brain cells death and damage to the cortex of the brain the area associated with learning, memory, and language.

18 The Kidney Connection High blood pressure can damage blood vessels in the kidneys by stretching vessels so blood flows more easily. Stretching scars and weakens blood vessels If the kidneys blood vessels are damaged, they may stop removing wastes and extra fluid from the body. Extra fluid in the blood vessels may then raise blood pressure even more, creating a dangerous cycle. High blood pressure is the second leading cause of kidney failure in the United States after diabetes and has increased 7.7 percent from 2000 to 2010.

19 The Eye & Nerve Connection Hypertensive retinopathy is damage to the retina from high blood pressure. (The retina is the layer of tissue at the back part of the eye. It changes light and images that enter the eye into nerve signals that are sent to the brain.) High blood pressure can damage blood vessels in the retina. The higher the blood pressure and the longer it has been high, the more severe the damage is likely to be. Diabetes, high cholesterol levels & smoking, increase the risk of damage and vision loss.

20 The day my blood pressure was higher than this

21 Doctor, you re fired!

22 Your Effect on Blood Pressure: What you can do about it Monitoring your blood pressure Salt consumption Daily moderate activity Stress Weight & Diet Compliance with medications if needed Know all your numbers

23 Monitoring your blood pressure: The how, why and who pressure

24 You must be joking! My blood pressure has never been that high before! Take it again.

25 The Sodium Connection

26 The Activity Connection: AHA guidelines for heart health

27 American Heart Association recommendation: 30 min x 5 days

28 The Weight Connection: BMI & Waist Circumference

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33 The key to a happy and healthy life is A SHARP KNIFE!

34 Sitting is the smoking of our generation

35 The Stress Connection: Negative Stress Hormones Positive Hormones

36 The Compliance Connection: Medications & Adjustments

37 The ABCs of Blood Pressure Medication Treating Blood Pressure can require a multi-layered approach ACE Inhibitors ARBS Beta Blockers Calcium Channel Blockers Diuretics

38 Know Your Numbers Blood Pressure < /80 Triglycerides <150 HDL > 50 LDL < 100 Total Cholesterol < 200 Blood Glucose < 100 or <7% Be your own advocate Evidence-based guidelines

39 Your HDL and LDL numbers

40 What is Metabolic Syndrome? A cluster of disorders of your body s metabolism > Increased waist circumference > High triglycerides > Abnormal cholesterol ratio > High blood pressure > High insulin levels The more of these that you have, the greater your risk of developing diabetes, heart disease or stroke. March 14, 2014 LEGACY HEALTH 40

41 The Genetic Connection

42 Putting the pieces together

43 Things to consider in a physician relationship & how to find the right fit for you

44 Physician Interview Schedule a wellness visit: Is lobby clean and welcoming? Is staff friendly/helpful? How long is the average wait time in the office? Does the lobby contain medical information/materials? What are the practice hours, evenings, weekends? What insurance do they take? Which hospitals do you go to?

45 Physician questions: How long have you been in practice? What is the size of your practice, how many other doctors/np/pa do you work with? How many patients do you see? How much time do you spend with patients on the first visit and on following visits? How do you feel about patients seeking second opinions? What is your network of specialists like? Do you give advice over the phone or for common medical problems?

46 My Life Check Assessment

47 My Life Check Assessment

48 My Life Check Assessment

49 Go Red

50 Downloadable apps at American Heart Association website: Check out: goredforwomen.org March 14, 2014 LEGACY HEALTH 50

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52 Thank you! You ve been great! Questions? Text the word Legacy and your question to 68683! March 14, 2014 LEGACY HEALTH 52