Background of Larry Garcia
Larry Garcia is a 45years old Hispanic male who was newly diagnosed with hypertension during a work-related physical exam. He has been married for eighteen years and has three children. He has been employed as a sales rep for ten years with the same company. His current position is a high pressured position, but he is performing very well at this present time. His is Catholic but only attends church on holidays. Larry likes to fish in his spare time. His mother has a history of high blood pressure but refuses to take her blood pressure medication, but otherwise she is well. His father has a history of CHF and impaired vision due to macular degeneration. He is an only child who supports his parents financially, assist with their shopping and transportation needs as well. Larry has an associate’s degree in business and wants to further his education, but he is unable to due to his labor and household responsibilities. Larry does state that “I feel stressed sometimes” during the exam. He has never smoked and has an occasional drink of alcohol on the weekends. Larry has no known allergies and takes one multivitamin a day.
Identified risk factors for hypertension on Larry Garcia
Age: Larry is 45 years old; more men than women at age 45 have hypertension.
Family: his mother has high blood pressure;his father has CHF. Heredity plays an important role in having essential hypertension.
Sedentary lifestyle: Larry is 12 lbs. over his model weight and does not exercise on a regular basis. An inactive lifestyle escalates the risk for hypertension and other serious disorders.
Race: Larry is Hispanic. Racial/ethnic disparities exist in blood pressure, awareness, treatment, and control, with Mexican-Americans having a lower awareness and treatment of hypertension, as well as less health-care coverage, compared with blacks and whites (CDC, 2013).
Stress: Larry has increased stress from work
References: Center for Disease Control and Prevention. (2015). High Blood Pressure. Retrieved from http://www.cdc.gov/bloodpressure/ Center for Disease Control and Prevention (2013). Racial/Ethnic Disparities in the Awareness, Treatment, and Control of Hypertension — United States, 2003–2010 http://www.nhlbi.nih.gov/health/health-topics/topics/hbp/atrisk Redman, B.K (2007) The Dash Diet Eating Plan. (2015). What is the DASH Diet? Retrieved from http://dashdiet.org/what_is_the_dash_diet.asp