Community Assessment - Prevention of Hypertensino in adult population Essay

Community Assessment - Prevention of Hypertensino in adult population - Essay Example The measurement of blood pressure is a complex topic, and there is also no exact differentiation between individuals ‘at risk’ from blood pressure-associated morbidity and mortality, and rest of the population. Adequate treatment of High Blood Pressure (HBP) with strict adherence to regimen, better prescribing and compliance, and regular follow-up is expected to reduce the risk of stroke and cardiovascular episodes. However, literature reviews suggest that healthcare outcomes and patient compliance are not up to the expected level due to several barriers to the successful diagnosis, treatment, and control of hypertension encountered by healthcare providers and lack of compliance by patients with hypertension. Research findings also suggest that there is disagreement among physicians regarding definitions of hypertension, and confusion over medications for BP control. As such, it is essential to maintain uniformity in research standards and clinical approaches to improve the quality of care for controlling patient’s blood pressure and introduce nurse-led blood pressure management initiative, to attain the goals of Healthy People as envisaged. Hypertension is prevalent in â€Å"28% of the US population and 35% of the African American population. However, only 1 in 4 patients with hypertension are controlled to a blood pressure of less than 140/90 mm Hg.† (Wright et al, 2002, p.1636-1643). Cross-sectional analysis of national representative data by Wang & Wang (2004), conforming to new classification of blood pressure levels by Joint National Committee (JNC) on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure report (JNC 7 Report published in 2003), found that â€Å"elevated blood pressure is a serious problem in the United States. Approximately 60% of American adults have pre-hypertension or hypertension, and some population groups, such as African Americans, older people, low-socioeconomic-status groups, and overweight

Anomie Assignment Example | Topics and Well Written Essays - 750 words

Anomie - Assignment Example However, many, especially the lower class and lower middle class are mostly affected and thus unable to achieve their desired thoughts and achievements they keep to the social rules, they thus claim responsibility for their failure, and they continue to keep to their social. Best examples of conformists could be team leaders, students especially at tertiary levels and also apart of workers or employees in an organization. Education and vocational ways are followed by these people to achieve their goals and gain more wealth. Merton discusses innovation as his second mode of adaptation. Merton argues that most of behaviors related with crimes can be categorized as innovative. Innovators are said to be people who live to embrace monetary and material success as a worthy goal, but also individuals who deviate or turn to crime when they realize that their experience or social status restricts access to genuine means of success. According to Gomme, the archetypal example of an innovator is a typical gangster young immigrant with intelligence and ambitions who abandons genuine means to succeed by means of corruption. A good example is a drug trafficker who desires wealth and the best social status yet the attempts of acquiring such ambitions are unfair and illegal. This means that innovators are not seriously offending others: individuals who fake their work experience or educational background in curriculum vitae or an interview would also fall in this class. The third adaptation according to Merton can be said to be ritualism. Ritualists isolate the strain of anomie by reducing their own aspirations of Victor to a point where goals are more practically achievable. They consent to their social status and caste, as well as adhere to the organizational means consistently as they are required to follow. Ritualists tend to avoid taking risks like a violation of law, and in addition, they have no problem living within the confines of daily monotony. As Gomme describes, fo r ritualists; the means became ends in them. A telemarketer or agent who is situated in a customer care desk can pose a demonstration about a ritualistic response. This agent will work hard and also behave conventionally on grounds that he/she accepts the personal wealth and additionally the social prestige. This will them make him/her have a revision on the goals so as he/she is subjected to alignment of possibilities that are practical.it is also depicted that bureaucrats and administrators who are employed in large institutions also pose such ritualistic response making their ambitions to be adaptable to the available possibilities for success. However, ritualists are not depicted as threats to the social and organizational structure since they maintain an outward stability on socio-cultural norms and hence they do not break the law (Gomme 51). Retreatism is discussed by Merton as his fourth adaptation. Retreatists have a tendency for a more dramatic response to the stress of ano mie. Retreatists finally give up if they are driven by the forced expectations of social achievement through conventional and indigenous ways: they then turn back to the cultural goals and also the norms of the society that brings success. Durkheim posed an observation that stated that suicide can be viewed as a retreat which so ultimate. Merton has