NURSING CARE APPLIED TO GERIATRIC PATIENTS WITH A CLINICAL PROFILE OF SYSTEMIC ARTERIAL HYPERTENSION: A CASE STUDY

Abstract

This study aims to investigate the health conditions of an elderly person with Systemic Arterial Hypertension (SAH) under nursing care. This is a descriptive research with a quantitative approach, of the case study type. The patient is an 83-year-old man, widowed, retired and born in Manaus-AM, who has a history of untreated SAH for more than 15 years. His main complaint is an acute condition resulting from a cerebrovascular accident (CVA), accompanied by edema in the feet, joint stiffness in the lower limb and visual changes. In the history of the current disease, it is reported that, at the age of 71, the patient had already faced complications resulting from three strokes, which resulted in cognitive and behavioral changes, dysarthria, impaired physical mobility, and edema in the lower limbs. The previous medical history confirms the presence of SAH for more than 15 years, the three previous strokes, partial loss of vision and difficulties in adhering to physiotherapy, in addition to episodes of aggressiveness. Regarding lifestyle habits, the patient used to practice physical activities, such as soccer, but also consumed alcoholic beverages and used tobacco and cigarettes frequently. In conclusion, this case report highlights the serious risks associated with untreated SAH in older adults. He emphasizes the importance of early diagnosis, effective blood pressure control, multidisciplinary follow-up, and the implementation of strategies to improve treatment adherence, with the aim of preventing or minimizing devastating cardiovascular and ocular complications that can significantly affect quality of life and autonomy.