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disease, or calculation of atherosclerotic risk (using the same risk calculator
                    used in evaluating high cholesterol).
                  ▪ Recognizing that many people will need two or more types of medications to
                    control their blood pressure, and that people may take their pills more
                    consistently if multiple medications are combined into a single pill.
                  ▪ Identifying socioeconomic status and psychosocial stress as risk factors for high
                    blood pressure that should be considered in a client's plan of care.


               From American College of Cardiology, 2017, New ACC/AHA High Blood Pressure
               Guidelines Lower Definition of Hypertension. http://www.acc.org/latest-in-
               cardiology/articles/2017/11/08/11/47/mon-5pm-bp-guideline-aha-2017




               Box 10-4

               Nonverbal Indicators of Pain


                  ▪ Moaning
                  ▪ Crying
                  ▪ Irritability
                  ▪ Restlessness

                  ▪ Grimacing or frowning
                  ▪ Inability to sleep
                  ▪ Rigid posture
                  ▪ Increased blood pressure, heart rate, or respiratory rate
                  ▪ Nausea
                  ▪ Diaphoresis
                  ▪ Use of the FLACC® (face, legs, activity, cry, consolability) scale or FACES® pain
                    scale are appropriate in clients who cannot communicate their pain verbally.
































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