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Health Essentials

Blood pressure; How dangerously low can it go?

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Pregnancy can cause low blood pressure

The conventional wisdom has always been that we should all strive to keep our blood pressure low. Even though this is true, having really low blood pressure can be dangerous, as it can impair your body’s ability to absorb oxygen, resulting in damage to the heart and brain.

Low blood pressure is when your blood pressure reading is lower than 90 millimeters of mercury (mm Hg) for the top number (systolic) or 60 mm Hg for the bottom number (diastolic).

Low blood pressure (also known as hypotentesion) can occur in anyone, though it may be more common depending on your age or other risk factors: genetic makeup, taking certain medications, and having certain diseases(diabetes, heart conditions)

The cause of low blood pressure isn’t always clear. However, it may be associated with the following:

  • pregnancy
  • hormonal problems
  • some over-the-counter and prescription medications
  • heart failure
  • abnormal heart rhythms
  • widening or dilation of the blood vessels
  • heatstroke
  • liver disease
  • loss of blood from bleeding
  • low or high body temperature
  • a severe blood infection
  • severe dehydration from vomiting, diarrhea, burns or fever
  • a reaction to medication or alcohol

A sudden drop in blood pressure robs the brain of adequate blood supply to the brain. This can lead to dizziness or lightheadedness. Other symptoms include fainting, blurred vision, nausea, fatigue, lack of concentration, and in extreme conditions shock.

If you experience any of the above symptoms, seek emergency medical attention as it is important to determine the cause of low blood pressure so appropriate treatment can be given.

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Some people are known to take alcohol in an attempt to increase their blood pressure but that is a path I will not recommend. Others opt for caffeinated drinks like coffee and tea. Dr. Kojo Essel often recommends that one engages in exercise which is your best “weapon to normalise blood pressure.” Quite often when one has low blood pressure, standing still for long periods of time can cause a further drop in blood pressure due to peripheral pooling of blood and may cause complications. In such people Dr Essel highly recommends taking several steps even if standing in one place to help maintain blood pressure at a safe level.

Other ways of managing low blood pressure are:

  • adding a little salt to food ( do this with caution to avoid excesses and downsides of increased salt intake)
  • Increase water (other fluids) intake to increase blood volume.
  • May need to wear compression stockings in extreme situations
  • Some may require medication.
  • Pay attention to body positions; do not move quickly from sitting to standing position for instance
  • Eat small portions of food at a time
  • Exercise should be a combination of strength training and cardiovascular exercise that increases heart rate)

Source:

Maureen Masopeh

Content Creator (Health Essentials Ghana Ltd)

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References:

  1. Dr Kojo Cobba Essel; Unravelling the Essentials of Health and Wealth
  2. Mayoclinic; Low Blood Pressure (Hypotension)
  3. Webmd

By Dr Kojo Cobba Essel

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Health Essentials

…Tips on building a healthy relationship with your superior

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A good relationship with your boss is critical for job success and career development. Supervisors have a great influence on your stress level, your team and company culture, and ultimately, whether you succeed or fail in a role.

They are also your best resource for support, problem-solving, and personal development. Building a strong relationship with them can be transformative for your work experience and professional growth, but navigating this connection can be complex.

Here are some key values and characteristics that will help you along the way.

  1. Be authentic

It is important to be yourself when building any new relationship. Do not be over-the-top trying to impress or kiss up to a manager. Be authentic and try to build a genuine connection with them instead. This will be incredibly helpful when it comes to dealing with personal issues, having difficult conversations, and building trust.

  • Be empathetic and respectful

Bosses are human beings with their own professional pressures and personal lives, so it is important to maintain empathy toward them. Strive to get to know them on a personal level; you do not need to be best friends, but knowing the basics, like their family and hobbies, can be meaningful.

Also, help your supervisor look good. Every leader wants a high-performing and successful team. By developing trust, understanding, and excellent communication, you can help your boss achieve their goals.

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  • Build trust and add value

Showing initiative will win you big points with almost any boss. Whether setting up regular one-on-ones, volunteering for new projects, or offering help, the benefits of this dedication are twofold. 

Proactivity makes leaders feel supported-like you are looking out for them. It also provides opportunities for your individual growth.

Whenever possible, add value beyond the limitations of your job description. Whether you have a special interest or extra capacity, find ways to support your team and relieve pressure. – Source:careers.vikingservice.com

..To be continued

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Health Essentials

Identifying the geriatric giants & taking appropriate steps

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An elderly woman suffering from headache
An elderly woman suffering from headache

This week I bumped into Deborah, one of my avid readers and I promised her I will be writing this weekend. So Deborah, this is for your reading pleasure and to pick some golden nuggets for the future.

The quest to find the best way to make one’s golden years, happy, exciting, healthy and a time most people look forward to continues unabated. One factor that keeps popping up is the need to grow friendships with people more than 20 years younger than yourself.

Do not take this for granted. It is a form of “social security” since these close friends who are much younger than you will step in to support you in more ways than you can ever imagine.

Some conditions may make life challenging for older adults but knowing these Geriatric Giants helps us to take the necessary steps to reduce our risk.

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“Geriatric Giants” refers to a group of chronic health conditions that are common in the elderly, typically 65-year-olds and older.

These conditions quite often co-occur and can impact on the independence, dignity and overall wellbeing and quality of life of an elderly person.

These Geriatric Giants include:

  1. Impaired Intellect/ Memory (e.g. Dementia)
    1. one of the major battles we need to deal with is challenges with memory
    1. Exercise, adopt the Mind Diet, build a great social network and enjoy time outdoors
    1. Keep reading and solving puzzles for as long as possible
  2. Instability – leading to much feared falls
    1. A good reason to indulge in Balance Training and Core Strengthening exercises from today
    1. Ensure your home is safe; avoid clutter such as cables crisscrossing floors, toys etc. These are all trip hazards and should be avoided
    1. Many healthy, happy and fun-loving older adults have died soon after a fall with its attendant complications.
    1. Do whatever it takes to avoid falling
  3. Immobility (opening the doors to pressure sores, joint stiffness)
    1. Even when you are unable to move about on your own it is important to get support to change positions as often as possible or get an appropriate mattress or bed that prevents prolonged pressure over any single point.
    1. Make sure you passively or actively move joints daily.
  4. Incontinence (urine, faeces or both)
    1. This is one of the reasons older adults prefer to stay at home and avoid going out to meet friends etc.
  5. Iatrogenic Disorders – adverse effect of medication
    1. Quite often most older adults are on several medications and some side effects such as drowsiness may seem to cause more unhappiness and may even lead to falls.
  6. Inappetite – this may result in poor nutrition
    1.  This may also be linked to loss of teeth thus making chewing very difficult or limited.
    1. The loss of smell and taste may also reduce the amount of food one may willingly eat.

The power to reduce the impact of the Geriatric Giants starts now and should be a lifetime commitment. It is never too early to start making the appropriate lifestyle modifications, nor is it too late to reduce the impact of the giants on one’s life.

Other conditions that significantly impact on the lives especially of the elderly are:

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  • Sleep Disorders
    • Good sleep has the power to give us energy, improve our thought pattern and even helps us to make good choices.
    • Good sleep sets the tone for a healthy life
  • Constipation
    • This is a challenge that confronts quite a number of older adults.
    • Movement, fibre and lots of water go a long way to reduce the stress that frequent constipation generates.
  • Fraility
    • Muscle loss is real and as we age, we lose a significant percentage of our muscle plus our bones also become brittle.
    • Make sure strength training is part of your exercise schedule
  • Polypharmacy
    • Another headache that needs to be confronted head-on
    • Everyone especially older adults need a good primary care physician or a general practitioner who can coordinate all medicines from the different Specialists who may be attending to an elderly person. This ensures that unnecessary medicines are dropped

The goal of care at all times is to optimise the quality of life. As family, professional caregivers and friends we should always show respect so that the dignity of the elderly is preserved at all times. For those of us who are not yet in the age group with such challenges, we need to start the conversation about the type of care we will prefer and take steps to stay healthy and independent for as long as possible. The goal should be a long Healthspan and not just a long Lifespan.

AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)

Dr. Kojo Cobba Essel

Health Essentials Ltd (HE&W Group)

(dressel@healthessentialsgh.com)

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*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

 Thought for the week “There is no magic formula to being happy but making a conscious effort to be happy goes a long way.” – Dr. Kojo Cobba Essel

By Dr. Kojo Cobba Esse

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