Improving Health: One Patient at a TimePatient DataMary is a 52-year-old woman with poorly controlled hypertension who came to the office today because she became increasingly inactive over the last 8 years. due to the stresses of work and life, including chaperoning two teenage daughters to clubs and dance classes. Mary complains of persistent fatigue and a vague feeling of unease. She denies having shortness of breath or chest pain, but says she "hardly does anything more physical than starting the car." She has gained 42 pounds in the last 6 years. She says she takes her antihypertensive medication as prescribed. During her interview, Mary revealed that her mother was 79 years old and had no significant medical history. Mary's father died in a car accident when he was 65 years old. Mary has two younger brothers, ages 47 and 49, who have reported no health problems. Mary has four aunts, one of whom was diagnosed with breast cancer at the age of 49. There is no history of cardiovascular disease in his family. Mary lives with her two daughters and husband in a golfing community outside of town. Her husband is a chef and she was recently promoted to manager at the telecommunications company where she works. After reviewing the systems, Mary denies any recent changes in her vision, headaches, shortness of breath, chest pain, dizziness, or loss of consciousness. She also denies any abdominal pain, nausea, vomiting or diarrhea. Mary is rarely constipated. She reports normal appetite and eating habits, with occasional binge eating. No changes in motor strength were reported, nor were any sensory changes. It was revealed that she complained of severe mood swings as well as hot flashes following a mid-paper debate. Australian Nursing Journal, 19(5), 30-33. Dubrey, S. (2013). Hypertension in pre- and postmenopausal women. British Journal Of Cardiac Nursing, 8(10), 489-497. Edmunds, MW and Mayhew, MS (2009). Pharmacology for the Primary Care Provider (3rd ed.). St. Louis, MO: Mosby Elsevier. Frisinghelli, A. and Mafrici, A. (2007). Regression or reduction of progression of atherosclerosis and avoidance of coronary events with lovastatin in patients with or at high risk of cardiovascular disease: AÂ Review. Clinical Drug Investigation, 27(9), 591-604. National Institutes of Health. (2003). The seventh report of the Joint National Committee on the Prevention, Detection, Assessment, and Treatment of High Blood Pressure. Bethesda: National Institute of Health. Woo, T. and Wynne, A. (2012). Pharmacotherapeutic products intended for prescribing nurse practitioners. Philadelphia: FA Davis.