Follow-Up • Patient adherence to treatment plan • Assess diet, activity level, lifestyle • Teach patient about home BP monitoring (reduces white coat effect)
• Introduce patient to community resources such as Albuquerque American Heart Association and New Mexico Heart Institute as a means of augmenting the teaching.
• Reinforce teaching about drugs & lifestyle management
HYPERTENSION SCREENING Ages 55-65 Julie Gantner NRSG 1535
• Monitor for adverse effects of antihypertensive drugs
(Lewis, et al, 2017, pp. 696-697).
• Screening • Knowledge • Culture • Lifestyle • Diet • Medication
Julie Gantner
Awareness • Screening
• Weight
• Knowledge of Hypertension
• Lifestyle • Culture
• Hereditary
• Addictions to Tobacco and Alcohol
• Diet
Risk Factors • Age (SBP rises progres sively with increasing age) • Alcohol • Tobacco use • Diabetes Mellitus • Elevated serum lipids • Excess dietary sodium
• Gender • Family history • Obesity • Ethnicity • Sedentary lifestyle • Socioeconomic status • Stress
(Lewis, Bucher, Heitkemper,, and Harding, 2017, p. 685).
Know The Risks and Understand
Goal DASH:
(Dietary Approaches to Stop Hypertension)
Decreasing processed foods, fast foods, red meat, salt and sugar while increasing fruits, vegetables, low-fat dairy, whole grains, fish, poultry, nuts, seeds, and beans. (Lewis, et al, 2017, p. 688).
Screening Methods • Patient should have not smoked, exercised, or had caffeine within 30 minutes before measurement • Should be seated, no legs crossed, feet on flood, back supported • Bare patient’s arm, support at heart level • Ask patient to relax & not talk during measurement • Measure & record BP in both arms initially • Average two or more readings (taken at 1 minute intervals) • Obtain additional readings if the first two readings differ by more than 5 mm Hg • Provide patient (verbally & in writing) with the BP, BP goal, & recommendations for follow-up
(Lewis, et al, 2017, p. 696).
Introduce local community resources such as Albuquerque American Heart Association and New Mexico Heart Institute blood pressure management as a means of following up and understanding.
Diagnosis • SBP consistently > 140 mm Hg or DBP > 90 mm Hg for patients < 60 years old • SBP consistently > 150 mm Hg or DBP > 90 mm Hg for patients > 60 years old
(Lewis, et al, 2017, p. 695).
Treatment • Weight reduction
• Regular physical activity
• DASH diet (Dietary approaches to stop hypertension)
• Avoidance of tobacco products
• Sodium restriction
• Management of psychosocial risk factors
• Moderate alcohol intake
• Drug therapy
(Lewis, et al, 2017, pp. 688-689).