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Author: Ryan G. Davis
Publisher:
ISBN:
Category : Hypertension
Languages : en
Pages : 0
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Book Description
Purpose: Primary care providers can improve hypertension (HTN) management by using the Hear the Beat (HTB) pamphlet to guide the comprehensive management of HTN, especially for older adults. The 2020 International Society of Hypertension Global Hypertension Practice Guidelines provide updated blood pressure (BP) parameters and encourage greater patient participation. The HTB pamphlet needed revision to comply with the latest guidelines. The Doctor of Nursing Practice (DNP) team modified the pamphlet and created training on updates for clinical staff at the Ogden Clinic - Farmington family practice and urgent care. Methodology: Clinical staff completed a pre-education survey and were educated on the updated HTB pamphlet. Next, the staff completed a post-education survey and utilized the pamphlet for two months. Finally, a post-implementation survey was given. A questionnaire was given to patients two weeks after receiving HTB so that Ogden Clinic's quality department staff could determine the usefulness of the updates. Qualitative and quantitative data were gathered, with most on a Likert scale or Yes/No/Unsure. Results: Data analysis revealed an increase in HTB usage by clinical staff. Staff members also improved in defining national BP parameters and explaining home BP tracking. Patient responses showed a universal belief that the HTB pamphlet is helpful. In addition, 93.75% of patients agreed that their knowledge and frequency of home BP monitoring increased. Over 80% saw a BP improvement. Implications for practice: These results indicate that HTB is a clinical tool capable of managing HTN and is preferred by staff and patients.
Author: Ryan G. Davis
Publisher:
ISBN:
Category : Hypertension
Languages : en
Pages : 0
Get Book Here
Book Description
Purpose: Primary care providers can improve hypertension (HTN) management by using the Hear the Beat (HTB) pamphlet to guide the comprehensive management of HTN, especially for older adults. The 2020 International Society of Hypertension Global Hypertension Practice Guidelines provide updated blood pressure (BP) parameters and encourage greater patient participation. The HTB pamphlet needed revision to comply with the latest guidelines. The Doctor of Nursing Practice (DNP) team modified the pamphlet and created training on updates for clinical staff at the Ogden Clinic - Farmington family practice and urgent care. Methodology: Clinical staff completed a pre-education survey and were educated on the updated HTB pamphlet. Next, the staff completed a post-education survey and utilized the pamphlet for two months. Finally, a post-implementation survey was given. A questionnaire was given to patients two weeks after receiving HTB so that Ogden Clinic's quality department staff could determine the usefulness of the updates. Qualitative and quantitative data were gathered, with most on a Likert scale or Yes/No/Unsure. Results: Data analysis revealed an increase in HTB usage by clinical staff. Staff members also improved in defining national BP parameters and explaining home BP tracking. Patient responses showed a universal belief that the HTB pamphlet is helpful. In addition, 93.75% of patients agreed that their knowledge and frequency of home BP monitoring increased. Over 80% saw a BP improvement. Implications for practice: These results indicate that HTB is a clinical tool capable of managing HTN and is preferred by staff and patients.
Author: George S. Stergiou
Publisher: Springer Nature
ISBN: 3030230651
Category : Medical
Languages : en
Pages : 174
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Book Description
Hypertension remains a leading cause of disability and death worldwide. Self-monitoring of blood pressure by patients at home is currently recommended as a valuable tool for the diagnosis and management of hypertension. Unfortunately, in clinical practice, home blood pressure monitoring is often inadequately implemented, mostly due to the use of inaccurate devices and inappropriate methodologies. Thus, the potential of the method to improve the management of hypertension and cardiovascular disease prevention has not yet been exhausted. This volume presents the available evidence on home blood pressure monitoring, discusses its strengths and limitations, and presents strategies for its optimal implementation in clinical practice. Written by distinguished international experts, it offers a complete source of information and guide for practitioners and researchers dealing with the management of hypertension.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 030914809X
Category : Medical
Languages : en
Pages : 236
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Book Description
Hypertension is one of the leading causes of death in the United States, affecting nearly one in three Americans. It is prevalent in adults and endemic in the older adult population. Hypertension is a major contributor to cardiovascular morbidity and disability. Although there is a simple test to diagnose hypertension and relatively inexpensive drugs to treat it, the disease is often undiagnosed and uncontrolled. A Population-Based Policy and Systems Change Approach to the Prevention and Control Hypertension identifies a small set of high-priority areas in which public health officials can focus their efforts to accelerate progress in hypertension reduction and control. It offers several recommendations that embody a population-based approach grounded in the principles of measurement, system change, and accountability. The recommendations are designed to shift current hypertension reduction strategies from an individual-based approach to a population-based approach. They are also designed to improve the quality of care provided to individuals with hypertension and to strengthen the Center for Disease Control and Prevention's leadership in seeking a reduction in the sodium intake in the American diet to meet dietary guidelines. The book is an important resource for federal public health officials and organizations, especially the Center for Disease Control and Prevention, as well as medical professionals and community health workers.
Author: Richard J. Ham
Publisher: Elsevier Health Sciences
ISBN: 0323186513
Category : Medical
Languages : en
Pages : 777
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Book Description
Employing a unique case-based approach, Ham's Primary Care Geriatrics continues to be your comprehensive source of clinical solutions for this challenging population. This gerontology medical reference book features an interdisciplinary perspective that empowers you with team-oriented knowledge on the best diagnosis, treatment, and management strategies available to address the complex needs of older adults."Overall this is a useful, well written, practical elderly medicine book, ideal for use in primary care. It is reasonable priced and an excellent addition to the bookshelf, virtual or real".Reviewed by: Dr Harry Brown, July 2014 Effectively treat your geriatric patients, and provide helpful guidance to their families, through engaging geriatric case studies that illustrate the principles and key clinical information you need. Form a definitive diagnosis and create the best treatment plans possible using the evidence-based medicine guidelines throughout. Find the information you need quickly and efficiently with a 2-color layout and consistent format, and test your knowledge with USMLE-style questions in every chapter. Offer your geriatric patients the most up-to-date treatment options available with six new chapters addressing Principles of Primary Care of Older Adults, Interprofessional Team Care, Billing and Coding, Frailty, Pressure Ulcers, and Anemia. Access the complete geriatric text online anytime, anywhere at Expert Consult, along with an online Cognitive Status Assessment with four tests and patient teaching guides, a dermatology quiz, and informative videos on Gait and Balance and Dizziness.
Author: Demetra Antimisiaris
Publisher: Elsevier Health Sciences
ISBN: 032354567X
Category : Medical
Languages : en
Pages :
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Book Description
This issue of Primary Care: Clinics in Office Practice, guest edited by Demetra Antimisiaris, PharmD and Laura Morton, MD, CMD, is devoted to Geriatrics. Articles in this comprehensive issue include: Managing Polypharmacy in the 15 Minute Office Visit; Sexuality in the Older Adult; Dementia for the Primary Care Provider; Hormone Replacement: The Fountain of Youth?; Depression in Older Adults; Advance Care Planning in the Outpatient Geriatric Medicine Setting; Pain in the Elderly: Identification, Evaluation and Management of the Older Adult with Pain Complaints and Pain-Related Symptoms; Delirium; The Older Adult With Diabetes And The Busy Clinician; Geriatric Assessment for the Primary Care Provider; Hypertension in the Older Adult; and Evaluation of the Older Driver.
Author: Samy I. McFarlane
Publisher: Springer Science & Business Media
ISBN: 1603273573
Category : Medical
Languages : en
Pages : 196
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Book Description
Diabetes and hypertension have evolved as two of the modern day epidemics affecting millions of people around the world. These two common co-morbidities lead to substantial increase in cardiovascular disease, the major cause of morbidity and mortality of adults around the world. In Diabetes and Hypertension: Evaluation and Management, a panel of renowned experts address a range of critical topics -- from basic concepts in evaluation and management of diabetes and hypertension, such as dietary interventions, to evaluation and management of secondary hypertension in clinical practice. Other chapters focus on high cardiovascular risk populations such as those with coronary heart disease, chronic kidney disease and minority patients. In addition, evolving concepts and new developments in the field are presented in other chapters, such as prevention of type 2 diabetes and the epidemic of sleep apnea and its implication for diabetes and hypertension evaluation and management. An important title covering two of the most troubling disorders of our time, Diabetes and Hypertension: Evaluation and Management will provide the busy practitioner with cutting edge knowledge in the field as well as practical information that can translate into better care provided to the high-risk population of diabetics and hypertensive patients.
Author: L. Michael Prisant
Publisher: Springer Science & Business Media
ISBN: 1592599117
Category : Medical
Languages : en
Pages : 531
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Book Description
A comprehensive review of all aspects of hypertension in the elderly using the most current clinical data. Topics range from basic concepts, epidemiology and trials, and evaluation and management, to pharmacologic treatment, special populations, and adherence, all presented with an emphasis on the optimal management of patients. The authors examine in detail the mechanisms of hypertension in the elderly, the lifestyle trials and outcomes trials that were conducted in older persons, as well as the problems of clinical evaluation, secondary hypertension, adherence, and target organ damage. Extensive discussions of pharmacologic therapy detail the role of all the major drug classes.
Author: Alan J. Sinclair
Publisher: John Wiley & Sons
ISBN: 1119954142
Category : Medical
Languages : en
Pages : 3453
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Book Description
This new edition of the comprehensive and renowned textbook Principles and Practice of Geriatric Medicine offers a fully revised and updated review of geriatric medicine. It covers the full spectrum of the subject, features 41 new chapters, and provides up-to-date, evidence-based, and practical information about the varied medical problems of ageing citizens. The three editors, from UK, USA and France, have ensured that updated chapters provide a global perspective of geriatric medicine, as well as reflect the changes in treatment options and medical conditions which have emerged since publication of the 4th edition in 2006. The book includes expanded sections on acute stroke, dementia, cardiovascular disease, and respiratory diseases, and features a new section on end-of-life care. In the tradition of previous editions, this all-encompassing text continues to be a must-have text for all clinicians who deal with older people, particularly geriatric medical specialists, gerontologists, researchers, and general practitioners. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store. Praise for the 4th edition: "...an excellent reference for learners at all clinical and preclinical levels and a useful contribution to the geriatric medical literature." —Journal of the American Medical Association, November 2006 5th edition selected for 2012 Edition of Doody's Core TitlesTM
Author: Vasilios Papademetriou
Publisher: Springer
ISBN: 3319929461
Category : Medical
Languages : en
Pages : 302
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Book Description
This book is a valuable tool to assist both cardiovascular physicians and scientists learning the intricacies of hypertension research and its milestone studies. All major hypertension trials have been reviewed in this book in chronological order with extensive discussion of the study population, study design, and outcomes and with a special focus on what knowledge they offered, their strengths and weaknesses, statistical errors, impact on international guidelines and unmet needs. Importantly, the book also offers physicians and young scientists with basic knowledge regarding medical biostatistics. It is of critical importance for a scientist involved in the field to understand deeply the process of analyzing medical data. Moreover, the accurate interpretation of the results is central for applying evidence-based medicine in everyday clinical practice. Management of Hypertension: Current Practice and the Application of Landmark Trials is a critical tool to assist in the education of physicians and researchers in the field, providing a separate section on pioneer researchers in hypertension and urging readers to become bright exemplars for scientists wishing to pursue a career in academic medicine and hypertension research.
Author: Ahmet Turan Isik
Publisher: Springer Nature
ISBN: 3030624935
Category : Medical
Languages : en
Pages : 146
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Book Description
This book provides a comprehensive and practical guide to orthostatic hypotension (OH) for doctors and nurses involved in the care of older adults, together with a state-of-the-art update on OH, covering its epidemiology, pathophysiology, assessment, diagnosis, causes, prevention, management, and relevance for geriatric practice. In addition, it addresses mechanisms of orthostatic tolerance and other orthostasis related conditions, as well as drugs, comorbidities and geriatric syndromes related to OH. The homeostatic ability to maintain blood pressure while standing requires an adequate blood volume and the integrity of the nervous system, heart, blood vessels and muscle pump. However, in older adults, some age-related factors can contribute to the development of OH. For example, decreased baroreflex sensitivity, α-1-adrenergic vasoconstrictor response to sympathetic stimuli, parasympathetic activity, renal salt and water conservation, increased vascular stiffness and decreased ventricular diastolic filling, as well as concentrated capacities of the kidney may be associated with changes in postural blood pressure. It has also been shown that OH is associated with falls, cardiac events, heart failure, stroke, reduced quality of life, and increased risk of overall mortality in these patients. “Orthostatic Hypotension in Older Adults” will be of considerable interest to all professionals working in the fields of geriatrics, geriatric psychiatry, neurology, internal medicine, cardiology, and emergency medicine, or working with older people in hospitals or in their community.
