Title: HEART HEALTH PROGRAM MASTER TRAINING WORKSHOP ON HYPERTENSION Role of CHNs LHVs in Hypertension Cont
1HEART HEALTH PROGRAMMASTER TRAINING WORKSHOP ON
HYPERTENSIONRole of CHNs / LHVs in Hypertension
ControlDECEMBER 19 20, 2002
- Dr. Sunita Dodani, Assistant Professor
- Family Medicine, CHS
2Role of CHNs / LHVs in Hypertension Control
- Nurses and LHVs are
- main pillars
- THEY ARE OUR
- EYES AND EARS
- IN THE COMMUNITY
31. Screening of Patients
Role of CHNs / LHVs in Hypertension Control
- Identification of new cases (detailed
history taking).
42. Initial assessment
Role of CHNs / LHVs in Hypertension Control
- Weight
- Height
- Pulse
- Blood Pressure Monitoring
- Waist Hip Ratio
53. Medication review (Initial and
Follow-up Patients)
Role of CHNs / LHVs in Hypertension Control
- a. Review medication records.
- b. Check patients compliance.
64. Patient Counseling
Role of CHNs / LHVs in Hypertension Control
- Self measurement of blood pressure.
- Significance of blood pressure monitoring.
- Explanation of what is Blood Pressure
- And why it needs to be controlled.
- Diet review including salt intake.
- Exercise.
- Stress management.
75. Follow up visits
Role of CHNs / LHVs in Hypertension Control
- a. Record Maintenance
- b. Check controlled hypertensive
- (i) Measure pulse, blood pressure, weight and
height and waist to hip ratio. - (ii) Inquire about general health and side
effects of the drugs (if any) - (iii) Ensure that the optimal blood pressure is
being - maintained, as recommended by the physician.
The blood pressure after taking medication should
- ideally be controlled (target of lt 130
/85 mmHg). - (iv) Ensure patient compliance.
85. Follow up visits Contd.
Role of CHNs / LHVs in Hypertension Control
- (V) Reinforce life-style advice
- Ensure that the routine laboratory investigations
are complete (If ordered by Physicians) - 12 lead electrocardiograph (ECG) (at diagnosis
and every 5 years, unless specified otherwise) - Blood electrolytes and creatinine (once a year)
- Blood glucose - fasting for at least 8 hours
(once a year) - Serum total cholesterol level (once a year)
- Urine test for protein. (once a year)
96. Referral to a Physician
Role of CHNs / LHVs in Hypertension Control
- a. All new suspected hypertensives on initial
visit. - b. High normal blood pressures with risk factors
and associated disease. - c. Un-Controlled hypertensives with risk factors
and associated disease. - d. When the patient develops any symptoms
related to complications of hypertension such
as chest pain, paralysis or eye complication. - e. If the patients condition is unstable or
he/she reports any severe side effects of drug
therapy or has developed any risk factors or any
other diseases.