Secondary Disease Prevention in Perry County, Alabama

1
Secondary Disease Prevention inPerry County,
Alabama

• Maryanna Brooke, Pharm.D.

2
Perry County

• Demographics
• Total Population 11,705
• White 3,556
• Black Other 8,149
• Chief Concerns
• Lack of specialized doctors
• No hospital in Perry County
• Cost of medication
• Hypertension, Diabetes

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Sowing Seeds of Hope

• Aids in reaching marginalized people including
  those isolated by poverty
• Formed for the purpose of improving the physical,
  economical, and social environment of Perry
  County

4
Clinic Goals

• Short Term
• Educate Patient about disease
• Communicate with patients physician
• Check for problems with medication

• Long Term
• Develop relationship with community
• Encourage communication between physician,
  patient, pharmacist
• Prevent complications associated with disease

5
JNC-71 Guidelines
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Educate Patient

• Disease Complications
• Hypertension
• Retinopathy
• Heart Disease
• Kidney Disease
• Stroke
• Diabetes
• Retinopathy
• Heart Disease
• Kidney Disease
• Stroke
• Peripheral Neuropathy
• Peripheral Vascular Disease

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Educate Patient (Contd)

• BP Goals
• General Population lt140/90
• Diabetes or CKD lt130/80
• Lifestyle Modifications
• Stop Smoking
• Weight Loss
• Diet
• Physical Activity
• Moderation of Alcohol Consumption

8
References

• Seventh Report of the Joint National Committee on
  Prevention, Detection, Evaluation, and Treatment
  of High Blood Pressure (JNC 7).