Chronic Conditions

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Hypertension

Hypertension Definition

High blood pressure is when blood flows through blood vessels (arteries) at higher than normal pressures. There are two main types of high blood pressure: primary and secondary high blood pressure. Primary, or essential, high blood pressure is the most common type of high blood pressure. This type of high blood pressure tends to develop over years as a person ages. Secondary high blood pressure is caused by another medical condition or use of certain medicines. This type usually resolves after the cause is treated or removed. National Heart Lung and Blood Institute

Hypertension Guidelines

University of Michigan Clinical Care Guidelines

Medical Management of Adults with Hypertension - MQIC

2014 Evidence Based Guideline for the Management of Hypertension in Adults  - Eighth Joint National Committee (JNC8)

Care Management Interventions

Click Here for an example of a Hypertension action plan

Diagnosis Specific Concerns

Care Management Intervention

Patient Specific Interventions

Care Manager Resources

Patient Resources

Assessment

Assess patients knowledge

Preparing for the visit

Comprehensive Assessment Tool

Cardiovascular Self-Management Tool

What to Expect at the Physician Appointment

Handout - Preparing for the Appointment

HTN - Questions to Ask Your Doctor

Hypertension Health Care Tracker

Diagnosis Education

Provide education regarding hypertension diagnosis

  • Causes
  • Risks
  • Symptoms
  • Treatment

Discuss diagnosis with care manager

 

Review educational materials provided

 

Provide teach-back

Guide to Lowering Blood Pressure - DHHS

 

Million Hearts

 

 

Blood Pressure Log

5 Ways to Lower Blood Pressure

Know the Facts

Medication Management

 

 

Provide education on medications

 

 

Create medication list of all current medications including OTC and herbal supplements.

 

Demonstrate understanding of medications including:

  • Name and purpose
  • Dosage
  • When to take
  • How to refill

Take medications as prescribed

 

Review educational material

 

Types of Blood Pressure Medications

Free or Low Cost Medications - State of Michigan

 

 

Managing Your Medications

What is High Blood Pressure Medicine

Medications and Blood Pressure

 

 

Action Plan

Educate patient on when to call primary care physician

Provide patient with hypertension action plan

 

Demonstrate understanding of hypertension action plan and when to call physician’s office versus go to Emergency Room

Monitor blood pressure at home

Hypertension Action Plan

Controlling Hypertension in Adults - Pocket Guide for Professionals

SMART Goals for Hypertension

Hypertension Control - Action Steps for Clinicians

Hypertension Action Plan

Understanding and Managing High Blood Pressure

Smoking

Provide education on smoking cessation

 

Review materials provided on smoking cessation

Enroll in a smoking cessation program

Smoking Cessation in Michigan

Smoke Free.gov

Nutrition

Educate on diet recommended by physician

Provide education on diet and tools for maintaining diet

  • Good vs bad food
  • Reading food labels

Refer patient to a dietitian or nutritionist

Create diet plan

Demonstrate understanding of prescribed diet

Potassium and Hypertension

Weight Loss and Blood Pressure Control

DASH Diet

Healthy High Blood Pressure Recipes

Fact Sheet - Sodium

Activity

Provide education on exercise and hypertension if recommended by physician

Create action plan

Provide examples of different types of exercise

Educate patient on signs and symptoms of when to stop exercising

Check with provider prior to starting an exercise regimen

Understand warning signs and when to stop exercising

Follow recommended treatment plan

  • Tips- Start slowly
  • Exercise at the same time each day so it becomes a regular part of the day

Physical Activity and Blood Pressure - AHA

Activity Log

Recommendations for Physical Activity in Adults

Managing Stress

Educate patient on healthy ways to manage stress

Refer patient to a behavioral health specialist

Demonstrate understanding of healthy ways to manage stress

 

How to Lower Your Stress

 

 

Four Ways to Deal with Stress

Common Labs and Tests

Instruct patient on proper way to take a blood pressure

Provide education on ordered tests and labs

Review test information

Complete tests as ordered by physician

Home Blood Pressure Monitoring

Procedure for Measurement of Blood Pressure

Home Blood Pressure Monitoring

Blood Pressure Log

For a printable version of the care manager interventions Click Here

This chart is not meant to be an inclusive list of interventions or resources for care management but a starting point in working with patients with hypertension. Always check with your practice regarding the use of guidelines, resources and education.

Pathophysiology

Article

Hypertension Pathophysiology

The ABCs of hypertension from the National Institute of Health

Toolkits

This section provides information on various toolkits to assist with the care management of hypertensive patients.

Tools

Hypertension Toolkit

The Toolkit for Improving Hypertension Care & Outcomes presents several evidence-based strategies that health care provider organizations can use to improve hypertension control among their patients. Developed by the  Wisconsin Collaborative for Healthcare Quality. Free signup is required to access the toolkit.

Tools

An Implementation Tool for Clinical Practice Teams

Improving the Screening, Prevention and Management of Hypertension. A toolkit developed by the Washington State Department of Health

Care Management Learning Resources

This section is for care managers who would like to get additional more specific information relating to hypertension.

Tools

Michigan Department of Health and Human Service Links

The links below provide resources for primary care

Article

Hypertension and Diet

From the journal Hypertension. Multiple dietery factors and the effect on blood pressure

Article

Hypertension Education

Educational Interventions for Improving Control of Blood Pressure in Patients with Hypertension: A Systematic review Protocol

Webinars and Presentations

MiPCT Webinar

Jun 12 2013

To receive a certificate of completion Click Here

Webinar replay video

Presented by

Zorica Kauric-Klein, PhD Nursing, MSN, BSN, Assistant Professor: Wayne State University Kristina Dawkins, MPH, Clinical and Public Health Consultant, Cardiovascular Health, Nutrition, and Physical Activity, MDCH