Healthy Living by Cindy-Ann Bautista https://padlet.com/cindyannb/jw711uzlqjptgjnx Monitoring and Maintaining Blood Pressure en-us 2020-07-17 22:19:50 UTC 2026-01-29 10:30:46 UTC hello@padlet.com Background Info cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/657194567
  • To achieve and maintain successfully healthy well-being  to ensure a good quality of life to increase an individual's life expectancy.
  • Maintaining and sustaining normal blood pressures is one of many steps to achieve healthy living.
  • Nearly half of adults in the United States (108 million, or 45%) have hypertension defined as a systolic blood pressure ≥ 130 mm Hg or a diastolic blood pressure ≥ 80 mm Hg or are taking medication for hypertension (CDC, 2020).
    • ]]>     2020-07-17 22:27:30 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/657194567     Change Starts With Us cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/657194724 Hypertension Control Change Package (HCCP)]]> 2020-07-17 22:27:57 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/657194724 Knowing the Basics cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658463488 Systolic vs Diastolic
    • The top number (systolic) is when the heart is working
    • The bottom number (diastolic) is when the heart is  at rest
    ]]>     2020-07-20 15:24:04 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658463488     Hypertension Map for Clinicians cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658492491
  • Allows clinicians to see the incidence rates in their area.
  • Clinicians can join the Millions Hearts Hypertension Control Challenge.
    • Holds the provider accountability in assisting patients reach healthy goals

    • ]]>     2020-07-20 16:06:05 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658492491     Secondary Conditions to High Blood Pressure cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658498438 Uncontrolled blood pressure can have a serious and irreversible effects on your brain, eyes, heart, kidneys, and the sexual organs (low libido in females and erectile dysfunction in males).]]> 2020-07-20 16:13:24 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658498438 Self-Monitoring cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658539363 Patients and their families, respectively, are able to purchase a blood pressure machine or even receive one from their insurance company for free to self-monitoring and management of their blood pressure.
    • use of blood pressure app to record their BP
    • use of patient portals to record their BP which their doctors can monitor
    • smart watches constantly monitors heart rate (HR)

    Self-Monitoring of blood pressure (SMBP) requires a cohesive partnership between the physician and the patient.

    Emergency visits are decreased and the risk for secondary disease conditions are decreased (American Journal of Preventative Medicine, 2017).
    ]]>     2020-07-20 17:15:50 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658539363     Mobile health (mHealth) cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658561814 MedISAFE-BP smartapp
    - Medication adherence Improvement Support App For Engagement—Blood Pressure
    • Improve blood pressure control
    • Improve adherence to  prescribed therapies
    ]]>     2020-07-20 17:49:54 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658561814     What Causes It? cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658691460 There are many conditions that can cause secondary hypertension, if it is not controlled (Mayo Clinic, 2020)
    • Obstructive sleep apnea
    • Kidney problems
    • Adrenal gland tumors
    • Thyroid problems
    • Certain medications, such as birth control pills, cold remedies, decongestants, over-the-counter pain relievers and some prescription drugs
    • Illegal drugs, such as cocaine and amphetamines
    ]]>     2020-07-20 21:41:15 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658691460     Monitoring Blood Pressure (BP) cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658699292 High blood pressure (hypertension, HTN, HBP) is a modifiable risk factor
    Uncontrolled blood pressure is one of the most prevalent risk factor that can attribute to other disease conditions i.e. high risk for (HRF) cardiac and non-cardiac episodes.
    • In 2017, nearly half a million deaths in the United States included hypertension as a primary or contributing cause (CDC, 2020).
    ]]>     2020-07-20 21:59:19 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658699292     Sodium (Salt) Control cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658864877 Nutrition plays an important role in the maintenance of our BP, specifically, sodium (salt) levels in the foods we eat.

    There is a strong, direct association between higher sodium excretion and higher blood pressure:
    • People with higher estimated usual sodium intake had higher blood pressure
    • This association was similar for men and women, for people 20–44 and 45–69 years old, and across racial and ethnic groups (CDC, 2018)
    • Know Your Sodium Quiz
    ]]>     2020-07-21 02:28:17 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658864877     Limiting Sodium Intake cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658959131 Setting daily sodium limits 
    • Individuals with NBP - 2300 mg/day
    • Individuals with HTN - no more than 1500mg/day

    Healthcare providers must educate through demonstration how to manage their daily sodium  intake.

    Food Diary apps allow for clinicians and individuals to work together to set and determine successful progress

    Click the link below to understand more about salt to sodium equivalents:
    "Shaking the Salt Habit to Lower High Blood Pressure"
    ]]>     2020-07-21 04:28:20 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658959131     cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658965034 Million Challenge Champions]]> 2020-07-21 04:36:21 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658965034 Nutritional Label cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658970680 Healthcare providers/clinicians need to better understand nutritional labels to be able to provide health teaching to their patients]]> 2020-07-21 04:43:51 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658970680 cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658973565
  • Maintaining blood pressure levels reduces/eliminates risk for secondary disease conditions.
  • Reduce in sodium (salt) intake reduces the risk for HTN.
  • Self-monitoring and accurate self-reporting on BP and food intake gives providers and clearer picture of how the patient is progressing beyond just blood results. It allows for providers to work with the patient to tweak diet habits and holds the patient accountability and have them remain active in their care.
    • ]]>     2020-07-21 04:47:44 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658973565     Self-Reporting cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658980682
  • Patients between visits monitor and record accurately their BP and at regular visits review with provider if any changes to medical regimen
  •  Each visit represents an opportunity to measure blood pressure and intensify treatment. Physicians make management decisions based on BP measurements obtained during office visits (Journal of General Internal Medicine, 2015).


    • ]]>     2020-07-21 04:57:54 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658980682     cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658988299 American Heart Association. (2020). High Blood Pressure. Retrieved from American Heart Association: https://www.heart.org/en/health-topics/high-blood-pressure

    Centers for Disease Control and Prevention. (2018). Sodium Research Reviews. Retrieved from National Center for Chronic Disease Prevention and Health Promotion and the Division for Heart Disease and Stroke Prevention: https://www.cdc.gov/salt/research_reviews/sodium_potassium_blood_pressure.htm

    Centers for Disease Control and Prevention. (2020). Heart Disease and Stroke Maps and Data. Retrieved from National Center for Chronic Disease Prevention and Health Promotion and the Division for Heart Disease and Stroke Prevention: https://www.cdc.gov/dhdsp/maps/dtm/index.html

    Fontil, V., Bibbins-Domingo, K., Kazi, D., Sidney, S., Coxson, P., Khanna, R., . . . Pletcher, M. (2015). Simulating Strategies for Improving Control of Hypertension Among Patients with Usual Source of Care in the United States: The Blood Pressure Control Model. Journal of General Internal Medicine, 30, 1147–1155. doi:10.1007/s11606-015-3231-8

    Jacobs, V., Chattopadhyay, S., Proia, K., Hopkins, D., Reynolds, J., Thota, A., . . . Goetzel, R. (2017). Economics of Self-Measured Blood Pressure Monitoring: A Community Guide Systematic Review. American Journal of Preventative Medicine, 53(3), e105-e113. doi:10.1016/j.amepre.2017.03.002

    Mayo Clinic. (2020). High Blood Pressure. Retrieved from Mayo Foundation for Medical Education and Research: https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/symptoms-causes/syc-20373410

    Million Hearts. (2020). Potential Future Burden of Cardiovascular Events Targeted for Prevention by Million Hearts 2022. Retrieved from Division for Heart Disease and Stroke Prevention: https://millionhearts.hhs.gov/data-reports/data.html

    Morawski, K., Ghazinouri, R., Krumme, A., Lauffenburger, J., Lu, Z., Durfee, E., . . . Choudhry, N. (2018). Association of a Smartphone Application With Medication Adherence and Blood Pressure Control. JAMA Internal Medicine, 178(6), 802-809. doi:10.1001/jamainternmed.2018.0447
    ]]>     2020-07-21 05:09:41 UTC https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658988299     Internet Resources cindyannb https://padlet.com/cindyannb/jw711uzlqjptgjnx/wish/658990514 Symptom Checker and Next Steps

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