Primary prevention and screening: routine monitoringHypertension is one of the main preventable causes of premature mortality and morbidity, and approximately a quarter of adults suffer with raised blood pressure. It is a major risk factor for heart disease, stroke, cognitive decline, renal disease and with every 2mmHg rise in mercury of systolic blood pressure there is a 7% rise in risk of heart disease and 10% rise in risk of stroke. The measurement of blood pressure is a test performed regularly in primary care but not always accurately. New guidance by NICE has made changes to how we diagnose and treat people with hypertension.1 This resource, consisting of five assessment questions at basic level, tests your knowledge of the importance of preventing and monitoring identified hypertension based on the current NICE guideline. Complete the resource, including reading the featured articles and undertaking some or all of the suggested activities, to obtain a certificate for one hour of continuing professional development to include in your annual portfolio. Aims and objectivesOn completion of this resource you should have an understanding of:
Reference 1. NICE. Hypertension. Clinical management of primary hypertension in adults CG 127 (2011). https://nice.org.uk/CG127 Practice Nurse featured articlesHypertension for the practice nurse Dr Mary Lowth Overcoming white coat hypertension with ambulatory blood pressure monitoring Margaret Perry Recommended readingNHS Choices. Diagnosing high blood pressure (2012) www.nhs.uk/conditions/blood-pressure-(high)/pages/diagnosis.aspx British Hypertension Society guidelines https://www.bhsoc.org/latest-guidelines/sub-page-1/ SIGN. Risk estimation and the prevention of cardiovascular disease Guideline 97 https://www.sign.ac.uk/guidelines/fulltext/97/index.html Williams B, Poulter NR, Brown MJ, et al. Guidelines for management of hypertension: report of the fourth working party of the British Hypertension Society, J Hum Hypertens 2004 BHS IV. 2004;18: 139-85 Education for Health coursesHypertension diploma https://www.educationforhealth.org/shop.php/courses/43/ CVD risk diploma https://www.educationforhealth.org/shop.php/courses/135/ Hypertension - workshop https://www.educationforhealth.org/shop.php/courses/16/ Putting prevention first - workshop https://www.educationforhealth.org/shop.php/courses/31/ Date of preparation: January 2014 Review date: January 2015 |
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