Appropriate medical or allied health expert trained in measurement of
blood pressure, referral protocols, and delivering educational messages
to participant conducting blood pressure (BP) programs. These health
promotion programs are required to follow national guidelines.
National guidelines for blood pressure (BP) protocols
- Calibration of blood pressure (BP) measuring equipment ought to be done at least each year.
- Two or more measurements of participant’s blood pressure (BP) must be taken.
- Referral of participants with high blood pressure readings to personal doctor for further examination.
Systolic / Diastolic Follow-Up
• Normal – <130 / <85
Action – Recheck in 2 years
• High Normal – 130-139 / 85-90
Action – Recheck in 1 year
Hypertension
• Stage 1 (Mild) – 140-159 / 90-99
Action – Confirm within 2 Months.
• Stage 2 (Moderate) – 160-179 / 100-109
Action – Refer to source of care within 1 month.
• Stage 3 (Severe) – 180-209 / 110-119
Action – Refer to source of care within 1 week.
• Stage 4 (Very Severe) – >210 / >120
Action – Refer to source of care immediately.
Appropriate educational messages
• Normal – <130 systolic and <85 diastolic
Action - No referral. When on treatment, then inform participant
that blood pressure (BP) is under good control today and should continue
seeing and following treatment program.
• High Normal - 130-139 systolic and/or 85-89 diastolic
Action - Recommend that participant have blood pressure rechecked
within 1 year unless under treatment. Advise participant that the
readings are in a high normal range that needs rechecking. In the
interim, suggest that among the most effective means to lower blood
pressure is to bring weight into normal range and to exercise.
• High - >140 systolic and/or >90 diastolic
Action – Refer to physician for further analysis within 2 months
unless the level is within urgent, emergency, or isolated systolic
hypertension levels. If already on treatment, advise participant of
readings and need to get blood pressure to a goal of 140/90 or less.
• Isolated Systolic Hypertension – 140-159 systolic and < 90 diastolic in a participant 65 years of age or older.
Action - Advise participant to inform physician of readings at
next visit and consider advice regarding weight loss and exercise when
appropriate.
• Urgent - 180-209 systolic and/or 110-119 diastolic
Action - Recommend obtaining medical investigation within 1 week.
• Emergency - >210 systolic and/or >120 diastolic
Action – Obtain immediate medical attention.
Provides the following
- Written results, referral instructions, and an explanation of blood pressure levels given to each participant with individualized counseling, including advice about the interval of time advised when the participant should be checked again.
- Utilizes the recommendations in the Fifth Report of the Joint National Committee on Detection, Evaluation and Treatment of High Blood Pressure, March 1994.
- Written and audiovisual materials that are informative, simple to understand, and useful while containing scientifically valid information.
- Relationship of high blood pressure and other risk factors, such as family history, tobacco use, high fat and unhealthful diet, insufficient exercise, in the development of cardiovascular disease, including stroke, kidney disease, heart attack, and other diseases.
- Definition and causes of high blood pressure.
- Importance of following prescribed treatment.
Blood Pressure Measurement and Education
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