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BP Monitoring at Home: No Pressure Patient Education

Teaser: 

Dr. Marina Abdel Malak, MD, CCFP, BSc.N,

is a Family Physician in Mississauga, Ontario. She has served on several committees and groups, including The Primary Care Network and Collaborative Mental Health Network. She has a passion for medical education, patient empowerment, and increasing awareness about the relationship between mental, emotional, and physical health. Dr. Abdel Malak is highly involved in quality improvement initiatives, and her research interests include strategies to support physician wellness, patient self-management, and optimizing physician education.

CLINICAL TOOLS

Abstract: Hypertension is increasingly common—and it is treatable. However, this requires frequent monitoring in order to titre medications, ensure optimal control, and prevent complications. Educating patients on how to monitor their blood pressure at home is central to managing hypertension. This article explores specific advice physicians can give their patients on when and how to monitor their blood pressure at home, and provides resources to use in practice.
Key Words: Hypertension, patient education, monitoring, blood pressure.
1) At-home monitoring by patients has been shown to improve HTN control and prevent complications.
2) Hypertension Canada recommends patients aim to measure their BP about once every month for for one week recording their readings in a log.
3) Patients should check their BP at the same time of day, preferably in the morning after medications, but before consuming alcohol or caffeine, or smoked, or exercised, in the past half hour.
4) Patients need to know what signs and symptoms to report to their physician regarding their BP.
Educating patients on monitoring their BP at-home between their medical visits is crucial.
Lifestyle changes are also important. Physical activity, smoking cessation, and a balanced diet are essential in maintaining BP control.
At every visit, physicians should review monitoring with their patients, lifestyle counselling, and medication adherence.
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Mobile Phones Allow Remote Patient Monitoring

Mobile Phones Allow Remote Patient Monitoring

Teaser: 

Innovative applications of the mobile phone are quickly emerging in clinical practice as a time- and money-saving tool for physicians and patients alike. Physicians from Graz's University Medical School in Austria have successfully monitored from afar the blood pressures and heart rates of 25 people with hypertension using mobile phones. In the comfort of their own homes, patients entered key values, including blood pressure, pulse and body weight, on a regular basis into their mobiles using a specially developed software program. Immediately, physicians were informed of a patient's vitals, while the software alerted them to intervene if a patient's values became too high or too low. Patients, in turn, were able to receive almost instant remote advice from their physicians.

Meanwhile, researchers in the U.K. are preparing a pilot study of remote monitoring of asthmatics via mobile phone. A newly developed device hooks a peak flow meter up to a mobile phone that gathers, records and submits accurate asthma data in real-time to physicians. Furthermore, an electronic diary enables patients to describe, and then transmit, their symptoms on a daily basis. At any time, GPs or nurses have access to their patients' data stored on the server, allowing them to monitor their patients' conditions with up-to-date, accurate and reliable data. Initially, 100 asthmatics will receive the mobile device for the duration of the trial. Researchers hope the innovation will provide a more efficient, proactive management of asthma and perhaps help understand the relationships between symptoms and a patient's environment, by analysing whether symptoms are exacerbated at home or at work.