Learn how to properly monitor, document, and assist in managing high blood pressure as a patient care technician.
Managing hypertension (high blood pressure) is an important part of a patient care technician's role.
As the frontline caregiver, you can make a big impact on your patients' health by monitoring their blood pressure and helping them follow their treatment plan.
In this comprehensive guide, we'll cover everything you need to know to provide excellent care for patients with hypertension.
Hypertension affects nearly half of adults in the United States. As a patient care technician, you'll work with many patients who are managing this common condition.
Blood Pressure Goals
For most patients, the goal is to maintain blood pressure below 130/80 mm Hg.
For patients with diabetes or chronic kidney disease, the goal is even lower - below 120/80 mm Hg.
Work with nurses to understand the specific parameters for each of your patients.
When taking vitals, be sure to follow proper procedure every time:
Have the patient relax and sit quietly for 5 minutes prior to measurement. Legs should be uncrossed with feet flat on the floor.
Use the correct cuff size for the patient's arm. An ill-fitting cuff can lead to inaccurate readings.
Take measurements at the same time each day when possible, usually in the morning before medications.
Take two readings 1-2 minutes apart and document the average.
Lifestyle Modifications
As a patient care tech, you are in a great position to educate and encourage patients to make lifestyle changes to improve blood pressure control:
Promote a heart-healthy diet - High in fruits, vegetables, whole grains, lean protein. Low in salt, saturated fat, and added sugars.
Encourage regular physical activity - Aim for 30-60 minutes most days. Walking is excellent cardiovascular exercise.
Stress management - Teach techniques like meditation, yoga, or deep breathing. Unmanaged stress can raise blood pressure.
Healthy weight - Losing as little as 5-10 lbs can make a significant impact on blood pressure.
Limit alcohol - Heavy drinking can raise blood pressure over time.
Reinforce these messages by being a positive role model. Small daily interactions can have a big influence over time.
Medication Adherence
Many patients with hypertension need to take medications daily to control their blood pressure.
As their most frequent caregiver, you play a key role in medication adherence - making sure patients understand and properly follow their regimen.
Here are some tips:
Check understanding - Don't assume knowledge. Ask patients to explain when and how to take each med. Clarify any confusion.
Simplify the regimen - If a patient is struggling with a complex regimen, consult with nurses to see if it can be simplified.
Use reminders - Suggest methods like phone alarms or pill boxes to help patients remember doses.
Reinforce at each interaction - Ask whether they've taken all doses. Praise adherence and encourage it.
Watch for side effects - Report concerns like dizziness or fainting that may indicate issues.
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