Universal Support For Self Management Of Blood Pressure And Hypertension Prevention

Funom Makama By Funom Makama, 21st Mar 2014 | Follow this author | RSS Feed
Posted in Wikinut>Health>General Health>Diseases & Infections

Various authorities throughout the world have recommended the use and application of self measurement of the blood pressure. World organizations such as WHO , ISH and even ESH are a few among the so many others.

Large Health Organisations

World Health Organization (WHO) in 1986: This has the undoubted advantage of providing numerous measurements taken in a more relaxed setting than the physician’s office or outpatient clinic. Patients or their relations should receive appropriate instructions in order to ensure reliable measurements”.

: “The advantages of home blood pressure measurements are: it may provide numerous values on different days in a setting closer to daily life conditions than the doctor’s office. It may also favourably affect patient’s perception of their “hypertension” problems and improve adherence to treatment. It may therefore be a valuable adjunct for checking the effectiveness of treatment”

It can be concluded that self measurement of BP is used to supplement information for diagnostic and therapeutic decisions. It is useful in investigating BP variability, behavioural influences on arterial pressures and the effectiveness of antihypertensive therapy over time. In particular, it provides numerous values, improves accuracy of diagnosis, removes false labeling, reduces white coat effect, improves compliance and adherence and indeed helps in screening and early detection of hypertension.

Widespread application is encouraged and it is therefore recommended for use in every office, every home, corporate bodies, social groups and by health care professionals.

Prevention Of Hypertension

The goals in preventing hypertension are as follows:
• To reduce the occurrence of hypertension in the community.
• To promote lifestyle changes which reduces risks of developing hypertension to detect and treat secondary causes of hypertension.

Primordial Prevention: This is a logical approach to prevent the emergence or enthronement of unhealthy lifestyle in the community and to retain the health promoting aspects of the traditional way of life.

The population based strategy in practical application involved alteration of human behaviours leading to risk factors. When the population based strategy is implemented before risk factor become highly prevalent in a population, it is called primordial prevention. This required action is at two levels.
• At the natural level to arouse political and public awareness of the problems of cardiovascular diseases.
• At the technical and scientific level to monitor risk factor trends in the population.

Health education is important. People who do not have hypertension should continue to receive health education to adopt lifestyles that promote good health. Also, all pregnant women must receive antenatal care during which their blood pressure should be measured regularly. In fact, they should ensure that they have good blood pressure levels before becoming pregnant. All members of the community (young and old) should have their blood pressure checked regularly especially the “at-risk individuals” who should have their BP checked even more frequently.

Primary Prevention Of Hypertension

To reduce or modify the risk factors that are already present in both individual and the community and thus forestalls the development of the overt disease. Blood pressure control is the main thrust of primary prevention. Current recommendations for primary population based approach and an intensive targeted approach. Six approaches with proven efficiency for prevention of hypertension are:
• Engage in moderate physical activities
• Maintain normal body weight
• Limit alcohol consumption
• Reduce salt intake
• Maintain adequate intake of potassium
• Consume a diet rich in fruits, vegetables and low in fat dairy products and reduced in saturated and total fat.

Applying these approached to the general population as a component of public health and clinical practice can help prevent blood pressure from increasing and can help decrease elevated blood pressure levels for those with high normal blood pressure or hypertension.

Secondary Prevention Of Hypertension

This involves management of the complications like stroke, heart failure and kidney failure. All these constitute great burden to the victims, their families and indeed the society. It is my hope that preventive measures should be urgently and seriously addressed so that nobody will wait until it degenerates to this level especially as we have many potential victims in our society today.

Role Of Physicians
WHO stated that physicians must be prepared to initiate preventive activities in the community. Furthermore, they should be willing to serve as leaders and coordinators of preventive programs.

For more interesting and very important health related and medical articles, click on the links below
1. General Considerations, Clinical And Medical Classifications Of Anemia
2. Heart Failure: Definition, Detailed Causes And Precipitating Factors Of Cardiac Failure
3. Special Investigations In Cardiology II: The Significance Of Echocardiography
4. Clinical Significance And Health Importance On The Actions Of Adrenocorticotropic Hormone (ACTH) On The Adrenal Cortex

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