Loading...
Improving Knowledge and Competency of Self-Monitored Blood Pressure in Older Adults
Tang, Edna Koh Hwa Keiffer, Melanie
Tang, Edna Koh Hwa
Keiffer, Melanie
Citations
Altmetric:
License
License
DOI
Abstract
Background. The risk for developing uncontrolled hypertension increases with age. Hypertension remains under-controlled and underdiagnosed in rural areas. This trend is exacerbated by the COVID-19 pandemic due to decreases in primary care visits, increases in telehealth visits, and a significant decline in assessment of blood pressure. Evidence reveals that telemedicine in conjunction with self-monitored blood pressure (SMBP) are proven tools to support patients and providers in the remote management of hypertension. Purpose. This project aimed to improve utilization of self-monitored blood pressure (SMBP) for management of hypertension in older adults (65 years and older) and accuracy of self-reported results at a nurse practitioner-led primary care clinic. Methods. Standardized protocols for SMBP were developed, deployed, and evaluated at a primary care clinic in a city in Northwestern Vermont. Interventions included the development of protocols for provider initiation of SMBP and a nurse-driven telemedicine follow-up with patients after initiation of SMBP. Patient knowledge of SMBP and patient performance of SMBP technique using an evidence-based competency checklist were evaluated (n=12). Results. The intervention resulted in an increase in mean patient knowledge assessment score and improved patient SMBP competency post-intervention. Conclusion. Implementing evidence-based protocols and interventions, and nurse-driven follow-up, enhances the effectiveness of SMBP as a tool to manage hypertension in older adults. Further study to evaluate the accuracy of SMBP to guide diagnosis and treatment in older adults is warranted.
Description
Date
2022-01-01
Journal Title
Journal ISSN
Volume Title
Publisher
Files
Loading...
Tang_03_15_22_Poster.pdf
Adobe PDF, 1.37 MB