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Hypertension V: Nursing Management

The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
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Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

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Related Experiment Video

Updated: Jun 16, 2026

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
04:37

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension

Published on: June 6, 2025

Medication reconciliation and hypertension control.

Stephen D Persell1, Stacy Cooper Bailey, Joyce Tang

  • 1Division of General Internal Medicine, Institute for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, Ill, USA. spersell@nmff.org

The American Journal of Medicine
|January 28, 2010
PubMed
Summary
This summary is machine-generated.

Medication list discrepancies are common in patients with hypertension. Inaccurate medication records are linked to uncontrolled blood pressure, highlighting the need for medication reconciliation.

Related Experiment Videos

Last Updated: Jun 16, 2026

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
04:37

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension

Published on: June 6, 2025

Area of Science:

  • Clinical Pharmacy
  • Cardiovascular Medicine
  • Health Disparities

Background:

  • Medication discrepancies between patient records and actual use are frequent.
  • The impact of these discrepancies on chronic disease management, particularly hypertension, remains unclear.

Purpose of the Study:

  • To assess the prevalence and types of antihypertensive medication discrepancies.
  • To determine the association between these discrepancies and uncontrolled blood pressure in adults treated for hypertension.

Main Methods:

  • Cross-sectional study involving 315 adult hypertension patients at safety-net clinics.
  • Data collected on patient-reported antihypertensive medications and medical record information.
  • Multivariate logistic regression used to analyze the link between discrepancies and uncontrolled blood pressure (BP ≥140/90 mmHg or ≥130/80 mmHg with diabetes).

Main Results:

  • High prevalence of discrepancies: 75.2% of patients had some form of discrepancy.
  • 25.7% could not name any antihypertensive medication; 49.5% reported medications differing from the medical record.
  • Both inability to name medications and discrepancies were significantly associated with uncontrolled blood pressure (aRR 1.66 and 1.51, respectively).
  • 12% of patients reported taking potassium-altering antihypertensives not documented in their record.

Conclusions:

  • Inability to recall antihypertensive medications and record discrepancies are highly prevalent in safety-net clinic populations.
  • These issues are strongly linked to inadequate hypertension control.
  • Point-of-care medication reconciliation is crucial for identifying at-risk patients and preventing poor disease control or safety issues.