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Related Concept Videos

Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

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Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
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Hypertension V: Nursing Management01:23

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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

Hypertension IV: Drug Therapy and Lifestyle Modifications

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Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
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Errors occurring during blood pressure monitoring01:25

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Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
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Pre-Procedural Guidelines for Assessing Blood Pressure01:10

Pre-Procedural Guidelines for Assessing Blood Pressure

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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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Assessment of the Cardiovascular System I: Subjective Data01:23

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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
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Inquire about symptoms...
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Updated: Nov 10, 2025

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
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Shared decision making in consultations for hypertension: Qualitative study in general practice.

Rachel Johnson1, Katrina Turner1, Gene Feder1

  • 1Centre for Academic Primary Care, Population Health Sciences, Bristol Medical School, Bristol, UK.

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|April 5, 2021
PubMed
Summary

Shared decision making for hypertension in primary care is limited. Patients often lack understanding of their condition and treatment options, hindering effective shared decision making during consultations.

Keywords:
decision makinghypertensionprimary health carequalitative researchshared

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Area of Science:

  • Primary Care Medicine
  • Health Services Research
  • Qualitative Research

Background:

  • Hypertension management predominantly occurs in primary care settings.
  • Shared decision making (SDM) is a recommended approach for treatment decisions.
  • Limited detailed investigation exists on SDM within primary care hypertension consultations.

Purpose of the Study:

  • To explore patient and clinician experiences of SDM for hypertension in primary care.
  • To identify barriers and facilitators for effective SDM.
  • To propose strategies for enhancing SDM support in this context.

Main Methods:

  • Longitudinal qualitative study design.
  • Involved observations of clinical consultations and interviews with patients and healthcare practitioners.
  • Thematic analysis of audio-recorded consultations and interviews.

Main Results:

  • Minimal SDM was observed or reported by participants.
  • Patients frequently had limited understanding of hypertension and available treatment choices.
  • Consultation structures and decision distribution restricted opportunities for patient engagement and shared understanding.

Conclusions:

  • Enhancing SDM requires consultations that facilitate patient learning about hypertension.
  • Patients need to be aware of treatment options to engage in decision-making.
  • Clinicians and patients must have opportunities to discuss and understand treatment choices collaboratively.