Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Hypertension IV: Drug Therapy and Lifestyle Modifications01:28

Hypertension IV: Drug Therapy and Lifestyle Modifications

624
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...
624
Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

365
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.
365
Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

Hypertension III: Clinical Manifestations and Diagnostic Studies

471
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...
471
Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

1.3K
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...
1.3K
Hypertension and Regulation of Blood Pressure01:18

Hypertension and Regulation of Blood Pressure

3.8K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.8K
Heart Failure V: Medical Management01:30

Heart Failure V: Medical Management

223
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
223

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Value frameworks for digital health technologies: a comparative analysis.

Journal of medical economics·2026
Same author

Opioid prescribing practices in the U.S. and subsequent falls: a scoping review protocol.

Systematic reviews·2026
Same author

The impact of integrative pain management courses on provider attitudes, confidence, and prescribing patterns for patients with pain.

The American journal of medicine·2026
Same author

Investigating the correlation between student pharmacist admissions data and pharmacy course grades at a college of pharmacy in the United States.

Currents in pharmacy teaching & learning·2025
Same author

Pharmacy Students' Initial Interest in Working With Older Adults and Their Relationship to Change in Attitudes After Required Curricula on Aging.

The Senior care pharmacist·2025
Same author

Association between Opioid-Benzodiazepine Trajectories and Injurious Fall Risk among US Medicare Beneficiaries.

Journal of clinical medicine·2024

Related Experiment Video

Updated: Jan 17, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

8.0K

Developing decision support algorithm for hypertension medications for use in a digital therapeutic system.

Jeannie K Lee1, J Skye Nicholas1, Amani Albadawi1

  • 1Department of Pharmacy Practice & Science, The University of Arizona R. Ken Coit College of Pharmacy, Tucson, AZ, United States.

Frontiers in Drug Safety and Regulation
|September 22, 2025
PubMed
Summary

Older adults can now safely manage missed hypertension medications with a new digital tool. The Medication Education, Decision Support, Reminding, and Monitoring (MEDSReM©) system provides a safe window for taking overdue doses, improving adherence.

Keywords:
decision supportdigital therapeutichypertensionmedication adherencemissed doseolder adults

More Related Videos

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

12.3K
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

4.9K

Related Experiment Videos

Last Updated: Jan 17, 2026

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis
07:51

Hydra, a Computer-Based Platform for Aiding Clinicians in Cardiovascular Analysis and Diagnosis

Published on: September 26, 2018

8.0K
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

12.3K
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

4.9K

Area of Science:

  • Gerontology
  • Digital Health
  • Pharmacology

Background:

  • Adherence to hypertension medications is a significant challenge for older adults.
  • Limited guidance exists on managing missed doses, leading to potential non-adherence or overdosing fears.

Purpose of the Study:

  • To develop and implement a decision support algorithm for missed hypertension medications within a digital therapeutic system.
  • To facilitate self-management of hypertension and blood pressure in older adults.

Main Methods:

  • A literature review of clinical, pharmacokinetic, and pharmacodynamic studies informed the algorithm development.
  • The algorithm was peer-reviewed and integrated into the Medication Education, Decision Support, Reminding, and Monitoring (MEDSReM©) system.
  • Case scenarios were used to code the algorithm into the mobile application.

Main Results:

  • The MEDSReM© system includes 117 hypertension medications and combination products.
  • A programmed 'safe window' for taking missed or overdue medications is provided for each drug.
  • The app offers 'take, snooze, and skip' options, with guidance for doses taken outside the safe window.

Conclusions:

  • The MEDSReM© decision support algorithm offers a novel, older adult-centered intervention for managing missed hypertension medication doses.
  • This time-specific digital therapeutic supports informed decision-making, potentially improving adherence and reducing medication-related anxiety.