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Related Concept Videos

Hypertension V: Nursing Management01:23

Hypertension V: Nursing Management

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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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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.
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Pulse rhythm01:30

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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
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Hypertension III: Clinical Manifestations and Diagnostic Studies01:30

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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 IV: Drug Therapy and Lifestyle Modifications01:28

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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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Holter Monitor: 24-Hour Monitoring01:23

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Holter monitoring is a continuous electrocardiography (ECG) recording that tracks the heart's electrical activity over an extended period, generally 24 to 48 hours. This noninvasive diagnostic tool detects irregular heart rhythms that may not be captured during a standard ECG performed in a clinical setting.DeviceThe Holter monitor is a portable, small device connected to several electrodes on the patient's chest. These electrodes detect the heart's electrical signals and transmit them to the...
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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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Implementation of Remote Patient Monitoring for Hypertension Management.

David R Boston1, Rose Gunn1, Shelby L Watkins1

  • 1From the PeaceHealth Cardiovascular, Vancouver, WA, USA (DRB); OCHIN, Inc. Portland, OR, USA (RG, SLW, RG, SN, LC); Kaiser Permanente Center for Health Research, Portland, OR, USA (CM).

Journal of the American Board of Family Medicine : JABFM
|October 20, 2025
PubMed
Summary
This summary is machine-generated.

Providing home blood pressure (BP) kits alone is insufficient for remote patient monitoring (RPM) success. Health centers need adequate resources and streamlined operations to effectively manage hypertension using RPM technology.

Keywords:
Blood PressureDisease ManagementElectronic Health RecordsHypertensionPatient MonitoringSmartphoneTelemedicine

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Area of Science:

  • Cardiovascular Disease Research
  • Health Informatics
  • Public Health Interventions

Background:

  • Uncontrolled hypertension is a major reversible risk factor for cardiovascular disease.
  • Remote patient monitoring (RPM) offers an effective strategy for improving blood pressure (BP) control.
  • The COVID-19 pandemic accelerated the adoption of virtual care and RPM for chronic disease management.

Purpose of the Study:

  • To evaluate the effectiveness of providing home BP kits (BP cuffs, smartphones, cellular data) for RPM implementation.
  • To identify facilitators and barriers to RPM uptake in community-based health centers.
  • To assess the impact of federal funding for virtual care expansion on RPM utilization.

Main Methods:

  • A mixed-methods analysis was conducted across 18 health centers receiving BP kits.
  • Electronic health record (EHR) data from 2020-2023 were analyzed.
  • Semistructured interviews with staff and patients, and observational field notes provided qualitative insights.

Main Results:

  • 56% of health centers initiated RPM with at least 5 patients.
  • Only 16% of patients with RPM orders provided meaningful BP data.
  • Inadequate resources and operational complexity were key barriers to RPM program success.

Conclusions:

  • Free RPM hardware and data plans are insufficient without adequate support resources.
  • Successful RPM implementation requires addressing health center resource limitations and operational challenges.
  • Community-based health centers need comprehensive support to effectively utilize RPM for hypertension management.