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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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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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Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

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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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Hypertension I: Introduction01:28

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Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
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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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Hypertension and Regulation of Blood Pressure01:18

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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...
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Updated: Apr 10, 2026

Improved Home Blood Pressure Control by CT-guided Ozone-mediated Renal Denervation for Patients with Resistant Hypertension
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Community-based HyPertension Control (CHPC) in Nepal: Cluster randomized implementation trial protocol.

Archana Shrestha1,2,3,4, Sujata Sapkota2,5,6, Dinesh Timalsena6

  • 1Department of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal.

Public Health in Practice (Oxford, England)
|April 9, 2026
PubMed
Summary
This summary is machine-generated.

This study evaluated community-based hypertension control in Nepal, finding effective implementation strategies to reduce blood pressure. The research highlights the role of community health volunteers in managing hypertension and improving quality of life.

Keywords:
Female community health volunteersHypertensionImplementation trialNepal

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Area of Science:

  • Public Health
  • Implementation Science
  • Cardiovascular Disease Research

Background:

  • Hypertension is a significant global health challenge, particularly in low-resource settings.
  • Effective community-based interventions are crucial for managing hypertension and reducing its burden.
  • Nepal faces challenges in widespread hypertension control, necessitating innovative implementation strategies.

Purpose of the Study:

  • To evaluate the implementation (reach, adoption, fidelity, maintenance) of community-based hypertension control interventions in Nepal.
  • To assess the effectiveness of these strategies in reducing blood pressure.
  • To provide evidence on utilizing community health volunteers for hypertension management.

Main Methods:

  • A cluster randomized, hybrid type III effectiveness-implementation trial involving 102 health facilities in Nepal.
  • Intervention included community-based BP monitoring, lifestyle counseling, and medication adherence support.
  • Mixed-methods approach with quantitative (BP reduction) and qualitative (process evaluation) data collection.

Main Results:

  • The study is ongoing; final results on blood pressure reduction and implementation outcomes are pending.
  • Process evaluation will assess reach, adoption, implementation, and maintenance of the intervention strategies.
  • Cost-effectiveness analysis will be conducted.

Conclusions:

  • This trial will yield critical evidence on effective approaches for integrating community health volunteers into hypertension care.
  • Findings will inform strategies to mitigate hypertension burden and enhance quality of life in similar settings.
  • The study contributes to the understanding of implementation science in public health interventions.