Related Experiment Videos
Management of patients with hypertension: a hypertension clinic model
1Division of Hypertension and Internal Medicine, Mayo Clinic Rochester, MN 55905.
Insights
A multidisciplinary team approach, including nurses and dietitians, effectively manages outpatients with hypertension. This system empowers patients in their care, leading to better hypertension control and reduced cardiovascular disease risks.
Area of Science:
- Cardiology
- Public Health
- Clinical Management
Background:
- Hypertension requires effective outpatient management strategies.
- The Mayo Clinic's Division of Hypertension established a dedicated clinic to address this need.
Purpose of the Study:
- To describe a successful system for managing outpatients with hypertension.
- To evaluate the effectiveness of a team-based approach in hypertension care.
Main Methods:
- Review of the Hypertension Clinic's establishment and operational model.
- Evaluation of team roles (specialists, nurses, dietitians, educators) and patient engagement.
- Comparison of patient types managed within the program.
Main Results:
- Optimal hypertension control achieved through a collaborative team approach.
- Patients actively participate in medication adherence, lifestyle changes, and symptom reporting.
- Successful management across diverse patient groups, including short-term, long-term, and post-liver transplant individuals.
Conclusions:
- The team approach provides robust support for outpatient hypertension management.
- This system leads to decreased morbidity and mortality associated with hypertension and cardiovascular disease.
Objective:
To describe a successful system for managing outpatients with hypertension.
Design:
The establishment of a Hypertension Clinic in the Division of Hypertension at the Mayo Clinic was reviewed.
Material And Methods:
The assignment of responsibilities in the use of a team approach was evaluated, and the various types of patients encountered were compared.
Results:
Our experience has shown optimal control of hypertension in outpatients with use of a team approach, including hypertension medical specialists, nurses, dietitians, and nurse-educators. Patients also assume an active role in their own care, particularly for compliance with medications and recommended lifestyle changes, attendance at the Hypertension Clinic for follow-up monitoring, and reporting of symptoms or side effects of drugs. Individual goals are established, and patients are managed by the nurse-clinicians. The physician reviews each patient's course at regular intervals or as needed for specific situations. Short-term patients, long-term patients, and those undergoing liver transplantation have successfully participated in this type of a program.
Conclusion:
The team approach for management of outpatients with hypertension effectively provides a support system for prompt attention to any questions or medical problems that arise. With such an approach, decreased morbidity and mortality from hypertension and associated cardiovascular disease have been achieved.