Research published in 2011 suggests that some of the main reasons patients do not adhere to treatment plans include: 5 Denial of the problem: Many diseases and conditions are easy to ignore, even when they have been diagnosed.
Do patients'priorities affect quality in the care of hypertensive patients?
All of this led to the conclusion that knowing patients' priorities regarding the most important aspects of care that have high potential for low compliance may be helpful in improvement of the quality in the care of the hypertensive patient. We thank the practice staff and the patients who participated in the study.
Why don’t patients take their antihypertensives?
In a German study, the second most common reason for non-compliance with antihypertensive therapy was adverse effects (Dusing et al 1998). The effect of side effects on compliance may be explained in terms of physical discomfort, skepticism about the efficacy of the medication, and decreasing the trust in physicians (Christensen 1978).
What factors influence treatment compliance for hypertensive patients?
Factors identified as influencing treatment compliance fell into three categories: beliefs and attitudes about antihypertensive drugs; beliefs and attitudes about hypertension; and clinical encounters. Fears were expressed about the long-term use of antihypertensive medication and the possibility of being stuck with it for the rest of one's life.
How do patients acquire knowledge about hypertension?
The knowledge which the majority of patients had regarding hypertension had been acquired from sources other than the physician, such as magazines, TV programmes on health or talking to other people. As a result, a strong need for further knowledge, provided by the physician, is identified by many subjects.
How does hypertension affect quality of care?
Our data suggest that quality of care for hypertensive patients falls short of the ideal. Overall, patients received about 72% of recommended essential care processes, and 77% of patients with persistently elevated blood pressure had some change in therapy noted in the medical record over the course of two years.
What does a hypertensive patient often complain of?
The symptoms more often associated with high BP were headache (36.3%), dizziness (28.8%) and chest pain (22.5%).
What are some safety considerations for hypertension?
Prevent High Blood PressureEat a Healthy Diet. Choose healthy meal and snack options to help you avoid high blood pressure and its complications. ... Keep Yourself at a Healthy Weight. ... Be Physically Active. ... Do Not Smoke. ... Limit How Much Alcohol You Drink. ... Get Enough Sleep. ... References.
What is the management for hypertensive patients?
First-line medications used in the treatment of hypertension include diuretics, angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs), beta-blockers, and calcium channel blockers (CCBs). Some patients will require 2 or more antihypertensive medications to achieve their BP target.
When treating a patient with hypertensive crisis which finding is the initial goal of treatment?
In a hypertensive emergency, the first goal is to bring down the blood pressure as quickly as possible with intravenous (IV) blood pressure medications to prevent further organ damage. Whatever organ damage has occurred is treated with therapies specific to the organ that is damaged.
What is the most common cause of hypertensive crisis?
What are the causes of hypertensive crisis? The most common cause of hypertensive emergency is an abrupt increase in blood pressure in patients with chronic hypertension. Medication noncompliance is a frequent cause of such changes.
What is interprofessional care for hypertension?
Team-based care for hypertension includes the patient, the patient's primary care provider, and other professionals, such as cardiologists, nurses, pharmacists, physician assistants, dietitians, social workers, and community health workers.
What are the nursing responsibilities in monitoring hypertension?
Nursing Priorities Maintain/enhance cardiovascular functioning. Prevent complications. Provide information about disease process/prognosis and treatment regimen. Support active patient control of condition.
What is the nursing care plan for hypertension?
Nursing care planning goals for hypertension include lowering or controlling blood pressure, adherence to the therapeutic regimen, lifestyle modifications, and prevention of complications.
What are the most current guidelines for managing hypertension?
The 2017 AHA/ACC guidelines recommend lifestyle modification for adults with stage 1 HTN and low 10-year cardiovascular risk. They recommend repeat interval blood pressure measurement every 3 to 6 months, but do not provide guidance for intervention if blood pressure remains above target (<130/<80 mm Hg).
Why is hypertension management important?
Reducing hypertension prevents heart attack, stroke, and kidney damage, as well as other health problems.
Why should hypertension be treated?
Hypertension, or high blood pressure, is dangerous because it can lead to strokes, heart attacks, heart failure, or kidney disease.
Why don't patients follow treatment plans?
Reasons Patients Don't Comply. Research published in 2011 suggests that some of the main reasons patients do not adhere to treatment plans include: 5 . Denial of the problem: Many diseases and conditions are easy to ignore, even when they have been diagnosed. This is particularly true for diseases that are asymptomatic, ...
What happens if you don't follow through with your doctor?
Needless to say, when patients don't follow through with the treatment decisions they have made together with their physicians, it can cause additional problems. They may not get over their sickness or injury. They may get even sicker or injure themselves further—or worse.
How to keep a medicine calendar?
Keep a "medicine calendar" near your medicine: Make a checkmark every time you take your dose. Tell your doctor if paying for prescription drugs is a problem: Your doctor may be able to prescribe a generic medication or offer other suggestions to offset the cost of a drug. (Generic drugs can cost 80 to 85% less .)
What to do if you are not following through on a drug?
If you find yourself tempted not to follow through on your treatment, contact your doctor to share your reasons, and together, to the extent it's possible, work out an alternative you both can agree on.
Can you get insurance for a syphilis?
The cost of the treatment: Your medications and therapies may or may not be covered by insurance, and the more out-of-pocket costs you have, the less likely you are to buy the drugs or make treatment appointments.
Do kidney transplant patients take anti-rejection medications?
Even those at high risk of serious complications often resist following treatment regimens. A 2016 study found that a third of kidney transplant patients don’t take their anti-rejection medications. 3 An estimated 50% of patients with cardiovascular disease and its major risk factors have poor adherence to prescribed medications. 4 .
Can you take prescriptions as directed 2021?
Updated on February 24, 2021. It may seem obvious, even non-negotiable, that if your doctor gives you a prescription, you'll have it filled by your pharmacist and you'll take it as directed; if he or she gives you a referral to a specialist or recommends lifestyle changes, you'll follow through.