Interventions for Hypertensive heart disease

Download:

Filtering by:

Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Provide Information/create awareness on hypertensive heart disease, including prevention measures Provide information to women/families on gestational hypertension Provision of IEC materials Community Health workers training on hypertensive Heart disease including prevention measures	Promote ANC attendance -to receive antenatal education so that they are aware of the symptoms associated with pre-eclampsia, its importance and the need to obtain medical advice. Advice to pregnant women to seek medical advice if they experience symptoms such as severe headache; blurred vision or flashing before the eyes, Vomiting, Sudden swelling of the face, hands or feet. Guidance on healthy eating i.e.eating balanced healthy diets –low fat and Low sodium intake Guidance on Physical activities and physical exercises Advice on the need for adequate rest-including adequate sleep Avoidance of smoking tobacco Cessation of alcohol use Maintaining a healthy body weight Monitor blood pressure and cholesterol levels Community level screening for high blood pressure, Community level Screening for diabetes mellitus		Recognition of symptoms associated with hypertension in pregnancy including Severe headache; blurred vision or flashing before the eyes, vomiting, Sudden swelling of the face, hands or feet Immediate referral to a health facility for management	Home based physical rehabilitation services/physical exercise to promote healthy living	Psychosocial support for the pregnant women with hypertensive heart disease (gestational hypertension/pre-existing hypertension and their families to prevent anxiety, depression and stress.that may be associated with living with the condition Joining a patient support group seeking support from family and friends
Primary Care
	Antenatal education to pregnant women so that they are aware of the symptoms associated with pre-eclampsia, Advice to pregnant women to seek medical advice if they experience symptoms such as severe headache: blurred vision or flashing before the eyes, Vomiting, Sudden swelling of the face, hands or feet. Guidance on healthy eating i.e.eating balanced healthy diets –low fat and Low sodium intake Guidance on Physical activities and physical exercises Advice on the need for adequate rest-including adequate sleep Avoidance of smoking tobacco Cessation of alcohol use Maintaining a healthy body weight Monitor blood pressure and cholesterol levels Screening for high blood pressure, Screening for diabetes mellitus		Recognition of symptoms associated with hypertension in pregnancy including Severe headache, blurred vision or flashing before the eyes, vomiting, Sudden swelling of the face, hands or feet Stabilize the patient Immediate referral to a hospital for management Follow up	Physical rehabilitation services/physical exercise to promote healthy living	Psychosocial support for pregnant women hypertensive heart disease and their families to prevent anxiety, depression and stress that may be associated with living with the condition Linkage with a patient support group
Referral Facility: General
	Antenatal education to pregnant women so that they are aware of the symptoms associated with pre-eclampsia, Advice to pregnant women to seek medical advice if they experience symptoms such as severe headache: blurred vision or flashing before the eyes, Vomiting, Sudden swelling of the face, hands or feet. Guidance on healthy eating i.e.eating balanced healthy diets –low fat and Low sodium intake Guidance on Physical activities and physical exercises Advice on the need for adequate rest-including adequate sleep Avoidance of smoking tobacco Cessation of alcohol use Maintaining a healthy body weight Monitor blood pressure and cholesterol levels Screening for high blood pressure, Screening for diabetes mellitus		Management of gestational hypertension or pre-existing hypertension in pregnant women based on severity and gestational age Non-pharmacological management including close supervision, advice on limitation of activities, and some bed rest Use of Nutritional supplements eg folic acid Review of medication accordingly for mother with pre-existing hypertension Blood pressure control in pregnant women Admissions for women with moderate to severe gestational or pre-existing hypertension Regular testing of proteinuria Blood tests-full blood count, renal and liver function test Monitoring foetal growth-ultrasound examination Follow up Post-natal monitoring	Physical rehabilitation services/physical exercise to promote healthy living	Psychosocial support for pregnant women with hypertensive heart disease and their families to prevent anxiety, depression and stress that may be associated with living with the condition Linkage with a patient support group
Referral Facility: Specialist
	Antenatal education to pregnant women so that they are aware of the symptoms associated with pre-eclampsia, Advice to pregnant women to seek medical advice if they experience symptoms such as severe headache: blurred vision or flashing before the eyes, Vomiting, Sudden swelling of the face, hands or feet. Guidance on healthy eating i.e.eating balanced healthy diets –low fat and Low sodium intake Guidance on Physical activities and physical exercises Advice on the need for adequate rest-including adequate sleep Avoidance of smoking tobacco Cessation of alcohol use Maintaining a healthy body weight Monitor blood pressure and cholesterol levels Screening for high blood pressure, Screening for diabetes mellitus		Management of gestational hypertension or pre-existing hypertension in pregnant women based on severity and gestational age Non-pharmacological management including close supervision, advice on limitation of activities, and some bed rest Use of Nutritional supplements eg folic acid Review of medication accordingly for mother with pre-existing hypertension Blood pressure control in pregnant women Admissions for women with moderate to severe gestational or pre-existing hypertension Regular testing of proteinuria Blood tests-full blood count, renal and liver function test Monitoring foetal growth-ultrasound examination Follow up Post-natal monitoring	Physical rehabilitation services/physical exercise to promote healthy living	Psychosocial support for pregnant women with hypertensive heart disease and their families to prevent anxiety, depression and stress that may be associated with living with the condition Linkage with a patient support group

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community engagement/sensitization on risk factors for Hypertension and preventive measures such as weight control, regular exercise, healthy diet, and stress management	Healthy life style: healthy weight, physically active, no alcoholic drink or in moderation, no smoking, eat vegetables and fruits Integration of hypertension screening and treatment program into community services	Community based blood pressure screening	Tobacco cessation Decreased alcohol use Increased physical activity Referral to the next level health facility	Home-based self-management rehabilitation Physical exercise	Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
Primary Care
Patient education on the risks of uncontrolled blood pressure and treatment compliance	Screening and treatment of CVD risk factors	History Physical exam Blood pressure measurement	Tobacco cessation Decreased alcohol use Increased physical activity Low sodium diet Thiazide diuretics	Self-management education Physical exercise	Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
Referral Facility: General
Patient education on the risks of uncontrolled blood pressure and treatment compliance	Screening and treatment of CVD risk factors	History Physical exam Ophthalmic exam EKG Basic metabolic panel Lipid Panel CBC Urinalysis Thyroid function tests	Tobacco cessation Decreased alcohol use Increased physical activity Low sodium diet Thiazide diuretics Angiotensin-converting enzyme inhibitors/ angiotensin receptor blockers Calcium channel blockers	Self-management education Physical exercise	Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
Referral Facility: Specialist
Patient education on the risks of uncontrolled blood pressure and treatment compliance	Screening and treatment of CVD risk factors	History Physical exam Ophthalmic exam EKG Basic metabolic panel Lipid Panel CBC Urinalysis Thyroid function tests	Tobacco cessation Decreased alcohol intake Increased physical activity Low sodium diet Thiazide diuretics Angiotensin-converting enzyme inhibitors/ angiotensin receptor blockers Calcium channel blockers	Self-management education Physical exercise	Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Community engagement/sensitization on risk factors for Hypertension and preventive measures such as weight control, regular exercise, healthy diet, and stress management	Healthy life style: healthy weight, physically active, no alcoholic drink or in moderation, no smoking, eat vegetables and fruits Integration of hypertension screening and treatment program into community services	Community based blood pressure screening	Home-based self-management rehabilitation Physical exercise	Home based physical rehabilitation services/physical exercise to promote healthy living	Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
Primary Care
Patient education on the risks of uncontrolled blood pressure and treatment compliance	Screening and treatment of CVD risk factors	History Physical exam Blood pressure measurement	Tobacco cessation Decreased alcohol use Increased physical activity Low sodium diet Thiazide diuretics	Self-management education Physical exercise	Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
Referral Facility: General
Patient education on the risks of uncontrolled blood pressure and treatment compliance	Integrated counselling on healthy diet, physical activity, weight management, and alcohol and tobacco use Regular outpatient check-ups	History Physical exam Ophthalmic exam EKG Basic metabolic panel Lipid Panel CBC Urinalysis Thyroid function tests	Tobacco cessation Decreased alcohol use Increased physical activity Low sodium diet Thiazide diuretics Angiotensin-converting enzyme inhibitors/ angiotensin receptor blockers Calcium channel blockers	Self-management education Physical exercise	Emotional, social, spiritual assessment and support based on cultural needs, values and preferences of patients and families
Referral Facility: Specialist
Patient education on the risks of uncontrolled blood pressure and treatment compliance	Screening and treatment of CVD risk factors	History Physical exam Ophthalmic exam EKG Basic metabolic panel Lipid Panel CBC Urinalysis Thyroid function tests	Tobacco cessation Decreased alcohol intake Increased physical activity Low sodium diet Thiazide diuretics Angiotensin-converting enzyme inhibitors/ angiotensin receptor blockers Calcium channel blockers	Physical rehabilitation services/physical exercise to promote healthy living	Psychosocial support for elderly persons with hypertensive heart disease and their families to prevent anxiety, depression and stress that may be associated with living with the condition Linkage with a patient support group