Hypertension is prevalent worldwide and is responsible for nine million deaths annually. Despite its prevalence, a majority of patients go unmanaged or undiagnosed (Kitt et al., 2019). Health complications of hypertension can be life-altering and life-threatening; therefore, if changes are not made to improve community hypertension control rates, worsened population health and financial burden on health systems may persist. Would you believe that an effective tool exists and has been endorsed worldwide to combat hypertension, yet it is not used consistently in practice? Furthermore, can you imagine this specific tool is easy to operate, cheap, and recruits patient involvement in their care? This tool is home blood pressure monitoring (HBPM), and it has the potential to improve blood pressure control.
In caring for patients with hypertension and other cardiovascular diseases for over five years, it is astounding to realize how many patients that are treated for hypertension do not have a blood pressure monitor at home. This realization sparked interest in creating an evidence-based project that utilizes home blood pressure monitoring to improve blood pressure control. A project for change has been created based on the following PICOT question: In adult patients diagnosed with hypertension (P), how does home blood pressure monitoring (I) compared to no blood pressure monitoring (C) affect blood pressure (O) twelve weeks after diagnosis (T)?
This project outlines that patients will participate in HBPM each morning for a twelve-week (3 month) period. Patients will follow up at one-week, four-week, and twelve-week intervals either by telehealth visit or in clinic visit to ensure close monitoring and safety. To evaluate the outcomes of the intervention blood pressure readings will be calculated to determine a change in blood pressure readings and evaluate blood pressure control rates over twelve weeks.
Date of publication
MSN Capstone Project
Hughes, Bethany N., "Home Blood Pressure Monitoring" (2020). MSN Capstone Projects. Paper 72.