Women's Health Blood Pressure Intiative

Hypertensive Factors that affect women. Is it an uncared for problem?

By Charvel TosovNU 509 51Y - Health informatics

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BACKGROUNDI first started to have interest in factors related to women having increased hypertension because of the encounters I had noticing a gender disparity between males and females being treated.

And started to notice patterns in the responses given to me as well as the shock when they found out their pressure being > 140/90.

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The GoalTo increase awareness of hypertension in female clients about factors that affect their blood pressure and behaviors that can hinder or prevent them from disregarding their personal healthcare related to the following:

Physical changesMental view pointsEmotional Obligations

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The Steps to SuccessCreating a take home brochureEnsuring all the health care providers are aware resources available in the Department of Veteran Affairs. Utilize and offer these resources to help manage female patients with uncontrolled hypertension through several modalities. Contacting outlier female patients for follow-up.Having patients scheduled for nurse appointment for BP check.Notifying PCP and collaborating with Pharm D if needed. Placing consults for Move, Telehealth, Health Coaching and Nutrition as appropriate. Informing female patients on Yoga class schedule and how to sign up. Ensuring female patients have home BP monitors if needed.Providing patient education.Assisting in enrollment in MyHealthyVet. 4

The Pathway to Success for DWHP PACT TEAMS

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The WorkTotal woman contacted 122New women were identified as having HTN and their problem list was updated.36 nurse treatments7 telehealth sign ups3 Medication adjustments13 Health coaching enrollment17 Nutritional counseling12 BP cuffs were given11 are pending. EPRP for ihd5h data is July 81% and august 90.6% for all Veterans.

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The work:

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Responses to the informationTHE POSITIVESOverwhelming gratitude Determination to get startedWake up call

THE NEGATIVES Unable to find the timeUnwilling to make changes due to bleak outlook

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Recap9Education and awareness is key in maintaining a healthy lifestyle.Although some clients may have no interest in taking action at the time when given the information, the hope is that being more knowledgeable, they will make better choices or interactions. Having a multitude of choices and giving increased independence will be the most valuable tool to attain maintained compliance.

ReferencesBlood Pressure Facts. (2015, February 19). Retrieved February 07, 2016, from http://www.cdc.gov/Daugherty, S. L., Masoudi, F. A., Ellis, J. L., Ho, P. M., Schmittdiel, J. A., Tavel, H. M., . . . Magid, D. J. (2011). Age-dependent gender differences in hypertension management. Journal of Hypertension, 29(5), 1005-1011.Denton, K. M., Hilliard, L. M., & Tare, M. (2013). Sex-Related Differences in Hypertension: Seek and Ye Shall Find. Hypertension, 62(4), 674-677.

Iams SG, Wexler BC. Retardation in the development of spontaneous hypertension in SH rats by gonadectomy. J Lab Clin Med. 1977;90:9971003.Reckelhoff JF, Zhang H, Srivastava K, Granger JP (n.d.). Gender Differences in Regulation Blood Pressure. Hypertension. Retrieved February 07, 2016.

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Stop driving yourself crazy Take time to check your blood pressure. Taking care for yourself is very important. You do not have warning signs of high blood pressure damage. Taking care of your:

ParentsSpouseKidsJobTake care of yourself too!

Resources: The National Womens Health Information Center, The Office on Womens (2014), U.S. Dept of Health and Human Services(2015), KRAMES Patient EducationGet help if you have pain in your chest. If you can't breath. If you get confused -- this could be a sign of a heart attack, stroke, or chest pain. Especially if:Its newless energy with exercise wakes you upControl high fat and high blood pressure as instructed by your doctor, and talk about your risks.Have a low salt, low fat diet.stop smokingDo exercises.

HIGH BLOOD PRESSUREINWOMEN THE UNCARED FOR PROBLEM?

Women have increased the roles they do from being a mom in the 1950s, to a more of a career one now. But many still have demands of a mom, wife, mother, sister daughter too. And, taking care of themselves last, in their busy day to day lives. Which can lead to ignoring monitoring your healthcare for prolonged periods of time and prioritizing the care of others.

What factor may affect women in day to day life that affect HTN?You are at higher risk if you: Have a history of heart disease.Are over the age of 50.Have high blood pressureSmokeDont exercisePost menopauseObesityStressDANGERS OF HAVING HIGH BLOOD PRESSURE:Heart AttackEnlarged heartStrokeTransient ischemic attack (TIA)Artery damage and narrowingAneurysmKidney failure

Blood pressure is the pressure of blood pushing against the walls of your arteries, which takes blood from your heart to other parts of your body. Blood pressure normally goes up and down through the day based on your exercise and food eaten. But if it stays high for a long time, it can hurt your heart, brain and other organs and lead to other problems. High blood pressure brings your risk for heart problems up. And is the highest cause of death in the U.S.High blood pressure has no warning signs, and you may not know you have it. The only way to know is by having your blood pressure checked and to try to control it. WHAT IS HIGH BLOOD PRESSURE?