Age-friendly Primary Health Care Centres Toolkit - World Health ...

AGE-FRIENDLY PRIMARY HEALTH CARE CENTRES TOOLKITGuidelines for annual blood pressure (BP) review for all patients1MONITORGeneral Smoking and alcohol Diet review BP Treatment checkFeet Peripheral sensation Foot pulses Oedema (swelling)Eyes Visual acuity FundoscopyINTERVENTIONAdvise against smoking andalcoholAdvise against salt and fatsMaintain regular bloodpressure checksAdjust where relevantReadjust medication asappropriateRefer patients withdeteriorating vision or seriousretinal lesions Pallor or mucous membraneKidneys Urine protein and electrolytes Serum creatinineHeart BP ECG Glycaemia control Body weight Diet Exercise Alcohol Smoking SymptomsAnaemia may indicatechronic renal disease,therefore renal check isneedingImprove BP control and avoidlong-acting sulfonylureadrugs in patients with renalinvolvementImprove control, regular BPchecksRefer to the cardiologist if notavailable at PHC centreImprove control of bloodglucoseMaintain average weightLow salt and low fat intakeRegular exerciseModerate alcohol intakeStop smokingRefer where appropriateProtocol for the Management of Hypertension, Jamaica: Annual review for All Patients. Health ServicesPlanning and Integration Division, Ministry of Health, Jamaica, 2005.72