Chap Session Blood Pressure Recommendation Protocol Community
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1
2CHAP Session Blood Pressure Recommendation Protocol
Community Name: __________________________
Systolic
Diastolic
Definition
Required Recommendation(s) / Action(s)
Additional
(mm Hg)
(mm Hg)
(NOT DIAGNOSIS)
Recommendations
If symptoms present (e.g. dizziness):
<90
<60
Low
• Nurse alerted → assessment + follow-up
• Session Pharmacist may be alerted and a MedsCheck appointment
• Consider booking a consultation or MedsCheck appointment with Regular or Session Pharmacist
• Option to return for another CHAP session to discuss modifiable risk factors with Peer Health Educator
90-129
60-79
Normal
If diabetes or other cardiovascular risk factors present:
130-139
80-89
High Normal
• Attend another CHAP session for reassessment and discussion with Peer Health Educator
•
Review educational materials
If BP >130/80 on re-assessment:
and consider following-up
-
Make appointment with Family Physician
with CHAP session referrals and
suggested community resources
140+
90+
Hypertensive range – Lifestyle modification and/or antihypertensive medication may be needed
•
Discuss with Family Physician
at next visit
•
Consider booking a consultation
• Attend another CHAP session for reassessment and discussion with Peer Health Educator
140-159
90-99
Stage 1 - mild
or MedsCheck appointment
If BP >140/90 on re-assessment:
with Regular or Session
• Make appointment with Family Physician
Pharmacist
• Data form faxed to Family Physician TODAY
160-179
100-109
Stage 2 - moderate
• Attend another CHAP session for reassessment and discussion with Peer Health Educator
• See Regular Pharmacist (may be Session Pharmacist); a consultation or MedsCheck appointment may be booked
If BP > 160/100 on re-assessment:
• Make appointment with Family Physician
• Nurse alerted → assessment + follow-up
180-209
110-119
Stage 3 - severe
• Nurse to CALL Family Physician today to ensure patient is followed-up
• Data form faxed to Family Physician TODAY
• Session Pharmacist may be alerted; a consultation or MedsCheck appointment may be booked with Regular Pharmacist
• See Family Physician as soon as possible
• Attend another CHAP session for reassessment and discussion with Peer Health Educator
• Nurse alerted → assessment + follow-up
S
210+
120+
tage 4 - very severe
• Nurse to CALL Family Physician immediately for urgent appointment; if FP not available, send to Emergency
• Data form faxed to Family Physician TODAY;
• Session Pharmacist may be alerted; a consultation or MedsCheck appointment may be booked with Regular Pharmacist
FOLLOW-UP RECOMMENDATION
BP READING AT SESSION
NOTE: A Peer Health Educator typically discusses follow-up recommendation with participant, unless involvement of Nurse and/or Pharmacist is indicated, or
NOTE: If systolic and diastolic pressures fall in different ranges,
participant has additional questions/concerns.
the higher range is used; e.g. 165 / 90 mm Hg = Stage 2.
The on-call Community Nurse or Session Pharmacist may be contacted at any time by the Peer Health Educator with questions/concerns relating to any
participant.
Participants will receive targeted health education materials / information about local resources / appropriate referrals.
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Parent category: Medical