SCREENING OF NON – COMMUNICABLE DISEASE

INTRODUCTION:

We the M.sc nursing II year Community Health Nursing students of MTPG& RIHS
conducted Hypertension Screening Programme at Lawspet as a part of our clinical
requirement

OBJECTIVES:

 To find out the existing level of blood pressure

 To find out the prevalence of hypertension
 To create awareness on prevention and control of hypertension

STEPS IN SCREENING PROCEDURE:

1. Collection of demographic profile

2. Physical assessment
Head to foot examination
Anthropometric measurements
Monitor blood pressure
3. Analysis of the findings
4. Interpretation of the findings
5. Education on prevention and control of hypertension

MAJOR FINDING OF THE SURVEY:

SL.NO FINDINGS NO
1. Total no of hypertensive patients 60
2. Male 15
3. Female 45
4. Normal : <130 Systolic blood pressure 9
<85 Diastolic blood pressure ( mm of hg)
4. High: 130-139 Systolic blood pressure 11
85-90 Diastolic blood pressure ( mm of hg)
5. Stage : 140-159 Systolic blood pressure 17
90-99 Diastolic blood pressure ( mm of hg)
6. Stage 2: 160-179 Systolic blood pressure 2
100-109 Diastolic blood pressure ( mm of hg)
7. Stage 3: >180 Systolic blood pressure 3
 >110 Diastolic blood pressure ( mm of hg )

ACTIONS OF HELATH CARE PROVIDERS: 5 As (Approaches):

1. ASK: ask all patients over the age of 40 years about their smoking, nutrition, alcohol
consumption and physical activity and record this information in household field.
2. ADVICE: provide brief, nonjudgmental advice using education materials and
motivational interviewing.
3. AWARENESS: raise awareness of the catchment population about causes of
hypertension, preventive measures and major signs and symptoms of hypertension
advocate for best buy strategies.
4. ASSESS: map high risk and diagnosed cases within catchment area of the primary
health care activity. Behavioral risk factors, socioeconomic status and medical history
record it in household files:
 SMOKING for every patient over 10 years of age ideally at each consultation
(If possible assess level of nicotine dependence for those who are identified as
current smokers.
 NUTRITON: By asking and recording number of portions of fruit and
vegetables eaten per day and types of fat eaten.
 OVERWEIGHG AND OBESITY: by measuring body mass index (BMI)
and adult waist circumference especially for those patients who appears
overweight and record it in the family file.
 PHYSICAL ACTIVITY: by asking about the current level and frequency of
physical activity per week.
 ALCOHOL: by asking every person aged 15 years and over about drinking
and if yes; the quantity and frequency of alcohol intake.

ASSESS READINESS TO CHANGE AND SUBSTANCE DEPENDENCE (SMOKING

AND ALCOHOL):

 Assess per-hypertensive status.

 Assist provide motivational counselling and a prescription( if indicated)
 Provide culturally appropriate preventive care for disadvantage groups.
 Inform families about importance of management of hypertension and involve them
in the treatment process.
  Arrange refer patients as needed to higher level of care or hotline support services
group lifestyle programmes or individual providers (e.g. dietician or exercise
physiologist).
 Schedule regular check-up visits for patients diagnosed with hypertension.

HEALTH EDUCATION:

Healthy lifestyle changes are an important first step for lowering blood pressure. Current
guidelines recommend that people should:

 Exercise at least 30 minutes a day

 Maintain normal weight
 Reduce sodium (salt) intake
 Increase potassium intake
 Limit alcohol consumption to no more than one or two drinks a day
 Consume a diet rich in fruits, vegetables, and low-fat dairy products while reducing
total and saturated fat intake. (The DASH diet is one way of achieving such a dietary
plan.)
 Quit smoking

CONCLUSION:

Based on the findings it was observed majority of the patients adults were
hypertensive. So it indicates the need for the hypertension awareness among the public.
Therefore it is the responsibility of the community health nurse to disseminate knowledge on
control and prevention of hypertension.