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Campus equivalent of worksite hypertension control program
ABSTRACTS:
HIGH
BLOOD
PRESSURE
57
CONTROL
A-49 CAMPUS m OF mI?KsITE HypEIlThTSION (XXI'F0L PFQGHAM Linda M. Daniels, Milwaukee Blood Pressure Program; William K. Hoffman, Stuart W. Ettli, b&hen& S. Kochax Campus equivalent of ahypertension (HBP) mrksite cc&rolprcgramis provided through the ccabined efforts of University of Wisconsin at Milwaukee Student Health Center (UPM) and the Milwaukee Blood Pressure Program (MBP). Through a variety of ongoing detection efforts 85 hypertensive students were enrolled. Clinic operation includes ccnplete evaluation ti treatmntof HBP and extensive cardiovascular risk factor &xation/nrxlification program. A previous history of hypertension was lulm in 20%, lzwever,over halfwerenottreated. Target organ symptcmswere present in 42%. Arecenthistoryor present intakeof oralcontraceptiveswas found in 5% females. The man Fifty% recieved a diuretic and 4% propanolol therapy. duration of followup is nine mnths (range 3-12 mnths). Treatment and education Follmup Evaluation efforts yielded the follcwing results: Initial Evaluation 1% Syaptcmtic 42% sroking : None or occassional 80 89 14 10 5 1 pack/day 6 1 > 1 pack/day 59 Alcohol Consumption: None or cccassional 37 Weekends only 60 39 Daily 3 1 0 1 HeavY Blood Pressure Level: No-1 3 51 Mild hypertension 74 37 17 11 Mxderati hypertension Severe hypertension 6 1 Extensive outreach procedures are employed for all screened and treated students. The&me results demnstrate thathypertensioncontrolcanbe successfully achieved in a campus equivalent of m&site hypertension control program. A-50 Linda M. Daniels, Barhara Whitmre,
Milwaukee Bleed Pressure Program; Arnold Malmn, Mahendr S. Kochar
Smnie
Dammn, Elaine
Miller,
Gmmnityhealthnwxe administrators in nineteenurban and suburban independent healthdepartrnentslocatedinMil~~cOuntyhavecoordinatedhypertension (HBP) ax-U-o1 activities through the Milwaukee Blood Pressure Program @BP). Objectives include thateachhealthdepartmnt: 1) Be theprimrycenter for hypmtension detection, education and follmup activities, 2) Participate to the extent desired considering constraints, 3) Consolidate intc convenient area zones for client referral, for hypertension control and emergency services, 4) coordinate and/or supervise for HBP screening, tr aining and education services, 5) Utilize uniform HBP detection procedures and ccaqmterized data form, 6) liaplmeut unique followup and trackingmchanismbasedon individualized client and ccmrunityneeds. This rray include phcne calls, letters, hcma visits, occupational health nurse oonsultation and physician ccllabration to address patient/family problems with the therapeutic regimanard compliance. HBP screening may be a ccqxmentof glaucoma, TB,ad.lJltandschcc1healthandother cxmnnmity health screenings or services. All data is processed by the MBP through the State of Wisconsin HyperbmionCaxdination Plan. Periodic client and physician evaluation and treatmant follmup data is provided to each health department. Although this type of coordination is a national goal, its reality has not previously been effected. !I& role of the nurse is strategic and throughcannittmant, coqraniseandxmrkingwithinthe resourcesand limitations of the political, budgeand administrative system success can be achieved. Extensive data will be presented.
HIGH
BLOOD
PRESSURE
57
CONTROL
A-49 CAMPUS m OF mI?KsITE HypEIlThTSION (XXI'F0L PFQGHAM Linda M. Daniels, Milwaukee Blood Pressure Program; William K. Hoffman, Stuart W. Ettli, b&hen& S. Kochax Campus equivalent of ahypertension (HBP) mrksite cc&rolprcgramis provided through the ccabined efforts of University of Wisconsin at Milwaukee Student Health Center (UPM) and the Milwaukee Blood Pressure Program (MBP). Through a variety of ongoing detection efforts 85 hypertensive students were enrolled. Clinic operation includes ccnplete evaluation ti treatmntof HBP and extensive cardiovascular risk factor &xation/nrxlification program. A previous history of hypertension was lulm in 20%, lzwever,over halfwerenottreated. Target organ symptcmswere present in 42%. Arecenthistoryor present intakeof oralcontraceptiveswas found in 5% females. The man Fifty% recieved a diuretic and 4% propanolol therapy. duration of followup is nine mnths (range 3-12 mnths). Treatment and education Follmup Evaluation efforts yielded the follcwing results: Initial Evaluation 1% Syaptcmtic 42% sroking : None or occassional 80 89 14 10 5 1 pack/day 6 1 > 1 pack/day 59 Alcohol Consumption: None or cccassional 37 Weekends only 60 39 Daily 3 1 0 1 HeavY Blood Pressure Level: No-1 3 51 Mild hypertension 74 37 17 11 Mxderati hypertension Severe hypertension 6 1 Extensive outreach procedures are employed for all screened and treated students. The&me results demnstrate thathypertensioncontrolcanbe successfully achieved in a campus equivalent of m&site hypertension control program. A-50 Linda M. Daniels, Barhara Whitmre,
Milwaukee Bleed Pressure Program; Arnold Malmn, Mahendr S. Kochar
Smnie
Dammn, Elaine
Miller,
Gmmnityhealthnwxe administrators in nineteenurban and suburban independent healthdepartrnentslocatedinMil~~cOuntyhavecoordinatedhypertension (HBP) ax-U-o1 activities through the Milwaukee Blood Pressure Program @BP). Objectives include thateachhealthdepartmnt: 1) Be theprimrycenter for hypmtension detection, education and follmup activities, 2) Participate to the extent desired considering constraints, 3) Consolidate intc convenient area zones for client referral, for hypertension control and emergency services, 4) coordinate and/or supervise for HBP screening, tr aining and education services, 5) Utilize uniform HBP detection procedures and ccaqmterized data form, 6) liaplmeut unique followup and trackingmchanismbasedon individualized client and ccmrunityneeds. This rray include phcne calls, letters, hcma visits, occupational health nurse oonsultation and physician ccllabration to address patient/family problems with the therapeutic regimanard compliance. HBP screening may be a ccqxmentof glaucoma, TB,ad.lJltandschcc1healthandother cxmnnmity health screenings or services. All data is processed by the MBP through the State of Wisconsin HyperbmionCaxdination Plan. Periodic client and physician evaluation and treatmant follmup data is provided to each health department. Although this type of coordination is a national goal, its reality has not previously been effected. !I& role of the nurse is strategic and throughcannittmant, coqraniseandxmrkingwithinthe resourcesand limitations of the political, budgeand administrative system success can be achieved. Extensive data will be presented.