208
ABSTRACTS:
HIGH
BLOOD
PRESSURE
A-115 THE EFFECT OF "ANTHIHYPERTENSIVE FOLK MEDICINE" IN THE ELDERLY.
CONTROL
ON THE DIETARY INTAKE OF MINERALS
Zelma A. Payne, Spelman College and W. Dallas Hall 350 Spelman Lane, Southwest - Atlanta, Georgia 30314 Four women ages 48,69,73, and 77 were studied through use of clinical trials the Yellow Root (Xanthorhiza Simpleffectiveness of the commonly used folk medicine, their hypertension", and to determine the effect of icissima) to "control "antihypertensive folk medicine" on blood pressure, weight, and urinary electroSubjects selected were either taking or had lyte and trace element excretion. Demographic data taken Yellow Root as a remedy believed to lower blood pressure. were collected and a record of drugs currently taken (standard or folk) other than Yellow Root; on fifth and sixth day of the week, 24-hour urine collection was taken. Yellow Root substances were assumed fully metabolized and body detook Yellow Root tea twice daily in one-half cup Second week, subjects pleted. and sixth day 24-hour urine collections taken. measures as a remedy; on the fifth Total volume excretion were recorded mixed with 1Occ. 0.01 N. Glacial Acetic acid. for 16 electrolytes by spectrographic analysis Aliquots of 120 cc. were analyzed Daily blood pressures were taken and including test for creatinine and arsenic. Results show no appreciable effect of Yellow Root tea on weights recorded. or body weight was demonstrated. systolic blood pressure, diastolic blood pressure, The 24-hour urinary excretion of electrolytes and trace metals before and after the 5-day therapy with Yellow Root tea showed no increase in volume, sodium or Continued usage of folk remedies indicated a need to conpotassium excretion. tinue investigation to provide a better understanding of how hypertensive patients interact with their disease and therapy.
A-176 HYPERTENSION
SPECIALIST
Anne Griffin Street, Saint Perry, Jr.
Perry, Louis,
TRAINING
PROGRAM
Saint Louis University, Missouri 63104; Judith
Department H. Carlson;
of Nursing, Carol A.
3525 Craft;
Caroline H. Mitchell
Literature has documented that nurse run hypertension clinics have proven to be an effective means for hypertension control. Nurses are able to develop rapport with the patients and to motivate those who were asymptomatic to comply with their therapy, thereby reducing their morbidity. The purpose of this project was to develop a training program for nurse practitioners in the management of patients with mild to moderate hypertension. This 160 hour program provided expertise in the promotion of adaptive mechanisms in order to improve the health care of patients with hypertension. The objectives were to 1) validate the use of hypertensive specialist training program for the management of a selected group of 2) identify the altered mechanisms which affect compliance of the patients, patient to his therapy, and 3) identify role, expertise, and the limitation of the practitioner. This four week course included sections for physical assessment skills, physiology, pathophysiology, and long-term management. Complete objectives and bibliography were develpped for each lecture. Future development and continuation of such programs lead to prepared and qualified hypertensive specialists to function as primary care providers for a selected group of mild to moderate hypertensive patients.