ABSTRACTS:
HIGH
BLOOD
PRESSURE
CONTROL
159
A-71
NURSE-MANAGEMENTRELATIONSHIFSIN INITIATINGWORICSITE~PER'J!ENSION PROJECTS Melba J. Fawley,
Clinton
County Health Department,
Wilmington,
Ohio 45l77
A seminar dealing with concepts needed to successfully initiate work site hypertension detection/control programs has been developed. Introduction of such programs frequently becomes the responsibility of the project nurse. Discussion with nurses who had been unsuccessful and my own experience in establishing work site projects in eight industries and 45 small businesses indicated the need to learn basic management techniques. A state-wide seminar was conducted to assist project nurses to successfully initiate'projects acceptable to management, employees, and if present, unions and medical departments. The agenda included: (1) creating a program acceptable to management, (2) making management contacts and presenting the program in a positive manner, (3) getting acceptance from employees and unions and (4) conducting the initial screening in a manner which will establish an atisphere of good will for necessary follow-up. Presentations included a panel composed of management, union, public relations, and work site project personnel. A procedure outline given to for working with management and examples of information and publicity management and employees was distributed. To date results of this seminar are inconclusive, however, earlier individual contacts using the basic concepts presented have resulted in increased success in establishing programs at the work site.
A-78
NEW JERSEk.COMMUNITY-BASED
HYPERTENSION CONTROL DEMONSTRATION PROJECT
Somerset County Robert A. Fears, Bridgewater, New Jersey 08807
Heart
Association,
208 W. End Ave.,
To increase the number of identified hypertensive8 in Somerset County and assist them in controlling their condition, we believe coordinbacked by a computer-assisted, ated efforts by all screening agencies, intensely personalized follow-up will be effective and efficient. Its Somerset County is 25% rural, 50% suburban, and 25% urban. 5.72% Hispanic and other, with population is 90.1% white, 3.6% black, 9000 residents will be screened using AHA approximately 30% over 40. Those age 39 or less with pressures of 140/90 mm Hg. or protocols. and those 40 and over with pressures of 160/95 or greater greater, will be referred to their doctors for diagnosis and treatment. and due concern for confidentiality, the demoWith informed consent, graphic and blood pressure data will be forwarded to a central and programmed into a computer repository for storage and follow-up, Follow-up will be by letter, for tracking, analysis, and reporting. Patient education, diagnosis by a telephone and personal visit. and overcoming reasons for adherence to prescribed regimens, doctor, We expect by these methods to non-compliance will be stressed. assist 600 residents to control their pressures, thereby demonstratand intensely personaling the efficacy of a unified, computerized, ized hypertension control project.