A Nee A Needs ds As Assessment sessment of of Hyp Hyper - PowerPoint PPT Presentation

A Nee A Needs ds As Assessment sessment of of Hyp Hyper ertensive tensive Pat atients ients Jontu Solomon Matthew Walker Comprehensive Health Center Nashville, TN

Int ntroduction roduction an and d Ba Back ckgro ground und • 1/3 of American adults have hypertension • Systolic BP ≥ 140, Diastolic BP ≥ 90 • Nashville, Davidson County • High Blood Pressure- 27% • Obesity- 23.4%

Me Methodolo thodology gy • June 16 - July 10, 2014 • Cross-sectional study, Convenience sampling • Verbal Questionnaire • Diet, exercise, medication, lifestyle • Patient feedback and suggestions • Data analyzed using Microsoft Excel

Re Results ults • N = 42 • 22 Females, 20 Males Race of Participants Age Distribution of Participants 16 3% White 14 7% Number of Participants 14% 12 10 Black 8 6 Hispanic 4 2 Asian 76% 0 30-39 40-49 50-59 60-69 70-79 80-89 Age

Re Results ults How are you managing your Salt Consumption hypertension? 50 Number of Participants 40 Often Never 29% 30 42% 20 Rarely 10 29% 0 Diet Exercise Medication 10 participants chose all 3 choices.

Results Re ults Weight Classification of Participants Number of Participants 25 20 15 10 5 0 Normal Overweight Obese Weight Classification Overweight but considered themselves normal weight = 11.9% Obese but considered themselves normal weight = 9.5% Obese but considered themselves overweight = 35.7%

Di Discussion scussion • Data for blood pressures was not representative of hypertensive control. Some patients came to the office because they had run out of medication and others had not taken medicine before coming in. Most blood pressures were over 120/80. • Patients know what choices are healthy, but they are not making those choices. • Patient Compliance • Sodium Intake • Increase patient understanding of overweight and obesity (more than 1/3 of adults are obese)

Re Recommendations commendations • More Clinic Educators • More Cooking Workshops • List of locations to Exercise • http://millionhearts.hhs.gov/index.html

Co Concl nclusion usion • Combat Obesity • Encourage healthy lifestyles • No alcohol, tobacco, managing stress • Patients need to be engaged. • Depression in underserved community?

Ac Ackn knowledgements wledgements • GE-NMF Primary Care Leadership Program • Matthew Walker Comprehensive Health Center • Dr. Michele Williams • Dr. Dana Marshall • Dr. Hubert Gaskin • Dr. Oba Hollie • Other members of the Healthcare Team