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BP Monitoring at Home: No Pressure Patient Education

Teaser: 

Dr. Marina Abdel Malak, MD, CCFP, BSc.N,

is a Family Physician in Mississauga, Ontario. She has served on several committees and groups, including The Primary Care Network and Collaborative Mental Health Network. She has a passion for medical education, patient empowerment, and increasing awareness about the relationship between mental, emotional, and physical health. Dr. Abdel Malak is highly involved in quality improvement initiatives, and her research interests include strategies to support physician wellness, patient self-management, and optimizing physician education.

CLINICAL TOOLS

Abstract: Hypertension is increasingly common—and it is treatable. However, this requires frequent monitoring in order to titre medications, ensure optimal control, and prevent complications. Educating patients on how to monitor their blood pressure at home is central to managing hypertension. This article explores specific advice physicians can give their patients on when and how to monitor their blood pressure at home, and provides resources to use in practice.
Key Words: Hypertension, patient education, monitoring, blood pressure.
1) At-home monitoring by patients has been shown to improve HTN control and prevent complications.
2) Hypertension Canada recommends patients aim to measure their BP about once every month for for one week recording their readings in a log.
3) Patients should check their BP at the same time of day, preferably in the morning after medications, but before consuming alcohol or caffeine, or smoked, or exercised, in the past half hour.
4) Patients need to know what signs and symptoms to report to their physician regarding their BP.
Educating patients on monitoring their BP at-home between their medical visits is crucial.
Lifestyle changes are also important. Physical activity, smoking cessation, and a balanced diet are essential in maintaining BP control.
At every visit, physicians should review monitoring with their patients, lifestyle counselling, and medication adherence.
To have access to full article that these tools were developed for, please subscribe. The cost to subscribe is $80 USD per year and you will gain full access to all the premium content on www.healthplexus.net, an educational portal, that hosts 1000s of clinical reviews, case studies, educational visual aids and more as well as within the mobile app.
Related Terms: Preventive Health, hypertension, patient education, monitoring, blood pressure
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Repetitive Strain Injuries: Featuring Trish the Typist

Teaser: 

Dr. Alykhan Abdulla, BSC, MD, LMCC, CCFPC, DipSportMed CASEM, FCFCP, CTH (ISTM), CCPE, Masters Cert Phys Leader, ICD.D

Assistant Professor University of Ottawa Faculty of Medicine, Academic Clinical Professor University of Ottawa Faculty of Nursing Medical Director The Kingsway Health Centre, The Kingsway Travel Clinic, The Kingsway Cosmetic Clinic, Beechwood Medical Cosmetic Physio Pharmacy, Editor in Chief/Author Journal of Current Clinical Care SPORTS MEDICINE, Vice Chair Section of General and Family Practice Ontario Medical Association, Board Director Eastern Ontario Regional Lab Association, Bruyere Foundation

CLINICAL TOOLS

Abstract: A Repetitive strain injuries are a group of medical conditions that are caused by prolonged repetitive, awkward, or forceful movements that overstress particular muscles, nerves, tendons, or bones. It is most common in the forearms and hands, but can also affect the eyes, neck, shoulders, or back.
Key Words: repetitive strain injuries, good posture, typing technique, regular stretching.
The key to RSI is prevention and that includes the following items:
1. Good Posture: feet flat on the floor, knees at right angles, pelvis rocked forward, lower back slightly arched, upper back naturally rounded, shoulder arms and hands naturally relaxed at the side, head middle of shoulders.
2. Typing technique: wrists straight, let your hands float and your strokes light, and don't strain your fingers for the hard keys like CTRL or ALT.
3. Regular stretching: get up every 15-20 and stretch out your wrists, fingers, elbows, shoulders, neck and upper back.
Repetitive strain injuries are common and can be treated with good posture, proper typing techniques and regular stretching.
Setting up an ergonomic work station at home and taking regular breaks that include strengthening the hands and forearms.
Working with a physiotherapist and/or massage therapist can be helpful in conquering repetitive strain injuries.
To have access to full article that these tools were developed for, please subscribe. The cost to subscribe is $80 USD per year and you will gain full access to all the premium content on www.healthplexus.net, an educational portal, that hosts 1000s of clinical reviews, case studies, educational visual aids and more as well as within the mobile app.
Related Terms: Sports Medicine, repetitive strain injuries, good posture, typing technique, regular stretching
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Refractory Back Pain after Surgery: an Overview of the Failed Back Surgery Syndrome (FBSS)

Teaser: 

1Zhi Wang BSc, MSc MD FRCSC, 2Ali Ghoul MD, 3Jesse Shen MD, PhD Candidate, 4Amer Sebaaly MSc, MD,

1Associate Professor, Montreal University (CHUM), Montreal, Quebec. 2PGY 3 Orthopaedic Resident, Saint Joseph University, Beirut Lebanon. 3PGY 5 Montreal University, Montreal Quebec. 4Orthopedic Lecturer, Saint Joseph University, Beirut, Lebanon.

CLINICAL TOOLS

Abstract: “Lumbar spinal pain of unknown origin, either persisting despite surgical intervention or appearing after surgical intervention for spinal pain, originating in the same topographical location” is a description widely used to describe Failed Back Surgery Syndrome (FBSS). In reality, the syndrome is more often a mismatch between the patient’s expectations and the surgical results. This review will describe the possible causes and presentation of FBSS and highlight the role of the multidisciplinary team approach in its management involving non-operative and surgical interventions. The most important objective is correct patient selection for surgery before the first operation.
Key Words: Failed Back Surgery Syndrome, multi-disciplinary approach, spine surgery, low back pain, patient expectations.

Members of the College of Family Physicians of Canada may claim MAINPRO-M2 Credits for this unaccredited educational program.

www.cfpc.ca/Mainpro_M2

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Pre-test CME Quiz Post-test CME Quiz
1. Fusing even a short segment of the spine can have significant, possibly deleterious effects, on the complex spinal functions.
2. The Failed Back Syndrome is often a mismatch between the patient's expectations and the final result rather than a failure of surgical technique.
3. The poor result may be the result of preoperative, intraoperative or postoperative factors. All three areas must be assessed.
4. Correct patient selection is as important or even more important than the surgical approach.
The incidence of Failed Back Surgery Syndrome ranges from 10-40% after a major spinal operation.
Setting the preoperative expectations with a full discussion between the patient, referring physician and operating surgeon plays a key role.
There are three periods – pre-operative, intra-operative, post-operative–in which FBSS can arise.
Proper patient selection and pre-operative optimization of all modifiable factors improve outcomes and decrease the possibility of FBSS.
To have access to full article that these tools were developed for, please subscribe. The cost to subscribe is $80 USD per year and you will gain full access to all the premium content on www.healthplexus.net, an educational portal, that hosts 1000s of clinical reviews, case studies, educational visual aids and more as well as within the mobile app.
Related Terms: Back Health, failed back surgery syndrome, low back pain, multidisciplinary approach, spine surgery, patient expectations
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