One of the advantages of HBPM (Home Blood Pressure Measurement) compared to office measurement is being a strong predictor of cardiovascular morbidity and mortality in hypertensive patients, including those with chronic kidney disease (CKD). However, studies with renal patients not dependent on dialysis are scarce. HBPM is an important tool in the regular monitoring of blood pressure (BP) and in patient’s involvement in its long-term self-management. Nurses have an important role here and their involvement in the process is essential. Nurses must be aware of the latest recommendations as well as they should teach, train, guide and supervise patients. This chapter summarizes information about CKD and hypertension, the importance of measuring blood pressure at home in CKD and describes nursing interventions in this field. Nurses have a role in enabling patients to optimize their self-management skills. Nurse-delivered interventions have been shown to contribute to improved patient outcomes. Nurses can educate patients about proper blood pressure monitoring techniques at home, and also interpreting and evaluating the results and managing the therapeutic regimen. Evidence shows the effects of interventions performed by nurses in improving and controlling BP, such as teaching, training, counseling, motivational interview, coaching, nurse–patient relationship, communication, negotiation, and support.
Part of the book: Ultimate Guide to Outpatient Care
Health education has been on the horizon of nursing professionals for decades. The design and development of new education programmes allied to the processes of ageing and chronic diseases have been sought after. In the twenty first century, the need to develop ‘performant’ policies that lead policymakers, health professionals and civil society to move towards new management of chronic disease marked by citizens’ participation in decisions regarding their health and control of the management of their health condition has accelerated the urgency of citizen-centred health care and education programmes tailored to their needs, preferences, values, and condition. In this paper, we explore what has been done around patient education by nursing professionals and the results achieved. We observe a positive scenario where the patient is seen as an active partner, which leads to the integration of a new perspective, assisted and participatory disease management. There is still a need for more structured and systematised education programmes and training for health professionals involved in this process.
Part of the book: Nursing