Hypertension Outreach Program Humber River Regional Hospital

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Hypertension Outreach ProgramHumber River
Regional Hospital

• Sherry Mariash, RN, CNephC, BScN
• Gavril Hercz, MD, FRCPC

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ESRD in GTA (rate/millions)
Above started on dialysis 10 years earlier than
Caucasians
Source International Interdisciplinary
Conference on Hypertension in Blacks
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Visible Minorities in HRRH catchment area
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Build community relationships
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Methods

• Visible minorities at high risk of ESRD
• Develop program in the community
• Liaise with community outreach
• Empower community in identification and ongoing
  care
• Address issue at source
• Linkages with churches, community centres and
  schools
• Word of mouth

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Venues

• Community Churches
• Community Centres
• Shopping Malls

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Team

• Volunteers
• Registered Nurses
• Physician
• Dieititians
• Health Ministries

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Lecture/materials

• Identification of risk factors
• Hypertension
• Diabetes
• Diet/lifestyle modification
• Treatment modalities
• Followup with family physician and Health
  Ministries
• Pamphlets

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Health Promotion Awareness

• Blood pressure check
• Blood glucose check
• Record of results
• Counseling
• Pamphlets

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Measuring Success

• 9 programs delivered to date
• Average attendance at each session 50-150
• Majority are female- carriers of health care
  information
• Some clients diagnosed de novo with diabetes and
  hypertension
• Large group on therapy and not controlled

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Measuring Successes (contd)

• Partnership with Health Ministries
• Validates health ministry in congregations
• Empower clients for regular followup

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7
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29
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Future

• Motivate other health care facilities to create
  similar programs in their catchment
• Enhance education internally of allied health
• Data collection

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Classification of Hypertension
(Pre Hypertension) 120-139 -- 80-89
ISHInternational Society of Hypertension.
Chalmers J et al. J Hypertens 199917151-85. The
category pertains to the highest risk blood
pressure
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Benefits of Treating Hypertension

• Younger than 60
• reduces the risk of stroke by 42
• reduces the risk of coronary event by 14
• Older than 60
• reduces overall mortality by 20
• reduces cardiovascular mortality by 33
• reduces incidence of stroke by 40
• reduces coronary artery disease by 15

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Leading diagnoses resulting in visits to
physician offices in Canada
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25
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Routine medical exams
Depression
Acute respiratory tract infection
Million visits/year
Diabetes
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Hypertension
10
10
5
5
0
0
Source IMS HEALTH Canada 2002.
http//www.imshealthcanada.com/
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The Challenge In Canada
22 of Canadians 18-70 years of age have
hypertension 50 of Canadians gt65 years of age
have hypertension