2010 Hong Kong Reference Framework for Hypertension Care for ...

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Chapter 9.Component 4: Patient EmpowermentEmpowerment of patient requires an increase of their awareness about whatthey can do to prevent diseases occurrences in the first instance such as livinghealthier lifestyles, the need for regular health checks and also the need forself-maintenance, thereby sharing with their the management of their chronicdiseases such as diabetes and hypertension. Certainly, the healthcare professionalneeds to develop a working alliance with their patients to enhance and supporttheir capacity for self-maintenance and self-care.Patients should understand the nature of hypertension, the need for long-termmedication and healthy lifestyle maintenance, the consequence of poor bloodpressure control, and treatment options. They should also be informed of thepossible side effects of drugs and to seek medical advice should they occur. Theaim of patient education is to empower patients with the necessary knowledgeand skills so that they can take charge of their own health, to adopt a healthylifestyle and have better adherence to the management protocols (Box 3).Written information should be given to patients if available e.g. pamphlets onhealthy eating, techniques for taking blood pressure.Box 3. Patient’s Knowledge, Skill and Behaviour ChecklistPatient with hypertension should know and practise:●●Know the nature of the disorder●●●●●●●●●●●●●●●●Understand hypertension can be asymptomaticKnow the risk of complications and, in particular, the importance of bloodpressure monitoringSet individual target of treatmentKnow individual lifestyle requirementsKnow importance of exercise in treatment and practise regularlyKnow self-monitoring of blood pressure, and the meaning of blood pressurereadings, as well as what action needs to be takenKnow the possible side effects of drugs they are taking and seek doctor’sadvice promptly should they occurNeed to regularly follow up with your doctors19 HK Reference Framework for Hypertension Care for Adults in Primary Care Settings
Chapter 10.Future Direction To Promote The Use OfReference FrameworkThe promulgation of the Reference Framework is a long-term and continuousprocess that entails multi-partite collaboration and multi-pronged strategies. Topromote the adoption and implementation of the Reference Framework, a numberof initiatives and pilot projects are planned or under way:●●●●●●●●●●A Clinical Advisory Group under the Task Force on Conceptual Modeland Preventive Protocols of the Working Group on Primary Care has beenestablished with members including experts from the academia, professionalorganizations, private and public primary care sectors and patient groups. TheClinical Advisory Group will review and update the Reference Frameworkregularly based on latest medical development and research.More details concerning the management of hypertension in primary caresetting will be provided in the form of modules and will be available in thePrimary Care Office website in 2011. The content will be updated as newevidence emerges.To facilitate the adoption of the Reference Framework, we are working withlocal healthcare providers of the private sector, professional organisations,non-government organisations and social service agencies in the communityto develop and implement pilot projects to identify service gaps and provideaffordable service as appropriate. In addition, primary care-related continuingmedical education (CME) programmes for doctors will be organised withprofessional organisations.New service delivery models of care/ the concept of ‘Community HealthCentre’ will be explored to foster the provision of more comprehensive andmultidisciplinary primary care services, taking into consideration that moreallied health and nursing support services are needed for management ofpatients with chronic disease like diabetes and hypertension.The patient education and empowerment is crucial for the adoption of theReference Framework. We will work with relevant stakeholders to organisehealth promotional activities for this specific group of patients so that they canbetter understand the Framework and how it can help their condition.HK Reference Framework for Hypertension Care for Adults in Primary Care Settings20
Page 2: ContentPreface.....................
Page 6 and 7: Key To Evidence Statements And Grad
Page 8 and 9: Chapter 1.EpidemiologyHypertension
Page 12 and 13: Chapter 6.Component 1: Prevention O
Page 14 and 15: Chapter 7.Component 2: Early Identi
Page 16 and 17: Chapter 8.Component 3: Clinical Car
Page 28 and 29: Appendix 1. Smoking Cessation Servi
Page 30 and 31: AcknowledgmentsDr CHU Leung-wingDr
Page 32 and 33: AcknowledgmentsDr CHAN Wai-manDr Jo
Page 34 and 35: AcknowledgmentsDr Betty YOUNG Wan-y
Page 36 and 37: AcknowledgmentsProfessor YU Cheuk-m
Page 38 and 39: Reference10. Sacks FM, Svetkey LP,
Page 40 and 41: Module 1 Framework for Population A
Page 42 and 43: Module 1Framework for Population Ap
Page 44 and 45: Module 2Blood Pressure Measurement2
Page 46 and 47: Module 2Blood Pressure Measurement4
Page 48 and 49: Module 3 Secondary Hypertension 1,2
Page 50 and 51: Module 4Evaluation for All Newly Di
Page 52 and 53: Module 4Evaluation for All Newly Di
Page 54 and 55: Module 5Dietary InterventionFood Gr
Page 56 and 57: Module 5Dietary InterventionMeals a
Page 58 and 59: Module 5Dietary InterventionReferen
Page 60 and 61: Module 6Exercise Recommendations to
Page 66 and 67: Module 7Drug Treatment for People w
Page 74 and 75: Module 8Annual AssessmentLaboratory

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