Under draft guidelines, which are open to consultation, the National Institute for Health and Clinical Excellence (Nice) proposes changes that could see a cut in the number of people under 40 diagnosed with high blood pressure thanks to more accurate testing.
But they also urge doctors to ensure they look at the lifetime possibility of heart attack or stroke when deciding to exclude a person from treatment.There are more than 8.5 million people in the UK diagnosed with high blood pressure but many more are undiagnosed.
In 2008, 32 per cent of men and 29 per cent of women in England had high blood pressure (defined as a systolic blood pressure of 140mmHg or over, or a diastolic blood pressure of 90mmHg or over) or were being treated for the condition.
Under the Nice guidelines, if blood pressure measurements taken during a consultation are 140/90 mmHg or higher, then extra confirmation should be obtained with either ambulatory blood pressure monitoring or home blood pressure monitoring.
When a HPC picks a patient up from a GP surgery we still do our own set of observations, not that we don’t trust the GP but because it’s standard practice, just the same as when you take the patient into A&E the nursing staff do a set of base line observations . It has nothing to do with ignoring anyone but covering your back, when you are stood in the dock and some posh barrister is asking did you do you do any observations you need to answer yes.
Also good history taking is a vital skill and it is often the general public who are not first aid trained that tell the story of events leading to the ambulance being called, we are always listening to what has happened so that we can give the correct treatment.
Just give the facts and you can’t go far wrong –on handover at hospital we will often be scorned for long handovers, so it’s not just you. I have been told by an A&E Doctor that he did not believe my observations you just have to take it on the chin. Ps never had any problems with obs before or since. Keep up the good work.