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This site provides homecare clinicians with access to chronic care management models, best practices and downloadable resources for homecare patients.

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"The body of knowledge that serves as the rationale for nursing practice determines the areas of specialty to develop as well as the manner in which that knowledge is organized, tested and applied." -Carper, 1978

Hypertension and Angina > Problem Solving

Problem Solving

Hypertension and Chronic Stable Angina - Problem Solving
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Best Practices

Homecare patients with hypertension and/ or chronic stable angina should receive contact information for community, state or national resources for cardiovascular care.

Homecare patients with hypertension and/ or chronic stable angina should receive contact information for community, state or national resources for cardiovascular care. Primary care providers should be invited to consider potential referrals to specialty providers. When specialty providers are the homecare referral source, the patient should also have a primary care provider.

Referral sources are dependent upon superimposed risks such as diabetes and COPD. Sources include pulmonologists, endocrinologists, psychologists, social workers, psychiatrists, advanced practice nurses, physical therapists and registered dietitians. Other resources include the American Heart Association (AHA), Preventative Cardiovascular Nurses Association (PCNA) cardiac rehabilitation programs and wellness centers.
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Assess (7 documents)
It is important to evaluate the patient and/or caregiver’s self-care knowledge of hypertension or chronic stable angina as well as their own unique warning signs of a change in status. The self-care action plan should include an assessment of what the patient would do given specific warning symptoms or signs that require attention. In addition, they need to be aware of valuable resources available to them if they want to remain current about cardiovascular management.
 
Plan (1 documents)
The plan of care should include measurable, obtainable and patient specific goals.
 
Implement (59 documents)
A self-care action plan should include the appropriate patient response to scenarios common in patients with hypertension or chronic stable angina. This includes the response to fluid overload or dehydration as well as to chest pain. It is important to work in tandem with the provider in order to make appropriate referrals. A list of community and national resources can be made available to the patient and/or the caregivers in order to assist them in initiating these relationships.
 
Evaluate (2 documents)
The goals and interventions for patients with hypertension or chronic stable angina are evaluated regularly and revised to achieve desired health outcomes. Answering the questions below will provide the information to use as measurements toward goals.
 
 


The development of the hypertension and chronic stable angina project was made possible by a grant from the New York State Attorney General on behalf of the Attorneys General of all 50 states, DC and Puerto Rico from litigation settlement funds to benefit the healthcare needs of consumers with high blood pressure and angina. Original funding for the site was provided in part by US Congress and CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.