hyperlipidemia, heart disease, hormone therapy, and smoking. Considering the role of the family nurse practioner; I feel the role of preventing or treating hypertension is a key risk factor. As clinicians it is prudent to be sure a patient’s blood pressure is within normal limits, this may be done by monitoring trends and recording in the medical record for review at subsequent visits. If a patient’s blood pressure reading continues running over 120/80 it would be important to have the patient monitor blood pressure at home keeping a record of the pulse, time of day and activity; and having the patient record the data in a diary to share with the provider to see if treatment needed. Close monitoring of newly diagnosed hypertensive patients with monthly visits initially would help ensure they are on the correct prescription to maintain their blood pressure within normal parameters thus reducing the injury to the vessels. Frequent monitoring and visits holds true for stable hypertensive patients who should also be followed every three to six months to ensure adequate treatment. Furthermore discussing diet, exercise and smoking history with patients to evaluate other risk factors is an important tool for a clinician to discover potential risk factors. The risk factors for stroke are modifiable vs. non-modifiable and prevention or reduction is key as the primary care clinician. In the primary care role the provider plays a key role in identifying the risk factors early so the chances of improving the modifiable
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- Fall '15