NEW KEY MESSAGE OF THE 2006 RECOMMENDATIONS: IMPROVE PATIENT ADHERENCE TO ANTIHYPERTENSIVE THERAPIES
Adherence with antihypertensive management can be improved by implementing a multipronged approach incorporating the following strategies.
Assist Patients to Adhere
• Teach patients to take their pills on a regular schedule associated with a routine daily activity (e.g., brushing teeth).
• Simplify regimens with long-acting once-daily medications.
• Use fixed-dose combination medications.
• Use unit-of-use packaging (e.g., blister packaging).
Assist Patients to Get More Involved in Their Treatment
• Encourage greater patient responsibility and autonomy in regular monitoring of their blood pressure.
• Educate patients and patients’ families about their disease and treatment regimens verbally and in writing.
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Improve Your Management in the Office and Beyond
• Assess adherence to nonpharmacological and pharmacological therapy at every visit.
• Encourage adherence to therapy by telephone contact and support provided by health care practitioners, particularly over the first 3 months of therapy.
• Coordinate with work-site health care givers, if available, to improve monitoring of hypertension management.