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Another section of the encounter form provides target blood
pressures, lists recommendations for lifestyle
changes, and provides a place for the physician to record the
initial choice of drug therapy (if any) and a
recommendation for follow-up.
The encounter form also provides several support tools:
A list of secondary causes of hypertension and suggested tests
for initial evaluation of these conditions
A guide for initial drug selection based on comorbidities
Usual dosages of commonly used generic drugs
A table for quickly determining body mass index
Use of this encounter form should make it easier for family
physicians to provide care that is consistent with
the JNC 7 guidelines, resulting in improved outcomes for their
patients.
Hypertension Encounter Form
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Mark H. Ebell, M.D., M.S., is in private practice in Athens,
Ga., and is associate professor in the Department of
Family Practice at Michigan State University College of Human
Medicine, East Lansing. He is also deputy editor for
evidence-based medicine ofAmerican Family Physician.
Address correspondence to Mark H. Ebell, M.D., M.S., 330
Snapfinger Dr., Athens, GA 30605 (e-mail:
[email protected]). Reprints are not available from the author.
REFERENCES1. Chobanian AV, Bakris GL, Black HR, Cushman WC,
Green LA, Izzo JL, et al. Seventh Report of the Joint
National Committee on Prevention, Detection, Evaluation, and
Treatment of High Blood Pressure. Hypertension.
2003;42:120652.
2. Green L. JNC 7 Express: new thinking in hypertension
treatment [Editorial]. Am Fam Physician.
2003;68:228,230.
3. Ressel GW, NHLBI. . NHLBI releases new high blood pressure
guidelines. [Prac Guide]. Am Fam Physician.
2003;68:376,379
This guide is one in a series that offers evidence-based tools
to assist family physicians in improving their decision-
making at the point of care. The series is published in
partnership with Family Practice Management. A related article,
which also includes the hypertension encounter form, appears in
the March issue ofFPM, pages 7981.
Copyright 2004 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online
may make one printout of the material and may use
that printout only for his or her personal, non-commercial
reference. This material may not otherwise be downloaded,
copied, printed, stored, transmitted or reproduced in any
medium, whether now known or later invented, except as
authorized in writing by the AAFP. [email protected]
copyright questions and/or permission requests.
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