Achieving normal blood pressure1,2,3

Hypertension is a continuous challenge for many people on dialysis. This problem is complicated by a variety of factors, including high salt and fluid intake, lack of physical activity, and derangements in lipid metabolism. Because many dialysis patients are at high risk for vascular disease, education is needed to help patients maintain a healthy heart and vascular system. The dietitians and social workers of Saint Alphonsus Nephrology Center developed a handout for patients called, “A Gift for Your Heart.” This brochure reviews simple steps patients can take to manage their blood pressure and reduce their risk for heart disease and stroke. Patients were given plastic 8-ounce cups to illustrate portion sizes and fluid restrictions. In addition, to promote a lower salt diet, samples and coupons for spice blends were distributed. Moreover, as a person’s response to stress can be associated with higher blood pressure with subsequent vascular problems, the facility social workers provided tips on helping patients manage and reduce stress. We used a card insert in the pamphlet to outline normal, above normal, and high-risk blood pressures. Patients were encouraged to take an active role in monitoring their own blood pressures. The other side of the inserted card suggests patients try mouth sprays to help reduce fluid intake. Of interest, mouth sprays can be prepared by patients themselves and are very cost effective. Certainly, the steps to reaching a normal blood pressure and reducing vascular risk are an ongoing educational challenge. This brochure has helped our facilities begin emphasizing the importance of prevention of vascular disease, and we hope you will find it useful as well.