outcome Following regular monitoring and improved concordance with treatment, Edith's HbA1c level fell to 7.1% and her blood pressure was 140/80 mmHg. Urea and electrolyte blood levels are checked regularly. Information provision and education on maintaining good self-management skills are ongoing. A combination of negotiation, education reinforcement, appropriate follow up and monitoring has resulted in Edith having a better understanding of her hypertension and diabetes, which has improved her concordance with her medication.
The symptoms of headache and daziness have now resolved. Edith reports feeling much better and is less anxious and more confident about going out. she continues to lead an independent and active life No medication has been changed or added to her regimen.Edith is monitored on a regular basis and her risk of falls has been reduced with effective management of her hypertension and diabetes
This case study illustrates the importance of active management of long-term conditions in older adults. Effective medines management and regular review, as well as on going education have helped Edith to maintain an active and independent life, resulting in a reduction in hospital admissions.
Conclusions
The literature demonstrates that there is no reason to deny older people treatment for hypertension and diabetes, and decisionson whether older people get treatment should be based on evidence, not supposition or prejudice (Hull 2008).This article has identified some common challenges in clinical practice and offered possible solutions to achieve effective management inhypertension and diabetes in the older adult. The incorporation ofclinical guidelines based on current evidence into care can help achieve positiveout comes for patien The aim to improve and enhance the quality of lifefor older people by providing caretha is based on individual needs NS