in partnership withthe patient to developan individualised care plan. Supportiveliterature was given to Edith to read outcome Followingregular monitoring and improved concordance with treatment, Edith's HbA1c vel fell to 7.1% and herblood pressure was 140M80 mmHg. Urea and electrolyte blood levels arechecked regularly. Information provision and education on maintaining good self-management ski are ngoing. 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 hasimproved herconcordance with her medication. The symptoms headache and dazinesshave now resolved. Edith reports feelingmuch better andisless anxious and more confidentabout going out, she to lead an in ctive life Nomedication hasheenchanged or added to herregimen.Edith is monitoredona regular basis and herrisk of falkhas been reduced witheffective managementofherhypertension and
This case study illustrates the importance of active management of long-term conditions in older adults. Effective medicinesmanagement and regular review, as we as ongoing education. have helped Edith to maintain an active and independent life, resulting in a reduction in hospital admissions.
Conclusions The literature demonstratesthatthereisno 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).Thisarticle 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 positiveoutcomes for patien The aim to improve and enhance the quality for older people by providing caretha is based on individualneeds NS