Canadian Pharmacists Journal - May/June 2019 - 183

PRaCtiCeReView
Table 2 Responsibilities and tasks in hypertension management that can be assigned to a multidisciplinary
team in recent American and Canadian guidelines compared to roles of pharmacists that have been shown
to be effective in managing hypertension

level in hypertension
management

Responsibilities of a team
as recommended in the
aCC/aHa guidelines 201713

Tasks of a team as recommended
in Hypertension Canada's 2017
guidelines14

Pharmacists'
interventions shown
effective in systematic
reviews8,9

Role in managing BP and hypertension on a patient level
Measurement
and diagnosis of
hypertension

Effective use of evidencebased diagnosis and
management guidelines.

Health care professionals who have
been specifically trained to measure
BP accurately should assess BP in
all adult patients at all appropriate
visits to determine cardiovascular
risk and monitor antihypertensive
treatment.

Measurement of BP,
hypertension staging
and risk of stratification
and reviewing of home
BP measurements.

Medication
management

Medication addition and
titration using evidencebased treatment
algorithms.

Tailoring pill-taking to fit patient's daily
habits-simplifying to once-daily
dosing, single pill combinations and
unit-of-use packaging (of several
medications to be taken together).

Medication management
(including drug
monitoring with
adjustment or change
in medication).

BP monitoring and
follow-up aids on
adherence

Regular, structured follow-up
mechanisms and reminder
systems to monitor patient
progress. Follow a single,
personalized plan of
care based upon patient
characteristics and needs.

Assessing adherence to
pharmacological and
nonpharmacological therapy at
every visit. Encouraging adherence
with therapy by out-of-office
contact (phone or mail). Using
electronic medication compliance
aids. Coordination with pharmacists
and work-site health care givers to
improve monitoring of adherence
with pharmacological and lifestyle
modification prescriptions.

Reminder system
(including telephone
contact, web services,
home visits or drug
adherence aid).

Roles in organizing hypertension management on a team level
Communication and
coordination within
the care team

Communication and care
coordination among
various team members,
the patient and family
members or other support
persons.

No recommendation.

Feedback to health
care professional
(including drug-related
problems identification;
recommendation
to physician for
medication change;
team meeting,
development of
treatment plan).
(continued)

C P J / R P C * M ay / J u n e 2 0 1 9 * V O L 1 5 2 , N O 3

183

Canadian Pharmacists Journal - May/June 2019

Table of Contents for the Digital Edition of Canadian Pharmacists Journal - May/June 2019

Regulation and innovation in practice – Not a “drug interaction”?
Dietary sodium and the health of Canadians
Professional abstinence: What does it mean for pharmacists?
Canada’s new Healthy Eating Strategy: Implications for health care professionals and a call to action
Report from the 2018 National Summit on Wicked Problems in Community Pharmacy
Medical abortion: A practice tool for pharmacists
Community-based management of epistaxis: Who bloody knows?
The pharmacist’s role in successful deprescribing through hospital medication reconciliation
Pharmacists to improve hypertension management: Guideline concordance from North America to Europe
The patient experience in a community pharmacy mental illness and addictions program
Community pharmacists’ experiences with the Saskatchewan Medication Assessment Program
Cross-Canada updates
The conference experience—Making it yours
Canadian Pharmacists Journal - May/June 2019 - Intro
Canadian Pharmacists Journal - May/June 2019 - Cover1
Canadian Pharmacists Journal - May/June 2019 - Cover2
Canadian Pharmacists Journal - May/June 2019 - 137
Canadian Pharmacists Journal - May/June 2019 - 138
Canadian Pharmacists Journal - May/June 2019 - 139
Canadian Pharmacists Journal - May/June 2019 - 140
Canadian Pharmacists Journal - May/June 2019 - 141
Canadian Pharmacists Journal - May/June 2019 - 142
Canadian Pharmacists Journal - May/June 2019 - Regulation and innovation in practice – Not a “drug interaction”?
Canadian Pharmacists Journal - May/June 2019 - 144
Canadian Pharmacists Journal - May/June 2019 - 145
Canadian Pharmacists Journal - May/June 2019 - 146
Canadian Pharmacists Journal - May/June 2019 - Dietary sodium and the health of Canadians
Canadian Pharmacists Journal - May/June 2019 - Professional abstinence: What does it mean for pharmacists?
Canadian Pharmacists Journal - May/June 2019 - 149
Canadian Pharmacists Journal - May/June 2019 - 150
Canadian Pharmacists Journal - May/June 2019 - Canada’s new Healthy Eating Strategy: Implications for health care professionals and a call to action
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Canadian Pharmacists Journal - May/June 2019 - 153
Canadian Pharmacists Journal - May/June 2019 - 154
Canadian Pharmacists Journal - May/June 2019 - 155
Canadian Pharmacists Journal - May/June 2019 - 156
Canadian Pharmacists Journal - May/June 2019 - 157
Canadian Pharmacists Journal - May/June 2019 - Report from the 2018 National Summit on Wicked Problems in Community Pharmacy
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Canadian Pharmacists Journal - May/June 2019 - Medical abortion: A practice tool for pharmacists
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Canadian Pharmacists Journal - May/June 2019 - 162
Canadian Pharmacists Journal - May/June 2019 - 163
Canadian Pharmacists Journal - May/June 2019 - Community-based management of epistaxis: Who bloody knows?
Canadian Pharmacists Journal - May/June 2019 - 165
Canadian Pharmacists Journal - May/June 2019 - 166
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Canadian Pharmacists Journal - May/June 2019 - 173
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Canadian Pharmacists Journal - May/June 2019 - 176
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Canadian Pharmacists Journal - May/June 2019 - 178
Canadian Pharmacists Journal - May/June 2019 - 179
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Canadian Pharmacists Journal - May/June 2019 - 181
Canadian Pharmacists Journal - May/June 2019 - 182
Canadian Pharmacists Journal - May/June 2019 - 183
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Canadian Pharmacists Journal - May/June 2019 - 185
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Canadian Pharmacists Journal - May/June 2019 - 197
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Canadian Pharmacists Journal - May/June 2019 - 200
Canadian Pharmacists Journal - May/June 2019 - 201
Canadian Pharmacists Journal - May/June 2019 - 202
Canadian Pharmacists Journal - May/June 2019 - 203
Canadian Pharmacists Journal - May/June 2019 - Cross-Canada updates
Canadian Pharmacists Journal - May/June 2019 - 205
Canadian Pharmacists Journal - May/June 2019 - 206
Canadian Pharmacists Journal - May/June 2019 - The conference experience—Making it yours
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Canadian Pharmacists Journal - May/June 2019 - 209
Canadian Pharmacists Journal - May/June 2019 - 210
Canadian Pharmacists Journal - May/June 2019 - 211
Canadian Pharmacists Journal - May/June 2019 - 212
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Canadian Pharmacists Journal - May/June 2019 - Cover4
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