Detailed GPMP Notes (Item 721)

GP MANAGEMENT PLAN - Hypertension **Patient Details:** - Full Name: John Smith - Date of Birth: 15/06/1965 - Medicare Number: 1234 56789 0 - Does the patient identify as Aboriginal or Torres Strait Islander: No - Address: 123 Main Street, Sydney, NSW 2000 - Home Phone: (02) 1234 5678 - Mobile Phone: 0412 345 678 **Date GPMP Completed:** 01/11/2024 **Date of Previous GPMP:** 01/05/2023 **Details of Patient's Usual GP:** - Name: Dr. Emily Brown - Qualifications: MBBS, FRACGP - GP's Address: 456 Health Road, Sydney, NSW 2000 - GP's Phone: (02) 8765 4321 - GP's Fax: (02) 8765 4322 **Assessment of Patient** Patient Identified Problems / Health Care Needs: - Diagnosis: Hypertension - Date of Diagnosis: 01/01/2020 **Medical / Surgical History:** - Chronic hypertension - Appendectomy in 2005 - Hospitalization for pneumonia in 2018 **Medications:** - Amlodipine 5mg once daily - Lisinopril 10mg once daily **Allergies:** - Penicillin (rash) **Immunisation History:** - Influenza vaccine: 01/04/2024 - Pneumococcal vaccine: 01/04/2023 **Smoking History:** - Former smoker, 10 pack-years, quit in 2015 **Planned Review Date:** 01/05/2025 **GPMP Added to the Patient’s Records:** Yes **Copy of GPMP Offered to Patient:** Yes **Patient Understanding and Agreement:** "I understand this Management Plan recommendations and agree to the outlined goals." Patient Signature: John Smith Date: 01/11/2024 "I have explained the steps and costs involved, and the patient has agreed to proceed with the service." GP Signature: Dr. Emily Brown Date: 01/11/2024 **Current Health Need/Problem:** - Management of blood pressure to prevent cardiovascular complications. **Goal:** - Achieve and maintain blood pressure below 130/80 mmHg. **Agreed Action by Health Professionals and Patient** 1. General - Patient's Understanding of the Condition: - The patient understands the importance of managing blood pressure to prevent heart disease and stroke. - Educational resources provided include pamphlets on hypertension management and a website link to the Heart Foundation. - Follow-up appointment scheduled in 3 months to review understanding and progress. 2. Lifestyle - Quality of Life: - Goal to assess the impact of hypertension on daily activities using the EQ-5D questionnaire annually. - Nutrition: - Focus on reducing sodium intake and increasing fruit and vegetable consumption. - Referral to a dietitian for personalized dietary advice. - Physical Activity/Exercise: - Encourage 30 minutes of brisk walking daily, 5 days a week. - Smoking Cessation: - Not applicable as the patient is a former smoker. - Energy Conservation: - Not applicable. 3. **Biochemical** - Spirometry: - Not applicable. 4. **Medication** - Medication Review: - Regular review of antihypertensive medications to ensure efficacy and adherence. - Home Medication Review scheduled for 01/12/2024. - Immunisation: - Up to date with influenza and pneumococcal vaccines. 6. **Complications** - Monitoring of Health Conditions: - Regular monitoring of blood pressure and kidney function tests every 6 months. 7. **Mental Health and Wellbeing** - Depression, Anxiety, and Stress: - Patient screened using the DASS-21, no significant issues identified. - Social Isolation and Emotional Wellbeing: - Encouraged to join local walking group for social interaction and support.