GPCCMP - July 2025

{ "Patient Progress": "Mrs. Davies has shown good progress since her last review. Her blood pressure is now consistently within the target range, and she reports feeling more energetic. She has been adhering well to her medication regimen and has started attending a weekly walking group.", "Condition Name (in lay and medical terms e.g. high blood pressure (hypertension))": "High Blood Pressure (Hypertension)", "Goals": " * Reduce systolic blood pressure to below 130 mmHg. * Maintain diastolic blood pressure below 80 mmHg. * Adhere to medication schedule consistently. * Attend all scheduled follow-up appointments. * Increase physical activity to 30 minutes of moderate-intensity exercise most days of the week. ", "Management Arrangements": " * Continue Lisinopril 20mg daily. * Monitor blood pressure at home twice a week and record readings. * Review blood pressure readings at the next appointment. * Discuss lifestyle modifications, including diet and exercise. * Referral to a dietician for dietary advice. ", "Condition Name (in lay and medical terms)": "Type 2 Diabetes (Diabetes Mellitus)", "Goals": " * Maintain HbA1c below 7%. * Monitor blood glucose levels regularly. * Adhere to medication schedule consistently. * Attend all scheduled follow-up appointments. * Maintain a healthy weight. ", "Management Arrangements": " * Continue Metformin 1000mg twice daily. * Monitor blood glucose levels before meals and at bedtime. * Review blood glucose readings at the next appointment. * Discuss lifestyle modifications, including diet and exercise. * Referral to a diabetes nurse educator for diabetes management education. ", "New Issues or Concerns": "Mrs. Davies expressed some concerns about the side effects of her medication, specifically a persistent cough. She also mentioned occasional feelings of low mood.", "Weight / Lifestyle": " * Goal: Maintain a healthy weight range * Optimise nutrition, physical activity, and sleep ", "Mental Health": " * Goal: Maintain good mental health * Regular checks as needed ", "Vaccination": " * Goal: Ensure vaccinations are up to date (e.g. flu, COVID-19, tetanus) ", "Bone Health": "Mrs. Davies had a DEXA scan last year, which showed mild osteopenia. She is taking calcium and vitamin D supplements as prescribed. She has been advised to engage in regular weight-bearing exercise.", "Other Preventative Health": "Discussed the importance of regular cancer screening, including mammograms and cervical screening. Encouraged smoking cessation and moderate alcohol intake.", "Summary of Goals and Objectives": "Maintain overall health, keep up with regular check-ups, get annual flu shots, improve strength and balance with regular exercise, take medications as prescribed. Manage hypertension and diabetes effectively. Address medication side effects and low mood.", "Team Care Arrangements (TCA)": " * Diabetes Nurse Educator – Diabetes management – Review in 3 months * Dietician – Dietary advice – Review in 3 months ", "Next Review": "Review in 6–12 months or earlier as needed." }