Quinto, Roselyn Y.

Nursing Informatics
BSN II 02 March 2020
REFLECTION PAPER ON A WEBINAR ENTITLED “A PATIENT-CENTRIC
APPROACH IN THE MANAGEMENT OF DIABETES AND HYPERTENSION”
I felt very overwhelmed of the knowledge that this Webinar had given me. I never thought
that Diabetic and Hypertensive Clients could be treated with a wide variety of Medications that
could also be of beneficial with any underlying diseases they have such as Chronic Kidney Disease,
Heart Failure, and Atherosclerotic Cardiovascular Disease. I also felt glad that the treatment for
Diabetes improved from just treating the Signs and Symptoms to Monitoring or Controlling the
Blood Glucose Level up to now that it already involves the assessment of the condition of the
patient and identifying the drug combination therapy needed for patient’s condition. In other
words, the treatment as of today evolved from Disease-Centered to Patient-Centered Approach.
I think that this Patient-Centered Approach is much better than Disease-Centered Approach
because this involves that assessment of the patient themselves – their whole condition and feelings
in every intervention to be done. This Webinar gave a lot of knowledge as to what medications to
be administered to a certain patient based on the assessment of his condition because there are
medicines that have side effects on a patient, thus, the medication will be changed to another that
would give him the best of benefit like for example, a certain medication for Diabetes can also
induce weight loss aside from lowering blood glucose level or there are medications that are
cheaper so it would benefit those who have low daily income.
I learned a lot of things during the Webinar and those are the following, (1) Pre-Diabetic
and Pre-Hypertensive Patients are usually offered to have a lifestyle modification first for 1-2
months unless there would be no response at all, only then a medication will be administered, (2)
Sublingual Medications are not recommended in emergency situations for hypertension because it
lowers the blood pressure abruptly, instead, drip would be administered, (3) Medications such as
ACE, ARB, and Beta Blockers (with caution only) are not to be offered to pregnant patients
because these could be of harm to the fetus they are carrying, (4) Home-based monitoring of Blood
Glucose Level must be checked at least once a day and on different time periods so that the
physician may evaluate a patient’s glucose level that had covered different time periods within a
day, (5) White Coat Hypertension is a condition wherein a patient has a normal blood pressure
when checked at home, but unusually rises when checked at a clinic. Medication is not necessary,
but this may be a risk for a future complication, Lastly, (6) When treating hypertension, consider
also your patient’s feelings if ever they are feeling healthier or all right and not just relying on
numbers whether to stop already a certain medication because you may not know if the continuous
taking of this medication is already lowering your patient’s blood pressure lower than normal.
I suggest that the Webinar provide an English subtitle for everyone so that every word
spoken will be understandable enough. Above all, It was well-organized and very knowledgeable.