Quote from mugwump
I am curious what position do you p ut your moms in when taking their blood pressure expecially in PIH patients and your rational behind it. Sitting up or lying down on their left side?
If you are just trying to figure out if a person has PIH you should just make sure that they are all taken in the same position. If there is a rise in that position you can check postural changes to see if maybe bedrest will solve their problem or if they need med's.
If you are evaluating someone with known PIH you should take it in the position that they are in most. So if you have a person that is walking around you would want to take it standing or sitting and not long after they had been walking. If you have a bedrest patient it's okay to take it while they are lying down.
If your bedrest patient has a high pressure while lying down, recheck it, consider factors that might be temporarily raising it, eliminate them, take it again. If it's still high call the doc for meds if it's lower you can just work on the factors that raise it. If your patient that is walking around has a high pressure, maybe they need to be on bedrest.
I had some trouble with a patient (who was also a nurse). She would run around all day even though she was inpatient for bedrest. When I went to take her pressure she insisted that I wait 15 min for her to lye down on her left side before letting me take the BP.
We compromised and took it while she was sitting but didn't wait the 15-min. We had a talk and she became more compliant with her bedrest because her pressure was running really high when we took it my way although it had been looking good when done her way.
It allowed me to show her why she needed to be more compliant with her bedrest (which of course she already knew but was fooling herself).