WAYS TO PROMOTE EFFECTIVE CIRCULATION

1. Ensure blood pressure is in normal range. (check series of BP; elderly has isolated type of hypertension–increase systolic with normal or high diastolic; Primary-due to obstruction, change in blood vessel; secondary-due to medical problems; hypotension is more dangerous in the elderly than hypertension)
2. Prevent and eliminate sources of pressure on the body. (constricting clothes such as socks, panty, choker, bracelet; advice the use of loose clothing)
3. Remind or assist patient to change position frequently.
4. Prevent pooling of blood in the extremities. (such as prolong standing; prone to develop DVT) 5. Encourage physical activity (such as stretching activities as tolerated by the person; avoid strenuous activities).
6. Prevent hypothermia, maintain body warmth.
7. Massage the body. (massage lightly it may cause purpura; done to aid circulation; skin is not tough and tight, subcutaneous tissue and blood vessels are thin; prone to bleeding and sensitive to pressure)
8. Monitor drugs for hypotensive effect.
9. Educate to reduce risk of cigarette smoking, excessive alcohol, obesity and inactivity.
10. Periodic exams of physical and mental health.

Source:
Lecture Notes from Mrs. Michelle Z. Jagunap, RN. July 2007. Lecture on Promotion of Effective Breathing and Circulation in the Elderly. St. Paul University Iloilo - College of Nursing. Philippines

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