The prevalence of hypertension is increasing, especially in my home state of Mississippi. 

One problem with hypertension is the absence of symptoms. Individuals in rural areas experience many difficulties in accessing health-care services, so what I am doing in my practice is prescribing self-monitoring of blood pressure, either with a home device or through a public kiosk, to patients who have hypertension or patients who are at risk of developing hypertension.

I have found that once patients see their numbers, this information will motivate change to do what is necessary. — Laneita Davis, DNP, FNP-BC, Tunica, Miss. (188-8)

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These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.