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BP monitoring apparatus
BP monitoring apparatus

Dr. Akanksha Saxena

June 25, 2025

How to check blood pressure? Is it being done correctly for your parents?

Proper method of checking blood pressure

How to check blood pressure for your parents?

A healthcare worker uses a sphygmomanometer to show how to check blood pressure in a medical office.

Why does blood pressure monitoring matter for seniors?

As we age, our blood pressure can change silently. High or low readings can be early signs of health problems like stroke, heart failure, or dehydration. That’s why knowing how to check blood pressure correctly is important, especially for older adults.

Which arm should you to use for blood pressure readings?

Here’s a simple but vital fact:
Not all arms give the same reading.

At first, check both arms. Use the one that gives a higher reading for future checks.

If both arms are nearly equal (within 10 mmHg), use the left arm, especially if the person is right-handed.

Special Situations: Use the Other Arm

Condition

Use This Arm

Stroke or paralysis

Unaffected arm

Dialysis (AV fistula)

Opposite arm

Recent surgery or IV line

Other arm

Pacemaker in the chest (usually left)

Avoid that side

Breast cancer (post-surgery)

Use unaffected side

Tip: Always write down which arm was used. This keeps future readings consistent.

Easy steps to correct BP monitoring

  1. Let the senior rest for 5 minutes.

  2. Avoid caffeine or smoking for at least 30 minutes before.

  3. Seat them comfortably feet flat, back supported.

  4. Use the correct cuff size and place it 1 inch above the elbow.

  5. Support the arm at heart level, palm facing up.

  6. Make sure the person is quiet and relaxed.

  7. Record the systolic and diastolic readings, the pulse, and which arm was used.

  8. If the result is very high or low, wait 2 minutes and check again.

When to call the nurse or doctor

Report these red flags immediately:

  • Blood pressure below 90/60 mmHg or above 160/100 mmHg

  • Pulse below 60 or above 100 beats per minute

  • Feeling dizzy, weak, or breathless

Conclusion:

Checking blood pressure seems like a small task. But doing it right can prevent a major health scare. Whether you're a caregiver at home or part of a senior daycare team, following this simple guide will make a world of difference.

At Aamra Seniors Club we monitor the members' vitals daily and notify the family if we see trends that require medical intervention before it leads to an event that would require hospitalisation.