Social and community services are helpful when explicitly related to medical care. However, additional Table 22. Evidence-Based Elements of the Plan of Care for Patients With Hypertension Plan of Care Associated Section(s) of Guideline and Other Reference(s) Pharmacological and nonpharmacological treatments Medication selection (initial and ongoing) Monitoring for adverse effects and adherence Nonpharmacological interventions Diet Exercise Weight loss if overweight Moderate alcohol consumption Management of common comorbidities and conditions Ischemic heart disease Section 9.1S13.1-3,S13.1-4 Heart failure Reduced ejection fraction Preserved ejection fraction Diabetes mellitus Section 9.6S13.1-6 Chronic kidney disease Section 9.3 Cerebrovascular disease Section 9.4 Peripheral artery disease Section 9.5 Atrial fibrillation Section 9.8 Valvular heart disease Section 9.9 Left ventricular hypertrophy Section 7.3 Thoracic aortic disease Section 9.10 Patient and family education Achieving BP control and self-monitoring Sections 4.2, 8.2 Risk assessment and prognosis Section 8.1.2 Sexual activity and dysfunction Section 11.4 Special patient groups Pregnancy Section 10.2.2 Older persons Section 10.3.1 Children and adolescents Section 10.3.2 Metabolic syndrome Section 9.7 Possible secondary causes of hypertension Resistant hypertension Section 11.1 Patients with hypertension undergoing surgery Renal transplantation Section 9.3.1 Psychosocial factors Sex-specific issues Section 10.2 Culturally sensitive issues (race and ethnicity) Resource constraints Section 12.5 (Continued) Whelton et al 2017 High Blood Pressure Clinical Practice Guideline e77 financial support and financial services are incredibly benefi- cial to patients, some of whom may choose to skip a doctor s appointment to pay a residential utility bill. 14. Summary of BP Thresholds and Goals for Pharmacological Therapy Several different BP thresholds and goals for the long-term treatment of hypertension with pharmacological therapy are recommended in this guideline. To provide a quick reference for practicing clinicians, these are summarized for hyperten- sive patients in general and for those with specific comorbidi- ties in Table 23. 15. 