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Help needed with blood pressure cuffs.

I work in primary health care al Turanga Health in Gisborne. My day involves carrying out health checks at our organisation, at various marae in the country or wherever clients feel most comfortable. These people are mainly adult (pakeke) and elderly (kaumatua), and some tend to have short arms but with a very large arm circumference. I use an extra-large blood pressure cuff to take their readings but it often extends past the brachiocubital area of the arm and it's sometimes difficult to get the head of the stethoscope under the cuff and in a good position.

I am wondering if it's possible to get a cuff that's the width of a normal adult cuff but the same length as an extra-large cuff. I have contacted a couple of manufacturers to see if they can make one but with no results. It may not be a problem for anyone else--maybe it's just me--but some thoughts or feedback regarding this issue would be much appreciated. Please email me on

Bernie Biddle, RN, Gisborne

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Author:Biddle, Bernie
Publication:Kai Tiaki: Nursing New Zealand
Article Type:Letter to the editor
Date:May 1, 2009
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