Find history and home-style service in Burlington, Massachusetts Welcome to the Homewood Suites by Hilton® Boston-Billerica/Bedford/Burlington hotel. Our Burlington, MA hotel is located in the heart of Boston’s high-tech corridor and is within a mile of shopping and restaurants. An ideal choice among Bedford, MA hotels, Homewood Suites is perfect for short and extended stay accommodations, and will make you feel at home while visiting the greater Boston area. Our complimentary shuttle will take you anywhere within a 5-mile radius. Many local businesses are near our extended stay hotel, including Sun Microsystems, Siemens, Northrop Grumman and PriceWaterhouse Coopers. Discover exciting area attractions like the Salem Witch Museum, Burlington Mall, the Lexington/Bedford/Concord historical area, downtown Boston and Fenway Park. Learn about the interesting history of our own property. Find the plaque in the woods next to our hotel that identifies it as a historical landmark.
Wake up to a hot full breakfast served daily, and unwind at the end of the day with the evening social served Monday through Thursday, both included with your stay at our Bedford, MA hotel. Relax in your suite, featuring a separate living area and TVs in each room. Check email at your work desk with free internet access. Prepare meals and snacks in the fully equipped kitchen. For relaxation, work out in our fitness center or swim in the indoor heated pool. For business or leisure, Homewood Suites by Hilton® Boston-Billerica/Bedford/Burlington is your home away from home. * Local and state laws apply Relax in one of our spacious studio, one- or two-bedroom suites knowing we’ve worried about the details so you don't have to. Lounge in the separate living area and prepare a meal on the two-burner stovetop or in the microwave in your fully equipped kitchen. Connect with the office or your family at your work desk using complimentary high-speed internet access. Watch a favorite program or read a good book propped up on fluffy pillows on your comfy bed.
At the end of the day, slip into your queen- or king-sized bed and set the alarm for your complimentary hot full breakfast the next morning. At your Homewood Suites by Hilton hotel — a great choice among Bedford, MA hotels for extended stays — you’ll enjoy a range of inclusive perks to help you feel right at home. Indulge in a hot full breakfast each morning and evening social Monday through Thursday. We offer a complimentary grocery shopping service - and if you forget something, there’s a 24-hour on-site convenience store. Other benefits include newspaper delivery every weekday, and complimentary WiFi. It’s all you need to make yourself at home.*Local and state laws apply Find where we are located View the Maps & Directions Page This content will open in a overlay Book your next stay at least twenty one days in advance for special discounts.Step 1: What you needShow All ItemsThe potential of mercury spillage contaminating the environment has led to the decreased use or elimination of mercury in sphygmomanometers as well as in thermometers.52 However, concerns regarding the accuracy of nonmercury sphygmomanometers have created new challenges for accurate BP determination.53,54 When mercury sphygmomanometers are replaced, the new equipment, including all home BP measurement devices, must be appropriately validated and checked regularly for accuracy.55Accurate Blood Pressure Measurement in the OfficeThe accurate measurement of BP is the sine qua non
The equipment—whether aneroid, mercury, or electronic—should be regularly inspected and validated. The operator should be trained and regularly retrained in the standardized technique, and the patient must be properly prepared and positioned.4,56,57 The auscultatory method of BP measurement should be used.58 Persons should be seated quietly for at least 5 minutes in a chair (rather than on an exam table), with feet on the floor, and arm supported at heart level. Caffeine, exercise, and smoking should be avoided for at least 30 minutes prior to measurement. Measurement of BP in the standing position is indicated periodically, especially in those at risk for postural hypotension, prior to necessary drug dose or adding a drug, and in those who report symptoms consistent with reduced BP upon standing. An appropriately sized cuff (cuff bladder encircling at least 80 percent of the arm) should be used to ensure accuracy. At least two measurements should be made and the average recorded. For manual determinations, palpated radial pulse obliteration pressure should be used to estimate SBP—the cuff should then be inflated 20–30 mmHg above this level for the auscultatory determinations;
the cuff deflation rate for auscultatory readings should be 2 mmHg per second. SBP is the point at which the first of two or more Korotkoff sounds is heard (onset of phase 1), and the disappearance of Korotkoff sound (onset of phase 5) is used to define DBP. Clinicians should provide to patients, verbally and in writing, their specific BP numbers and the BP goal of their treatment.Followup of patients with various stages of hypertension is recommended as shown in .Table 4Recommendations for followup based on initial blood pressure measurements for adults without acute end organ damage. Ambulatory Blood Pressure MonitoringAmbulatory blood pressure monitoring (ABPM) provides information about BP during daily activities and sleep.59 BP has a reproducible "circadian" profile, with higher values while awake and mentally and physically active, much lower values during rest and sleep, and early morning increases for 3 or more hours during the transition of sleep to wakefulness.60 These devices use either a microphone to measure Korotkoff sounds or a cuff that senses arterial waves using oscillometric techniques.
Twenty-four hour BP monitoring provides multiple readings during all of a patient's activities. While office BP values have been used in the numerous studies that have established the risks associated with an elevated BP and the benefits of lowering BP, office measurements have some shortcomings. For example, a white-coat effect (increase in BP primarily in the medical care environment) is noted in as many as 20–35 percent of patients diagnosed with hypertension.61Ambulatory BP values are usually lower than clinic readings. Awake hypertensive individuals have an average BP of >135/85 mmHg, and during sleep, >120/75 mmHg. The level of BP measurement using ABPM correlates better than office measurements with target organ injury.15 ABPM also provides a measure of the percentage of BP readings that are elevated, the overall BP load, and the extent of BP fall during sleep. In most people, BP drops by 10–20 percent during the night; those in whom such reductions are not present appear to be at increased risk for cardiovascular events.
In addition, it was reported recently that ABPM patients whose 24-hour BP exceeded 135/85 mmHg were nearly twice as likely to have a cardiovascular event as those with 24-hour mean BPs <135/85 mmHg, irrespective of the level of the office BP.62,63Indications for the use of ABPM are listed in . Medicare reimbursement for ABPM is now provided to assess patients with suspected white-coat hypertension.Table 5Clinical situations in which ambulatory blood pressure monitoring may be helpful. Self-MeasurementSelf-monitoring of BP at home and work is a practical approach to assess differences between office and out-of-office BP prior to consideration of ABPM. For those whose out-of-office BPs are consistently <130/80 mmHg despite an elevated office BP, and who lack evidence of target organ disease, 24-hour monitoring or drug therapy can be avoided.Self-measurement or ABPM may be particularly helpful in assessing BP in smokers. Smoking raises BP acutely, and the level returns to baseline about 15 minutes after stopping.