DESCRIPTION OF THE LEARNER: Patient ________, a ____ year old _____, hypertensive client for ___ years.

He is _______ with ________ kids. A

______________. Prefers to use ________________ as a meduim of cmmunication. Usual meal consist of ___________.

LEARNING NEEDS: A brief discussion of Hypertension in general. What are the myths about hypertension. What could be a lifestyle that would prevent further
complications

LEARNING STYLE: Patient is a __________________graduate. Can/t do basic calculation and can comprehensively read articles. Patient prefers to
___________________________________________

LEARNING READINESS: Patient is physically, mentally and psychologically capable of grasping knowledge

LEARNING DIAGNOSIS: Knowledge deficit related to lack of information

GOAL: The learner is expected to gain basic knowledge regarding the basic steps in lifestyle change when it comes to hypertension.

OBJECTIVES:

BEHAVIORAL LEARNING TOPIC OUTLINE TEACHING STRATEGRY / TIME ALLOTMENT AND METHOD OF
OBJECTIVE METHOD AND ACTIVITIES RESOURCES EVALUATION

A. COGNITIVE DOMAIN: · If fully met:

after 7mins of teaching
client will be able to:
1. understand the what
hypertension in genral.
2. Gain information on what
are the best lifestyle change
and diet plans regarding
hypertension
3. Know the advantage and
disadvantage of proper
management of
hypertension
• Bref discussion of
hypertension in general
andwhat are the myths
regarding it.
• Proper management of
hypertension through lifestyle
change and diet plans
regarding hypertension
• benifits of proper management • one on one discussion
of hypertension
• one on one discussion
• one on one discussion
• 3minutes (pamphelet assisted)
• 2 minutes (pamphelet
assisted)
• 2 minutes (pamphelet
assisted)
Instant oral feedback: the client
will be able to discuss what is
hypertension and its
manegment with its benifits
· If partially met:
Instant oral feedback: the client
will be able to partially discuss
what is hypertension and its
manegment with its benifits
· If not met:
Instant oral feedback: the client
will not be able to discuss what
is hypertension and its
manegment with its benifits
BEHAVIORAL LEARNING
OBJECTIVE
B AFFECTIVE DOMAIN:
After 6mins of teaching client
will be able to:
1. Justify the need to know
how to provide proper
management to prevent
compplications
2. Feel the urge to comply to
this management
3. Can apply the task or
management with
confidence
C. PSYCHOMOTOR
DOMAIN: after 2 mins of
teaching client will be able to:
1. will be avle to cope with the • Proper management and
changes that will happen
regarding lifestyle and diet
changes without any
psychological disturbance
TOPIC OUTLINE
• Complications that may occur
it proper management is not
given
• Advantage and effects of • one on one discussion
proper management to prevent
futher complication
• Adequate and relative • one on one discussion
informations
alterations to be done during
the healing process of wound
with psychological support
TEACHING STRATEGRY / TIME ALLOTMENT AND
METHOD AND ACTIVITIES RESOURCES
• one on one discussion
• one on one discussion with
counseling if needed
• 2 minutes (pamphelet
assisted)
• 2minutes (pamphelet assisted)
• 2 minutes (pamphelet
assisted)
• 2 minutes (pamphelet
assisted)
METHOD OF
EVALUATION
· If fully met:
Instant oral feedback: the client
will be able to discuss the need
to change the lifestyle and diet
· If partially met:
Instant oral feedback: the client
will be able to partially discuss
the need to change the lifestyle
and diet
· If not met:
Instant oral feedback: the client
will not be able to discuss the
need to change the lifestyle
and diet
· If fully met:
Instant oral feedback: the client
will be able to apply alteration
in activity without any signs of
psychological breakdown
· If partially met:
Instant oral feedback: the client
will be able to partially apply
alteration in activity minimal
signs of psychological
breakdown
· If not met:
Instant oral feedback: the client
will not be able to apply
alteration in activity without
any signs of psychological
breakdown
LEARNING CONTENT: (Pamphelet)

Hypertension is another name for high blood pressure .  It is not only a disease but a biomarker for risk to develop cardiovascular ( CVD) events such as
stroke, heart attacks, or heart/renal failure. Blood pressure is the force exerted by circulating blood on the walls of blood vessels.  The top, or first, number is
the systolic, the  highest pressure when heart beats and is pumping blood out into blood vessels. The bottom, or second number, is the diastolic, the drop in
pressure when heart is at rest between the beats. For persons over the age of 50, systolic pressure is more important than diastolic as CVD risk factor.
Changes in blood pressure classification

Systolic BP/Dystolic BP Category

< 120/80 Normal

120 -139 / 80-89 Prehypertension

≥ 140 / 90 Hypertension

140 -159 /90-99 Stage 1

≥ 160 / ≥ 100 Stage 2

Causal factors have been identified :  excess body weight, excess dietary sodium intake, inadequate intake of fruits/ vegetables , sedentary lifestyle,  and
excess alcohol. 
Myths About Hypertension
Cholesterol matters more than blood pressure.
The reverse more often is true. If one has high cholesterol but the ratio of HDL ("good) to LDL ("bad") is healthy, or if  cholesterol particles tend to be large,
one’s  risk of heart attack is not great. High blood pressure, however, is always putting stress on the blood vessels, including those supplying the  heart with
blood. This stress makes it easier for the bad LDL cholesterol particles to penetrate the inner lining of the blood vessel walls, where they accumulate and form
plaque that eventually obstructs blood flow leading to heart attack and stroke.
If one is hypertensive and feeling poorly, it's probably because the blood pressure is elevated.
This is almost never the case. Whatever is causing the symptoms is responsible for the raised blood pressure, not the other way round. When one does not feel
well or have pain, whether from a virus or a minor sprain, the body releases adrenaline, which causes  blood pressure to rise.
High Blood Pressure Can't Be Prevented.
      Perhaps one has relatives with high blood pressure. Maybe one is a member of a   group of people who are at greater risk. For these or other reasons, one
is  tempted to think that there's nothing one can do about high blood pressure.
       Here is some good news about high blood pressure: Even if one has many risk, factors, there are steps that can be taken to prevent high blood pressure:

· Keep body weight at a healthy level - by a combination of balanced food choices regular exercise, and behavioral modification.

· Eat a healthy diet - This includes eating only the amount of food your body needs and including at least 2 servings of fish/week. Diet should be high in
fiber, low in sugar and fat but rich in omega-3, found in studies to reduce high diastolic blood pressure

· Limit salt intake - Most of the sodium one eats is in the form of added salt at the table or salt added during processing and/or cooking of foods .

· Limit alcohol.  See illustration below.

· Avoid tobacco, and minimize exposure to secondhand smoke.

· Get regular exercise- at least 30 minutes of activity each day. Exercise relieves stress and helps  control body weight.

· Avoid stress build up. The chemicals the  body makes in response to stress make the  heart beat harder and faster and cause blood vessels to tighten.
All these make blood pressure go higher. 
Who is most likely to get high blood pressure ?
One’s chances of getting hypertension are higher if one:

· is overweight or obese

· is over the age of 45 ( male) or over the age of 55( female)

· has a family history of high blood pressure

· has pre-hypertension, with a reading of 120-139/80-89 mmHg

· has a stressful sedentary lifestyle including   anxiety, excessive alcohol and  smoking ( active or passive).

Bibliography
Club, D. H. (n.d.). Diet Health Club. Retrieved from Diet Health Club: http://www.diethealthclub.com/health-issues-and-diet/hypertension/diet.html

Philippines, N.-D. A. (n.d.). Nutritionists-Dietitians' Association of the Philippines. Retrieved from Nutritionists-Dietitians' Association of the Philippines:
http://www.ndap.org.ph/hypertension-0