Adventist University of the Philippines

College of Nursing

Marvel Jazzreal O. Fernandez

CHN 1/ Section C

Instructional Design

Title: Huwag kang High Blood!

Goal: To help the client manage hypertension.

Objectives: Content Method of Time Allotted Evaluation

After 20mins of Teaching
health teaching
the client/patient
will be able to:
1. Define what WHAT IS Lecture 2minutes Question and
Hypertension is HYPERTENSION? answer
Hypertension,
also known as
high blood
pressure, is a
long-term medical
condition in which
the blood
pressure in the
arteries is
persistently
elevated. This
means that the
blood applies too
much force
against the walls
of the blood
vessels. High
blood pressure
typically does not
cause symptoms.
2. Enumerate at There are Discussion 2 minutes Question and
least two stages different stages answer
of hypertension of high blood
pressure or
hypertension:

1. STAGE 1 or
Prehypertension
 is 120/80 to
139/89.

2. STAGE 2 or
Mild hypertension
is 140/90 to
159/99.

3. STAGE 3 or
Moderate
hypertension is
160/100 to
179/109

4. STAGE 4 or
Hypertensive over
180/110
3. Identify at least RISK FACTORS OF Lecture and 5 minutes Question and
three risk factors HYPERTENSION: discussion Answer
of hypertension.
1. Age. The risk of
high blood
pressure increases
as you age.

2. Family History.
High blood
pressure tends to
run in families.

3.Being
overweight or
obese. The more
you weigh the
more blood you
need to supply
oxygen and
nutrients to your
tissues.

4.Not being
physically active.
People who are
inactive tend to
have higher heart
rates.
5.Using tobacco.
Secondhand
smoke also can
increase your
heart disease risk.
Third hand smoke
is residual nicotine
and other
chemicals left on
indoor surfaces by
tobacco smoke.

6. Too much salt

(sodium) in your
diet. Too much
sodium in your
diet can cause
your body to
retain fluid, which
increases blood
pressure.

7. Too little
potassium in your
diet. Potassium
helps balance the
amount of sodium
in your cells.

8. Drinking too
much alcohol. If
you drink alcohol,
do so in
moderation.

9. Stress. High
levels of stress can
lead to temporary
increases in blood
pressure.

10. Certain
chronic
conditions.
Certain chronic
conditions also
may increase your
risk of high blood
 pressure, such as
kidney disease,
diabetes, and
sleep apnea.
4. Enumerate Ways to Prevent Lecture and 8 minutes Question and
ways how to Hypertension Discussion answer
prevent 1. Maintain a
hypertension. healthy weight.
When it comes to
hypertension
prevention, your
weight is crucial.
People who are
overweight
should try to lose
weight, and
people of normal
weight should
avoid adding on
any pounds. If you
are carrying extra
weight, losing as
little as 10 pounds
can help prevent
high blood
pressure. Talk
with your doctor
about the best
weight for you.
2. Eat a balanced
diet. Eating a diet
that is rich in
whole grains,
fruits, vegetables
and low-fat dairy
products and
skimps on
saturated fat and
cholesterol can
lower your blood
pressure by up to
11 mm Hg if you
have high blood
pressure. This
eating plan is
known as the
Dietary
Approaches to
Stop
Hypertension
(DASH) diet.

It isn't easy to
change your
eating habits, but
with these tips,
you can adopt a
healthy diet:
Keep a food
diary. Writing
down what you
eat, even for just
a week, can shed
surprising light on
your true eating
habits. Monitor
what you eat,
how much, when
and why.
Consider boosting
potassium.
Potassium can
lessen the effects
of sodium on
blood pressure.
The best source of
potassium is food,
such as fruits and
vegetables, rather
than
supplements. Talk
to your doctor
about the
potassium level
that's best for
you.
Be a smart
shopper. Read
food labels when
you shop and stick
to your healthy-
eating plan when
you're dining out,
too.
3. Cut back on
salt. For many
people, eating a
low-sodium diet
can help keep
blood pressure
normal. “The
higher the sodium
intake, the higher
the blood
pressure”. You
can cut back on
your total salt
intake by avoiding
high-sodium
packaged and
processed foods
and not adding
extra salt to your
meals.
4. Exercise
Regularly.
Regular physical
activity — such as
150 minutes a
week, or about 30
minutes most
days of the week
— can lower your
blood pressure by
about 5 to 8 mm
Hg if you have
high blood
pressure. It's
important to be
consistent
because if you
stop exercising,
your blood
pressure can rise
again.

If you have
elevated blood
pressure, exercise
can help you
avoid developing
hypertension. If
you already have
hypertension,
regular physical
activity can bring
your blood
pressure down to
safer levels.

Some examples of
aerobic exercise
you may try to
lower blood
pressure include
walking, jogging,
cycling, swimming
or dancing. You
can also try high-
intensity interval
training, which
involves
alternating short
bursts of intense
activity with
subsequent
recovery periods
of lighter activity.
Strength training
also can help
reduce blood
pressure. Aim to
include strength
training exercises
at least two days
a week. Talk to
your doctor about
developing an
exercise program.
5. Limit the
Alcohol. Drinking
too much alcohol
can lead to high
blood pressure.
For women, that
means no more
than one drink a
day, and for men,
no more than
two.
6.Monitor your
blood pressure.
Make sure that
you have your
blood pressure
measured
regularly, either
at clinic or at
home. High blood
pressure often
occurs with no
symptoms, so
only blood
pressure readings
will tell you if your
blood pressure is
on the rise. If your
doctor
determines that
you have
prehypertension-
blood pressure in
the range of 120-
130/80-
89milliliters of
mercury (mmHg)
that puts you at
increases risk of
developing
hypertension.
7. Reduce your
stress. Chronic
stress may
contribute to high
blood pressure.
More research is
needed to
determine the
effects of chronic
stress on blood
pressure.
Occasional stress
also can
contribute to high
blood pressure if
you react to stress
by eating
unhealthy food,
drinking alcohol
or smoking.
Take some time
to think about
what causes you
to feel stressed,
such as work,
family, finances or
illness. Once you
know what's
causing your
stress, consider
how you can
eliminate or
reduce stress.
If you can't
eliminate all of
your stressors,
you can at least
cope with them in
a healthier way.
Try to:
Change your
expectations. For
example, plan
your day and
focus on your
priorities. Avoid
trying to do too
much and learn to
say no.
Understand there
are some things
you can't change
or control, but
you can focus on
how you react to
them.
Focus on issues
you can control
and make plans to
solve them. If you
are having an
issue at work, try
talking to your
manager. If you
are having a
conflict with your
kids or spouse,
take steps to
resolve it.
Avoid stress
triggers. Try to
avoid triggers
when you can. For
example, if rush-
hour traffic on the
way to work
causes stress, try
leaving earlier in
the morning, or
take public
transportation.
Avoid people who
cause you stress if
possible.
Make time to
relax and to do
activities you
enjoy.
Take time each
day to sit quietly
and breathe
deeply. Make
time for enjoyable
activities or
hobbies in your
schedule, such as
taking a walk,
cooking or
volunteering.
Practice gratitude.
Expressing
gratitude to
others can help
reduce your
stress.
8. Get Support
Supportive family
and friends can
help improve your
health. They may
encourage you to
take care of
yourself, drive
you to the
doctor's office or
 embark on an
exercise program
with you to keep
your blood
pressure low.

If you find you

need support
beyond your
family and
friends, consider
joining a support
group. This may
put you in touch
with people who
can give you an
emotional or
morale boost and
who can offer
practical tips to
cope with your
condition.
5. Recognize the Bawang (Alium Discussion 3 minutes Question and
herbal medicine sativum L.) answer
approved to WHO This herb is one of
that lowers blood the most widely
pressure and how used herbal
it is used. medicines in the
Philippines and
can also be found
commonly in the
kitchen of Filipino
households as it is
used to spice up
food
preparations. The
Philippines
bawang or garlic
variety is more
pungent than the
imported ones. Its
medicinal
properties have
been known for a
long time and
have been
especially proven
during World War
 II when it was
used to treat
wounds and
infections of
soldiers.Garlic
antibacterial
compound known
as allicin, saved
many lives of the
soldiers as this
property
prevented the
wounds from
being infected
and developing
into gangrene at a
later stage by
extracting the
juice of bawang or
garlic and
applying to the
wound.

How to use &

Preparation for
Hypertension:
– Maybe fried,
roasted, soaked in
vinegar for 30
minutes, or
blanched in boiled
water for 15
minutes. Take 2
pieces 3 times a
day after meals.