April 13, 2024

1400H - 1500H
Via Zoom

Empowerment
objective - for laypeople
HIGH BLOOD to have an essential
PRESSURE understanding on HIGH
(HYPERTENSION) BLOOD PRESSURE
MANAGEMENT (HYPERTENSION)
MANAGEMENT as part
of their health
management.
 April 13, 2024
1400H - 1500H
Via Zoom
Welcome all!

MUTE yourself but always

Empowerment show your video picture.

objective - for laypeople Sign in your name, FB

HIGH BLOOD to have an essential account, or email address in
understanding on HIGH the Chat Box! Include names
PRESSURE of companions attending.
(HYPERTENSION) BLOOD PRESSURE
MANAGEMENT (HYPERTENSION) Use the Chat Box to ask
MANAGEMENT as part questions and make
comments while the PEP TALK
of their health is on.
management.
There will be group pictures
at start and end of PEP TALK –
show your face in video.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
25 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.
 ROJOSON’S REQUEST:
Empowerment FEEDBACK TO THIS
objective - for laypeople PEP TALK!
HIGH BLOOD to have an essential
PRESSURE understanding on HIGH Pls. type in your
(HYPERTENSION) BLOOD PRESSURE feedback in the chat
MANAGEMENT (HYPERTENSION) box during the open
MANAGEMENT as part forum and before we
of their health adjourn!
management.
Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for laypeople START PEP TALK
to have an essential PROPER IN 2
HIGH BLOOD
understanding on HIGH MINUTES!
PRESSURE
(HYPERTENSION) BLOOD PRESSURE
(HYPERTENSION) Pls. turn on your
MANAGEMENT
MANAGEMENT as part video!
of their health Show your face!
management.
 ROJoson PEP Talk
Empowerment
objective - for laypeople
I have a Patient
HIGH BLOOD to have an essential
Empowerment
PRESSURE understanding on HIGH
Program in which I
(HYPERTENSION) BLOOD PRESSURE
like to empower the
MANAGEMENT (HYPERTENSION)
lay people or
MANAGEMENT as part
patients to take
of their health
control in the
management.
management of
their health.
I started the PEP Talk
on May 15, 2021
during the COVID19
Pandemic. There are
3 courses in the PEP
Talk. I completed the
Core Course on
October 9, 2021.
 From October 23,
2021 onwards, I have
been tackling Health
Disorder and Health
Issue Courses.
This may take 3 years or
longer depending on our
enthusiasm, discipline
and perseverance.
We are now on our 3rd
year!
 My PEP TALK today is
Empowerment entitled:
objective - for laypeople HIGH BLOOD
HIGH BLOOD to have an essential PRESSURE
PRESSURE understanding on HIGH (HYPERTENSION)
(HYPERTENSION) BLOOD PRESSURE MANAGEMENT
MANAGEMENT (HYPERTENSION)
MANAGEMENT as part
of their health
management.
 Contents Disclaimer:
HIGH BLOOD - What is high blood pressure or hypertension?
PRESSURE - How do I know if I have high blood pressure? ROJoson PEP Talk
(HYPERTENSION) - What is considered high blood pressure? contains ROJoson’s
MANAGEMENT - What are the signs and symptoms of high blood Thoughts,
pressure?
- Perceptions,
What are the types of high blood pressure?
- What causes hypertension?
Opinions and
- What are the complications of uncontrolled Recommendations
hypertension? (TPORs) culled from
- How to control high blood pressure? experiences of
- How to prevent high blood pressure? ROJoson and other
- What is the challenge being faced in the Philippines professionals.
as regards to HYPERTENSION?
 What is high blood pressure or hypertension?
HIGH BLOOD
PRESSURE
High blood pressure is when the force of blood
(HYPERTENSION)
pushing against the artery walls is consistently
MANAGEMENT
too high.

This damages the arteries over time and can lead

to serious complications like heart
attack and stroke.

Hypertension” is another word for this common

condition. https://my.clevelandclinic.org/
health/diseases/4314-hypertension-
high-blood-pressure
 What is high blood pressure or hypertension?
HIGH BLOOD
PRESSURE
High blood pressure is a “silent killer” because
(HYPERTENSION)
you usually don’t have any symptoms. So, you
MANAGEMENT
may not be aware that anything is wrong, but the
damage is still occurring within your body.

https://my.clevelandclinic.org/
health/diseases/4314-hypertension-
high-blood-pressure
 What is high blood pressure or hypertension?
HIGH BLOOD
PRESSURE
Blood pressure (BP) is the measurement of the
(HYPERTENSION)
pressure or force of blood pushing against blood
MANAGEMENT
vessel walls. Your BP reading has two numbers:
• The top number is the systolic blood pressure,
which measures the pressure on your artery
walls when your heart beats or contracts.
• The bottom number is the diastolic blood
pressure. This measures the pressure on your
artery walls between beats when your heart is
relaxing. https://my.clevelandclinic.org/
health/diseases/4314-hypertension-
high-blood-pressure
 How do I know if I have high blood pressure?
HIGH BLOOD
PRESSURE
(HYPERTENSION) Getting your blood pressure checked
MANAGEMENT is the only way to know if it’s too
high.

https://my.clevelandclinic.org/
health/diseases/4314-hypertension-
high-blood-pressure
 F
What is considered high blood pressure? Philippines
HIGH BLOOD
Definitions of high blood pressure vary slightly HYPERTENSION
PRESSURE
depending on where you live. a blood pressure of
(HYPERTENSION)
In the U.S., high blood pressure (hypertension): at least 140 mmHg
MANAGEMENT
•A top number (systolic blood pressure) of at least (systolic) and of at
130 mmHg, and/or least 90 mmHg
•A bottom number (diastolic blood pressure) of at (diastolic)
least 80 mmHg.

In Europe, hypertension:
•A top number of at least 140 mmHg, and/or
•A bottom number of at least 90 mmHg. https://my.clevelandclinic.org/
health/diseases/4314-hypertension-
high-blood-pressure
 F
What is considered high blood pressure?
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
 F
What is considered high blood pressure?
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
 F
What is considered high blood pressure?
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
 F
What is considered high blood pressure?
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
 What are the signs and symptoms of high blood
HIGH BLOOD
pressure?
PRESSURE
Usually, high blood pressure causes no signs or
(HYPERTENSION)
symptoms. That’s why it is called a “silent killer.”
MANAGEMENT
You could have high blood pressure for years and
not know it.

When your blood pressure is 180/120 mmHg or

higher, you may experience symptoms like
headaches, heart palpitations or nosebleeds.
Blood pressure this high is a hypertensive
crisis that requires immediate medical care. https://my.clevelandclinic.org/
health/diseases/4314-hypertension-
high-blood-pressure
 What are the types of high blood pressure?
HIGH BLOOD
PRESSURE
• Primary hypertension. Causes of this more
(HYPERTENSION)
common type of high blood pressure include
MANAGEMENT
aging and lifestyle factors like not getting
enough exercise.
• Secondary hypertension. Causes of this type of
high blood pressure include different medical
conditions or a medication you’re taking.

https://my.clevelandclinic.org/
health/diseases/4314-hypertension-
high-blood-pressure
 What are the types of high blood pressure?
HIGH BLOOD
PRESSURE
You might also hear about high blood pressure
(HYPERTENSION)
that comes or goes in certain situations. These
MANAGEMENT
hypertension types are:
• White coat hypertension: BP is normal at home
but elevated in a healthcare setting.
• Masked hypertension: BP is normal in a
healthcare setting but elevated at home.
• Sustained hypertension: BP is elevated in
healthcare settings and at home. https://
• Nocturnal hypertension: BP goes up when you my.clevelandclinic.org/
health/iseasdes/4314-
sleep. hypertension-high-blood-
pressure
 What causes hypertension?
HIGH BLOOD
PRESSURE Non-modifiable risk
Primary hypertension doesn’t have a single, clear
(HYPERTENSION) factors:
cause. Usually, many factors come together to
MANAGEMENT • Genetic
cause it. Common modifiable causes include:
predisposition
• Unhealthy eating patterns (including a diet
• Age
high in sodium)
• Lack of physical activity
• High consumption of beverages containing
alcohol
https://my.clevelandclinic.org/
health/iseasdes/4314-
hypertension-high-blood-
pressure
 What causes hypertension?
HIGH BLOOD Secondary hypertension has at least one distinct cause
PRESSURE that healthcare providers can identify. Common
(HYPERTENSION) causes of secondary hypertension include:
MANAGEMENT • Certain medications including immunosuppressants, NSAIDs
and oral contraceptives (the pills)
• Kidney disease
• Obstructive sleep apnea
• Primary aldosteronism (Conn’s syndrome)
• Recreational drug use (including amphetamines and cocaine)
• Renal vascular diseases, which are conditions that affect blood
flow in your kidneys’ arteries and veins. Renal artery stenosis is
a common example.
https://my.clevelandclinic.org/
• Tobacco use (including smoking, vaping and using smokeless
health/iseasdes/4314-
tobacco)
hypertension-high-blood-
pressure
 What are the complications of uncontrolled
HIGH BLOOD
hypertension?
PRESSURE Thus, high blood
(HYPERTENSION) pressure or
May lead to serious health problems including:
MANAGEMENT hypertension must
• Coronary artery disease (CAD)
• Stroke be controlled.
• Heart attack
• Kidney disease and kidney failure
• Peripheral artery disease
• Complications during pregnancy
• Eye damage
• Vascular dementia https://my.clevelandclinic.org/health/iseasdes/4314-
hypertension-high-blood-pressure
 How to control high blood pressure?
HIGH BLOOD
PRESSURE
For secondary hypertension with distinct cause,
(HYPERTENSION)
eliminate the cause so as to control the blood
MANAGEMENT
pressure.
Examples,
• If the cause is medications, stop the
medications.
• If the cause is pills, stop the pills.
• If the cause is tobacco use, stop the tobacco
use.
• If the cause is kidney disease, treat the kidney
disease to control the hypertension
 How to control high blood pressure?
HIGH BLOOD Change in lifestyle
PRESSURE Shift to healthy
For primary hypertension without a distinct cause
(HYPERTENSION) lifestyle
or with a non-modifiable factor like age and gene,
MANAGEMENT • Keep a healthy
control the blood pressure with change in
weight
lifestyle and medications (anti-hypertension).
• Eat a healthy
Start with change in lifestyle that will control the
diet.
hypertension. If not successful, then may add
• Exercise.
medications.
• Limit alcohol.
• Cut down on salt.
• Get enough
potassium.
• Control stress.
 How to control high blood pressure?
HIGH BLOOD Single or combined
PRESSURE medications / single
Medications to lower your blood pressure
(HYPERTENSION) pill combination
MANAGEMENT
Four classes of blood pressure medications are
Titration
“first-line” (most effective and commonly
Monitor BP and
prescribed) when starting treatment:
adjust medications
• Angiotensin-converting enzyme (ACE)
and dosage
inhibitors
accordingly
• Angiotensin II receptor blockers (ARBs)
• Calcium channel blockers
Monitor side effects
• Diuretics (water or fluid pills)
and adjust
accordingly
 F
What is considered high blood pressure?
HIGH BLOOD
PRESSURE
(HYPERTENSION)
MANAGEMENT
 How to prevent high blood pressure?
HIGH BLOOD Change in lifestyle
PRESSURE Shift to healthy
Best efforts as there are modifiable and non-
(HYPERTENSION) lifestyle
modifiable risk factors.
MANAGEMENT • Keep a healthy
weight
Focus on healthy lifestyles to prevent HPN
• Eat a healthy
diet.
Monitor regularly BP (may have to procure a BP
• Exercise.
digital apparatus for home monitoring)
• Limit alcohol.
• Cut down on salt.
Take anti-hypertensive medications as needed; as
• Get enough
prescribed; regularly; with monitoring of BP to
potassium.
adjust medications
• Control stress.
 How to do BP monitoring
HIGH BLOOD
PRESSURE
Most practical is a digital BP monitoring device
(HYPERTENSION)
(make sure it is accurate with good batteries)
MANAGEMENT
At the beginning, measure your blood pressure at https://
least twice daily. Take it first in the morning www.mayoclinic.org/
diseases-conditions/high-
before eating or taking any medications. Take it blood-pressure/in-depth/
again in the evening. Each time you measure, high-blood-pressure/art-
take two or three readings to make sure your 20047889#:~:text=At%20the
%20beginning%2C
results are the same. Take your blood pressure at %20measure%20your,your
the same times each day. %20results%20are%20the
%20same.
 How to do BP monitoring
HIGH BLOOD
PRESSURE
Don't measure your blood pressure right after
(HYPERTENSION)
you wake up.
MANAGEMENT
Avoid food, caffeine, tobacco and alcohol for 30 https://
minutes before taking a reading. Also, empty www.mayoclinic.org/
diseases-conditions/high-
your bladder first. A full bladder can increase blood-pressure/in-depth/
blood pressure slightly. high-blood-pressure/art-
20047889#:~:text=At%20the
%20beginning%2C
%20measure%20your,your
%20results%20are%20the
%20same.
 How to do BP monitoring
HIGH BLOOD
PRESSURE
When you're ready to take your blood pressure,
(HYPERTENSION)
sit quietly before and during monitoring.
MANAGEMENT
Sit for five minutes in a comfortable position with
your legs and ankles uncrossed. Your back should https://
be supported against a chair. Try to be calm and www.mayoclinic.org/
diseases-conditions/high-
not think about stressful things. Don't talk while blood-pressure/in-depth/
taking your blood pressure. high-blood-pressure/art-
20047889#:~:text=At%20the
%20beginning%2C
%20measure%20your,your
%20results%20are%20the
%20same.
 How to do BP monitoring
HIGH BLOOD
PRESSURE
Make sure your arm is positioned properly.
(HYPERTENSION)
Always use the same arm when taking your blood
MANAGEMENT
pressure. Rest your arm, raised to the level of
your heart, on a table, desk or chair arm. You https://
might need to place a pillow or cushion under www.mayoclinic.org/
diseases-conditions/high-
your arm to raise it high enough. blood-pressure/in-depth/
high-blood-pressure/art-
20047889#:~:text=At%20the
%20beginning%2C
%20measure%20your,your
%20results%20are%20the
%20same.
 How to do BP monitoring
HIGH BLOOD
PRESSURE
Place the cuff on bare skin, not over clothing. A
(HYPERTENSION)
rolled-up sleeve that's tight around your arm can
MANAGEMENT
affect the reading. You may need to slip your arm
out of the sleeve. https://
www.mayoclinic.org/
diseases-conditions/high-
blood-pressure/in-depth/
high-blood-pressure/art-
20047889#:~:text=At%20the
%20beginning%2C
%20measure%20your,your
%20results%20are%20the
%20same.
 How to do BP monitoring
HIGH BLOOD
PRESSURE
Take a repeat reading. Wait 1 to 3 minutes after
(HYPERTENSION)
the first reading, and then take another.
MANAGEMENT
https://
www.mayoclinic.org/
diseases-conditions/high-
blood-pressure/in-depth/
high-blood-pressure/art-
20047889#:~:text=At%20the
%20beginning%2C
%20measure%20your,your
%20results%20are%20the
%20same.
 How to do BP monitoring
HIGH BLOOD
PRESSURE
Take note of the following:
(HYPERTENSION)
MANAGEMENT
Blood pressure varies throughout the day.
https://
Readings are often a little higher in the morning. www.mayoclinic.org/
diseases-conditions/high-
blood-pressure/in-depth/
Also, your blood pressure might be slightly lower high-blood-pressure/art-
at home than in a medical office. 20047889#:~:text=At%20the
%20beginning%2C
%20measure%20your,your
%20results%20are%20the
%20same.
 What is the challenge being faced in the
HIGH BLOOD
Philippines as regards to HYPERTENSION?
PRESSURE
(HYPERTENSION)
Prevalence of Hypertension in the Philippines in
MANAGEMENT
the Year 2050: Confronting a Major Challenge

Background: The prevalence of hypertension in

https://
the Philippines has continuously increased in the athenaeumpub.com/wp-
past 22 years or more than two decades (from content/uploads/
1993 to 2015), with increased related deaths due Prevalence-of-
Hypertension-in-the-
to ischemic heart disease, stroke and chronic Philippines-in-the-Year-
kidney disease. 2050-Confronting-a-Major-
Challenge.pdf
 What is the challenge being faced in the
HIGH BLOOD
Philippines as regards to HYPERTENSION?
PRESSURE
(HYPERTENSION)
Prevalence of Hypertension in the Philippines in
MANAGEMENT
the Year 2050: Confronting a Major Challenge

Findings: Hypertension prevalence will remain

https://
high at 23%, with a 28% increase in the number of athenaeumpub.com/wp-
cases (24.28 million to 33.82 million) by 2050, content/uploads/
given the population projection (101.60 million in Prevalence-of-
Hypertension-in-the-
2015 to 142.10 million in 2050) and seriously Philippines-in-the-Year-
affecting extremes of ages (the early 20s and 80s). 2050-Confronting-a-Major-
Challenge.pdf
 What is the challenge being faced in the
HIGH BLOOD
Philippines as regards to HYPERTENSION?
PRESSURE
(HYPERTENSION)
Prevalence of Hypertension in the Philippines in
MANAGEMENT
the Year 2050: Confronting a Major Challenge

Findings:
https://
In addition, actual number of deaths related to athenaeumpub.com/wp-
hypertension will increase more than double content/uploads/
from 90,000 in 2015 to 210,000 due to ischemic Prevalence-of-
Hypertension-in-the-
heart disease, stroke and chronic kidney disease. Philippines-in-the-Year-
2050-Confronting-a-Major-
Challenge.pdf
 What is the challenge being faced in the
HIGH BLOOD
Philippines as regards to HYPERTENSION?
PRESSURE
(HYPERTENSION)
Prevalence of Hypertension in the Philippines in
MANAGEMENT
the Year 2050: Confronting a Major Challenge

Interpretation: These findings demonstrate a

https://
significant increase in disease burden due to
athenaeumpub.com/wp-
hypertension in the Philippines in the next three content/uploads/
decades and possibly pose a significant public health Prevalence-of-
challenge. Aggressive preventive and health- Hypertension-in-the-
promoting efforts must be carried out to stem the tide Philippines-in-the-Year-
2050-Confronting-a-Major-
of hypertensive cardiovascular disease in the country. Challenge.pdf
 Contents
HIGH BLOOD - Summary
What is high blood pressure or hypertension?
PRESSURE - How do I know if I have high blood pressure? Take Away
(HYPERTENSION) - What is considered high blood pressure?
MANAGEMENT - What are the signs and symptoms of high blood
pressure?
- What are the types of high blood pressure?
- What causes hypertension?
- What are the complications of uncontrolled
hypertension?
- How to control high blood pressure?
- How to prevent high blood pressure?
- What is the challenge being faced in the Philippines
as regards to HYPERTENSION?
 Be always in touch with reliable medical
HIGH BLOOD Take Away in
information on HIGH BLOOD PRESSURE
PRESSURE (HYPERTENSION) MANAGEMENT. relation to
(HYPERTENSION) Patient
MANAGEMENT Empowerment
Knowledge is power; it gives power.
Use the 4Ks of Patient Empowerment:
Kaalaman, Kakayanan, Karapatan and
Kapangyarihan to gain greater control over
decisions / make better decisions on HIGH
BLOOD PRESSURE (HYPERTENSION)
MANAGEMENT as part of your health
management.
 This ends my PEP
Empowerment TALK today on:
objective - for laypeople
HIGH BLOOD to have an essential
HIGH BLOOD
PRESSURE understanding on HIGH
BLOOD PRESSURE PRESSURE
(HYPERTENSION) (HYPERTENSION)
MANAGEMENT (HYPERTENSION)
MANAGEMENT as part MANAGEMENT
of their health
management.
Reminder after the PEP
Talk:

Take the Online Learning

cum Evaluation Test
Exercise (OLETE) for
mastery of learning and
have a perfect score to get
a Certificate.

Link is in Chat Box.

Reminder:
25 OLETE Certificates = 1
Voucher for ROJoson
Medical Consultation
either Face-to-Face or
Telemedical.
 ROJOSON’S REQUEST:
Empowerment FEEDBACK TO THIS
objective - for laypeople PEP TALK!
HIGH BLOOD to have an essential
PRESSURE understanding on HIGH Pls. type in your
(HYPERTENSION) BLOOD PRESSURE feedback in the chat
MANAGEMENT (HYPERTENSION) box during the open
MANAGEMENT as part forum and before we
of their health adjourn!
management.
Thank you!
 LET’S NOW HAVE A
GROUP PICTURE
Empowerment TAKING BEFORE WE
objective - for laypeople START Q&A AND
to have an essential INTERACTIONS!
HIGH BLOOD
PRESSURE understanding on HIGH
BLOOD PRESSURE Pls. turn on your
(HYPERTENSION)
(HYPERTENSION) video!
MANAGEMENT
MANAGEMENT as part Show your face!
of their health
management.