Beruflich Dokumente
Kultur Dokumente
Description of the Learner: A client has hypertension and has been proven to have history of it on both parents.The client verbalized willingness and interest on knowing the
information regarding the benefits, management and causes of hypertension. The learner has no visual or hearing impairments. Learner is able to understand and speak in
tagalog and prefers the use of this dialect in a one-on-one discussion.
Learning Need: Definition of Hypertension
Learning Diagnosis: Knowledge Deficit: Hypertension related to lack of information
Goal: The client will be able to understand what hypertension is and apply the management and interventions .
BLOs
Upon completion of the topic on
Learning Content
Teaching Method
Resources Needed
Method of Evaluation
One-to-one discussion
3 minutes
Provide pamphlet.
Handout: Definition of
Show model.
Hypertension.
hypertension is.
screening.
2. Enumerate the 8 major risk
factors for cardiovascular
problems in Hypertensive
Hypertension)
Patients.
One-to-one discussion
3 minutes
Smoking
Provide pamphlet.
Hyperlipidemia (Excess
Show Model
cardiovascular problems in
hypertensive patients.
cardiovascular problems in
Cholesterol)
Diabetes Mellitus
hypertensive patients.
old.
Family History of
cardiovascular disease
(in female relative
younger than 55 years
old).
Stress
manifestations of hypertension.
One-to-one discussion
6 minutes
reveal no abnormalities
Provide pamphlet.
4 clinical manifestations of
of hypertension.
hypertension.
Severe headaches
Fatigue or confusion
Dizziness
Nausea
Chest pains
Lose weight
Regular Exercise
5 minutes
One-to-one discussion
Provide pamphlet.
management.
Potassium.
Stop Smoking
One-to-one discussion
3 minutes
Provide pamphlet.
Sedentary means that you do only light physical activity as part of your typical daily routine.
Moderately active means that you do physical activity equal to walking about 1.5 to 3 miles a day at 3 to 4 miles per hour, plus light physical activity.
Active means that you do physical activity equal to walking more than 3 miles per day at 3 to 4 miles per hour, plus light physical activity.
Age (years)
1930
2,000
2,0002,200
2,400
3150
1,800
2,000
2,200
51+
1,600
1,800
2,0002,200
Age (years)
1930
2,400
2,6002,800
3,000
3150
2,200
2,4002,600
2,8003,000
51+
2,000
2,2002,400
2,4002,800
After figuring out your daily calorie needs, go to the table below and find the closest calorie level to yours. This table estimates the number of servings from each food group that you
should have. Serving quantities are per day, unless otherwise noted.
DASH Eating PlanNumber of Food Servings by Calorie Level
1,200
Cal.
1,400
Cal.
1,600
Cal.
1,800
Cal.
2,000
Cal.
2,600
Cal.
Grainsa
45
56
68
1011
Vegetables
34
34
34
45
45
56
Fruits
34
45
45
56
23
23
23
23
23
3 or less
34 or less
34 or less
6 or less
6 or less
6 or less
Food Group
3 per week
3 per week
34 per week
4 per week
45 per week
23
23
5 or less per
week
2,300 mg/day
2,300 mg/day
2,300 mg/day
2,300 mg/day
2,300 mg/day
2,300 mg/day
Whole grains are recommended for most grain servings as a good source of fiber and nutrients.
For lactose intolerance, try either lactase enzyme pills with dairy products or lactose-free or lactose-reduced milk.
Fat content changes the serving amount for fats and oils. For example, 1 Tbsp regular salad dressing = one serving; 1 Tbsp low-fat dressing = one-half serving; 1 Tbsp fat-free
dressing = zero servings.
c
2,
The DASH eating plan has a sodium limit of either 2,300 mg or 1,500 mg per day.
DASH Eating PlanServing Sizes, Examples, and Significance
Food Group
Serving Sizes
Grainsa
1 slice bread
1 oz dry cerealb
cup cooked rice, pasta, or cerealb
Vegetables
Fruits
1 medium fruit
cup dried fruit
cup fresh, frozen, or canned fruit
cup fruit juice
Fat-free milk or buttermilk; fat-free, low-fat, Major sources of calcium and protein
or reduced-fat cheese; fat-free/low-fat
regular or frozen yogurt
cup or 1 oz nuts
2 Tbsp peanut butter
2 Tbsp or oz seeds
cup cooked legumes (dried beans, peas)
1
1
1
2
1 Tbsp sugar
1 Tbsp jelly or jam
cup sorbet, gelatin dessert
1 cup lemonade
Whole grains are recommended for most grain servings as a good source of fiber and nutrients.
Serving sizes vary between cup and 1 cups, depending on cereal type. Check the product's Nutrition Facts label.
For lactose intolerance, try either lactase enzyme pills with dairy products or lactose-free or lactose-reduced milk.
Fat content changes the serving amount for fats and oils. For example, 1 Tbsp regular salad dressing = one serving; 1 Tbsp low-fat dressing = one-half serving; 1 Tbsp fat-free
dressing = zero servings.
d
Be Physically Active
Physical activity also is an important part of a heart healthy lifestyle. You can benefit from as little as 60 minutes of moderate-intensity aerobic activity per week. Walking is an
excellent heart healthy activity. The more active you are, the more you'll benefit.
You can do aerobic activity with light, moderate, or vigorous intensity. If you choose activities at a moderate intensity level, aim to do at least 2 hours and 30 minutes (150 minutes)
per week. If you choose vigorous-intensity activities, do at least 1 hour and 15 minutes (75 minutes) per week. You can do these activities for 10 minutes or more at a time. In
addition, try to include muscle-strengthening activities at least 2 days per week.
Children and youth should do 1 hour (60 minutes) or more of physical activity every day; at least 3 days per week the activity should be of vigorous intensity. A great way to
encourage physical activity is to do it as a family.
To get started and stay active, make physical activity part of your daily routine, keep track of your progress, and be active and safe.
If you have a heart problem or chronic diseasesuch as high blood pressure, heart disease, or diabetesask your doctor what types of physical activity are safe for you.
You also should ask your doctor about safe physical activities if you have symptoms such as chest pain or dizziness.
For more information about physical activity, go to the Health Topics Physical Activity and Your Heart article.
Reduced-sodium products and salt substitutes likely contain potassium chloride as a main ingredient. This substance may harm people who have certain medical conditions, such as
diabetes and kidney disease. Check with your doctor before trying reduced-sodium products and salt substitutes that contain potassium chloride.
Limit Alcohol
If you drink alcoholic beverages, do so in moderation: up to 1 drink per day for women and up to 2 drinks per day for men. A drink equals 12 fluid ounces of regular beer, 5 fluid
ounces of wine, or 1.5 fluid ounces of 80-proof distilled spirits.
Don't Smoke
If you smoke or use tobacco, quit. Smoking harms nearly every organ in the body, including the heart, blood vessels, lungs, eyes, mouth, reproductive organs, bones, and digestive
organs. Also, try to avoid secondhand smoke.
Talk with your doctor about programs and products that can help you quit. If you have trouble quitting smoking on your own, consider joining a support group. Many hospitals,
workplaces, and community groups offer classes to help people quit smoking. Ask your family and friends to support you in your efforts to quit.
For more information about how to quit smoking, go to the Health Topics Smoking and Your Heart article and the NHLBIs "Your Guide to a Healthy Heart."