INSTITUTE OF NURSING EDUCATION, BAMBOLIM-GOA

B.SC NURSING PROGRAM (FIFTH SEMESTER)

LESSON PLAN

Student Name: 3rd year BSc. Nursing , Sem-5

Date lesson scheduled for:

Time lesson scheduled for:

Place where lesson will be held:

Comments and signature of Nursing Education Teacher:

Comments and signature of subject Teacher:

I. BACKGROUND INFORMATION

SUBJECT:

Unit no. and Name:

Placement: Duration: 20 minutes

Unit Goal:

Topic: Hypertension

End of class objective: At the end of the class, the students will able to gain knowledge about hypertensio, its epidemiology, screening, prevention,
management and national programme of hypertension and apply while caring for patients in community .
Instructional Objectives- At the end of the class student will -

1. Able to define hypertension.

2. Able classify hypertension on the basis of the blood pressure value.

3. Able to list different types of risk factors.

4. Able to enlist the screening methods for hypertension.

5. Able to describe the various prevetive methods of hypertension.

6. Abke to state the Modifiable management strategies.

7. Abke to understand the treatment for non modifiable risk factors of hypertension.

8. Able to name the national health programme relevant to hypertension.

9. Able to explain the community helath nurse role in preventive measures of hypertension.

Prior related knowledge- Students came across with the topic hypertension in adult h3alth nursing-1 in second year of BSc. Nursing, semester-3.

MOT: Lecture cum Discussion.

A-V AID/S:

INTERACTIVE PHASE

Introduction: Hypertension, also known as high blood pressure, is a condition where the pressure in your blood vessels is consistently elevated. The
global prevalence is 1.13 billion in 2015 which consist 30-40% adults, among which 24% men and 20% women. And in India, according to National
Family Health Survey-4 in 2015-16, which was done among 15-49 years old individuals, shows 11% Hypertension in women, 15% in men. And it
causes 10 million deaths and over 200 million DALYs (Disability- adjusted life years).
# Objective Content T-L Activity A.V Duration Evaluation
aid/Source in mins
1. Define EPIDEMIOLOGY OF HYPERTENSION
hypertension Definition: Lecture cum Powerpoint 3 mins
Hypertension is a Systolic blood pressure >140 mmHg Discussion presentation,
or diastolic blood pressure >90mmHg. Chart/ graph,
Green board
According to sir George Peckering:
1. Blood pressure in a population is distributed
continuously as a bell-shaped curve with no real
separation between normotension and hypertension.
2. There is direct relation between cardiovascular risk
and blood presure: higher the blood presure, higher the
risks.

Rules of Halves in Hypertension.

Rural/urban distribution:
Hypertension is a risk factor for coronary heart disease
and stroke and is three times prevalent in urban areas as
compared to rural.
2. Classify 1)Normal- Systolic BP= <120 mmHg
hypertension Diastolic BP =<80 mmHg Lecture cum Powerpoint 2 mins
on the basis of 2) Prehypertention: SBP= 120-139 mm Hg Discussion presentation,
the blood DBP = 80-89 mm Hg Chart,
pressure value. 3) Stage 1: SBP =140-159 mm Hg Green board
DBP =90-99 mmHg
4) Stage 2: SBP= 160-179 mm Hg
DBP= 100-109 mm Hg
5) Stage 3: SBP= >180 mm Hg
DBP= >110 mmHg
6) Isolated systolic hypertension: SBP= >140 mm Hg
DBP= < 90 mm Hg
3. List different [1] Non-modifiable risk factors
types of risk (a) Age - Blood pressure rises with age of both the Lecture cum Powerpoint 2 mins
factors genders. Discussion presentation,
(b) sex- Males > Females Flip chart
b) Recapitulation: Duration- 2 mins

1. Define hypertension

2. Classify hypertension on the basis of the blood pressure value.

3. List different types of risk factors.

4. Enlist the screening methods for hypertension.

5. Describe the various preventive methods of hypertension.

6. State the Modifiable management strategies.

7. Understand the treatment for non modifiable risk factors of hypertension.

8. Name the national health programme relevant to hypertension.

9. Explain the community helath nurse role in preventive measures of hypertension.

Summary:Duration- 2 mins: Hypertension: systolic BP>140 mmHg of diastolic BP>90mmHg with the global prevalence 1.13 billion and 33% of
adults in India. And is further classified into many stages (stage 1, 2 and 3), normal, prehypertensive and isolated systolic hypertension has higher
burden of disease in community with 10 million deaths and over 200 million DALYS. Risk factors are classified into modifiable & non-modifiable.
Screening of the population needs blood pressure measurement, risk aseument and "Tracking of blood pressure of individuals from childhood to
adults. Prevention- primary prevention consists of population strategy" which covers nutrition, weight reduction, exercise, behavioural change, self
care & health education, "high risk strategy for ones who are at risk. Secondary prevention consists of monitoring, medications and tertiary
prevention includes complications management. Management includes life style change, medications, and follow-up. National programme for
hypertension.

Conclusion: Hypertension is a significant public health concern and community health nursing plays a crucial role in its prevention, detection, and
management. Focuses mainly on primary prevention through health education, secondary through early detection and tertiary through managing
complications. Key strategies are regular screening - lifestyle modifications, antihypertensive medications and monitoring. Community Health Nurse
role- Health education, screening, referral & follow-up.
Assignment:

1. Find out the principles of blood pressure monitoring .

References:

1. Park, K. (2019). Textbook of preventive & social medicine (25th ed). Jabalpur, India: Banarasidas Bhanot Publishers. Pg no. 403 - pg no. 407.

2. LaJ, S., Adarsh, Pankaj, Textbook of community medicine: Preventive & Social medicine (7th edition). India: CBS Publishers & Distributors Pvt
Ltd. Pg no. 449 -Pg no. 452.

3. Govt. of India (2018). National family Health survey- 4, Ministry of Health and family welfare, New Delhi.
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