Geriatric exercise program to reduce blood pressure in elderly with hypertension

Abstract

Hypertension is a chronic clinical condition characterized by a persistent elevation in blood pressure beyond physiological norms, significantly increasing the risk of morbidity and mortality. Patients frequently present with symptomatic cephalgia (headache) and dizziness, which can severely impair daily functioning. The case study describes the clinical application of Geriatric exercise program (Senam Lansia) for Mrs. K, a patient diagnosed with hypertension at the Pandanrejo Community Health Center, Kaligesing District, Purworejo. Using a descriptive case study approach, the initial nursing assessment revealed a baseline blood pressure of 180/90 mmHg. The client reported persistent, throbbing headaches that interfered with her occupational productivity, leading to the prioritized nursing diagnosis of Acute Pain. The intervention—a structured elderly exercise program—was implemented consistently over a four-week period. At the evaluation stage, the client’s blood pressure decreased to 150/80 mmHg, and she reported a significant reduction in discomfort, stating she felt more comfortable and capable of performing her daily activities. These results suggest that elderly exercise is an effective non-pharmacological strategy for managing hypertension and improving the quality of life in geriatric patients.

Keywords: Chronic illness, community care, geriatric exercise program, hypertension, symptom management