SN attend to patient at home. On assessment, patient B/p was 140/89 ,and other vitals are stable . Patient has complains of headache SN instructed patient/caregiver to administer his morning medication as prescribed and observed caregiver administered medication to patient. SN instructed patient/caregiver on taking Blood pressure pills . SN educate patient on the disease process of hypertensive heart disease and signs and symptoms. SN explained to patient that hypertensive heart disease is when blood pressure is higher than normal which causes weakness and headache sometimes if it is not well manage it can cause CVA but with good management and life style modification patient get better , .SN educate patient on sodium diet and to exercise regularly SN educate patient to watch out for weakness of the body in the morning when awake patient have to relax and sit at the edge of bed for 5-10 mint before standing up patient/caregiver demonstrate the proper way of how to conserve energy with exercise especially in the morning SN educate resident on how to measure his blood pressure and compare it to each readings and to have a book where he can document the reading.