Subjective:

Denies chest pain and shortness of breath.

Objective:

vital signs stable
heart: regular rate and rhythm
lungs: clear

Assessment:

hypertension.

Plan:

Decrease salt intake, avoid caffiene and alcohol.  Eat healthy foods, including fruits and vegetables.  Avoid fatty foods, including beef, pork, butter.  Read food labels to identify fat content.  Exercise regularly.  A daily, moderately paced, 30 minute walk is recommended.  Check blood pressure regularly.  I recommend that the patient purchase an Omron HEM-711 home blood pressure monitor and check it daily and keep a log.  If the patient experiences chest pain, shortness of breath, severe headache, neurological changes (for example: vision loss, weakness or loss of function of extremities), or any other concerning symptoms, call 911 immediately.
