HYPERTENSION & PREVENTION AND TREATMENT OPTIONS

Hypertension

1. HYPERTENSION

2. Facts An estimated 1.28 billion adults aged 30–79 years worldwide have hypertension, most ( two-thirds) living in low- and middle-income countries An estimated 46% of adults with hypertension are unaware that they have the condition. Less than half of adults (42%) with hypertension are diagnosed and treated. Hypertension is a major cause of premature death worldwide.

3. DEFINITION Hypertension is defined as persistent elevation of systolic BP of 140mmHg or greater and/or diastolic BP of 90 mmHg or greater.

4. BP Machine

5. Systole and diastole Blood pressure is written as two numbers. The first (systolic) number represents the pressure in blood vessels when the heart contracts or beats. The second (diastolic) number represents the pressure in the vessels when the heart rests between beats.

6. Hypertension Classification

7. Types of hypertension Essential/primary Secondary White coat

8. Essential/Primary Hypertension Remains unclear (multifactorial) Factors include : Aging Genetic Obesity Lifestyle – sedentary, smoking, stress, high salt diet, alcohol, sleep deprivation

9. Secondary Hypertension Secondary hypertension is defined as elevated blood pressure (BP), secondary to an identifiable cause. Kidney disease – diabetic nephropathy, renovascular disease Hormone related disease – thyroid problems Pregnancy – preeclampsia Medication

10. White Coat Hypertension Isolated office hypertension is characterised by an elevation in clinic blood pressure but normal home or ambulatory blood-pressure values. In these subjects the clinic BP is persistently above 140/90 mmHg but the home or daytime ambulatory systolic/ diastolic BP measurements are lower than 135/85 mmHg. Self-monitoring blood pressure – reliability*

11. Sign and symptom People with very high blood pressure (usually 180/120 or higher) can experience symptoms including: severe headaches dizziness blurred vision or other vision changes abnormal heart rhythm

12. Complication

13. 7-Step Retail Sales Process

14. STEP 1. preparation

15. STEP 2. Connect Beri Salam/ Selamat Datang “ Boleh saya bantu ?”

16. STEP 3. Need analysis

17. W.W.H.A.M. Questions

18. 3 Main Types Of Customers

19. Needs Analysis Of A, B & C Customers

20. Type A Hypertension medication is to control BP. Treatment? or delaying progression? Replace medication with supplement? Medication already took, add onn supplement? Ultimate target - BP is in normal range (controlled) Goal : reduce medication - reduce side effect

21. Some common side effects of high blood pressure medicines include: Cough Diarrhea or constipation Dizziness or lightheadedness Erection problems Feeling nervous Feeling tired, weak, drowsy, or a lack of energy Headache Nausea or vomiting Skin rash Weight loss or gain without trying

22. Type B Features-Benefits-Advantages (FBA method.) Challenges : Price and brand.

23. Type C Introduce, get to know the customer. Feel welcomed, increase customer retention.

24. Step 4: Explain Factors And Solutions

25. Health Condition Kit 1. Condition 2. Solution 3. Treatment plan

26. Free Radicals   A type of unstable molecule that is made during normal cell metabolism   (chemical changes that take place in a cell). They are produced either from normal cell metabolisms in situ or from external sources (pollution, cigarette smoke, radiation, medication). When an overload of free radicals cannot gradually be destroyed, their accumulation in the body generates a phenomenon called oxidative stress.

27. Superoxide anion, with its unpaired electron, binds rapidly to nitric oxide (NO), which also has an unpaired electron. Because NO is a critical vasodilator substance, the reaction between superoxide and NO effectively scavenges NO, reducing its bioavailability. This leads to vasoconstriction, increased platelet-endothelial cell adhesion, platelet aggregation and thrombus formation, increased leukocyte-endothelial cell adhesion, and morphological changes in blood vessels, such as cell proliferation.

28. Step 5 : Objection Handling

29. Franklin Method

30. Franklin Method WHY NOT Expensive – Spend extra money Local product – not confident on effectiveness. REASONS WHY Expensive BUT worth it (we pay to get intended outcome) Local product BUT with new technology invented to make sure the best result is achieved, effectiveness is guaranteed.

31. Example 1: Brand Objection Issue : Effectiveness Safety?

32. Fish Oil Acknowledge : Cushioning statement Propose : Nova Fish Oil 1200mg is effective to help in hypertension . FBA method

33. Using F.B.A. Method To Create A Successful Sales Experience Contains omega-3 triglycerides with high strength EPA and DHA to reduce inflammation at the blood vessel walls caused by oxidative injury. E ffectively defending against free radical attacks, thereby reducing oxidative stress. Vitamin C aids in collagen synthesis in the blood vessel walls, helping to repair damaged blood vessel walls due to oxidative injury.

34. Example 2: Price Objection Issue : Not affordable

35. Acknowledge : Cushioning statement Propose : Loose 5-7 days Reassure : Repeat if symptoms improved

36. Example 3: Need Objection Issue : Awareness

37. Acknowledge : Cushioning statement Propose : Give cause and effect situation (complication) Reassure : Prevention is better than cure

38. step 7 : reconnect

39. Frequently Asked Questions

40. How do you get free radicals? Oxidative stress arises when an oxygen molecule splits with unpaired electrons into single atoms which are considered free radicals. The body is continuously under attack due to oxidative stress. In the body, oxygen breaks up into single atoms of unpaired electrons.

41. What is radical in chemistry? Give example A radical is a chemical entity with an unpaired electron in it. A radical can be electrically neutral, radical cation charged positively, or radical anion charged negatively. Example: In ultraviolet light, the chlorine molecule Cl 2  undergoes homolysis to form two radicals of Cl

42. Is oxygen a free radical? In the body, oxygen breaks up into single atoms of unpaired electrons. Electrons prefer to be in pairs, and these atoms, known as free radicals, scavenge the body to look for other electrons so that they can become a pair. This causes cells, proteins and DNA to become damaged

43. What are the types of radicals? Superoxide and hydroxyl radical are two essential oxygen dependent radicals. Under reducing conditions they originate from molecular oxygen. However, these same radicals can engage in unwanted side reactions resulting in cell damage due to their reactivity.

44. Where do free radicals come from? Free radicals and other ROS are either derived from natural, essential metabolic processes in the human body or from external sources such as X-ray exposure, ozone, cigarette smoking, air pollution, and industrial chemical substances.

45. Why are free radicals so reactive? Radicals contain unpaired electrons which makes them so reactive in that they need so much energy to shape. As we speak about radical reactivity, “more reactive” generally means a step towards more exothermic abstraction of the hydrogen atoms. That makes the reaction less prone to the carbon-centric radical’s stability.

46. How do free radicals affect the body? Free radicals in the body cause similar degradation as they kill membranes of cells and make cells susceptible to decline and pathogens. Such free radicals destroy DNA and mitochondria, the fundamental building blocks of all tissues, and leave many health problems in their course.

47. What diseases do free radicals cause? It is growing evidence that most of the degenerative diseases that afflict mankind derive from deleterious free radical reactions. Such disorders include atherosclerosis, cancer, inflammatory joint disease, asthma, diabetes, senile dementia and eye degeneration.