Hypertension or high blood pressure is often referred to as the silent killer because the patient does not know that he or she has hypertension. Hypertension is also known as heterogeneous group disease because it can affect anyone and various age, social, and economic groups. Hypertension is also the third biggest risk factor that causes premature death because it can trigger congestive heart failure and cerebrovascular disease. Self care management is an activity carried out by patients with the intention of improving one's well-being, because of their awareness of the time frame for maintaining life, continuing personal development and living a healthy functional life. The purpose of this study was to identify self care management in hypertensive patients at Santa Elisabeth Hospital Medan. This type of research is a descriptive research design with a cross sectional approach. Sampling in this study used a total sampling technique, the number of samples was 136 people. The results showed that self-care management in hypertensive patients was based on self-integrity with a sufficient category of 90 people (72.7%), self-care management in hypertensive patients based on self-regulation with a sufficient category of 66 people (48.5%), self-care management in hypertension patients based on interaction with other health workers with sufficient category as many as 77 people (56.6%), self care management in patients with hypertension based on monitoring other health workers sufficient category as many as 74 people (54.4%), self care management in hypertension patients based on compliance with the recommended rules category enough for 66 people (48.5%). It is hoped that health workers will improve the provision of health education for hypertensive patients, provide information to improve the quality of life of hypertensive patients by doing good self care management.

Personal hygiene has a very important role in the growth and development of an elementary school child who is vulnerable to health problems. So that every student strives to maintain and carry out personal hygiene to maintain and carry out personal hygiene to prevent illness. So a student needs a good understanding of knowledge about good personal hygiene to be able to improve his health. One strategy to increase children's knowledge about personal hygiene is to provide health education. Health education is a learning process which means that in education there is a process of growth, development, or change towards a better and more mature individual, to change the behavior of the target from not knowing to knowing. The aim of this research is to determine the effect of health education on personal hygiene on the knowledge of students at SD HKBP Padang Bulan, Medan. The research design used was a pre-experimental design with a one-group pretest – posttest design, with a total of 64 respondents. The knowledge of HKBP Padang Bulan Elementary School students in Medan before being given health education with sufficient knowledge results as many as 34 respondents (53.1%) and after being given health education with good knowledge results as many as 64 respondents (100.00%). The results showed that there was an effect of health education on personal hygiene on the knowledge of SD HKBP Padang Bulan Medan students with a p-value of 0.000. The results of this study can be used as information for students of SD HKBP Padang Bulan Medan as the management of personal hygiene techniques to detect how clean hair, mouth & teeth and hands are.