<![CDATA[Hypertension is a major health problem among older adults that can lead to severe cardiovascular, neurological, and renal complications when inadequately controlled. For older adults living in long-term care facilities who face polypharmacy risks, safe and non-invasive complementary interventions are needed alongside conventional pharmacological treatment. This study aimed to describe the application of foot reflexology and evaluate changes in blood pressure and clinical responses among older adults with hypertension. An evidence-based nursing case study design was applied to two 60-year-old male residents with hypertension at Balai Pelayanan Sosial Tresna Werdha (BPSTW) Budi Luhur Yogyakarta. Foot reflexology was administered twice daily (morning and afternoon) for two consecutive days, with each session lasting 15–30 minutes. Blood pressure was recorded pre- and post-intervention using a sphygmomanometer, complemented by observations of peripheral perfusion and interviews regarding subjective symptoms. Both participants exhibited acute reductions in systolic and diastolic blood pressure following the intervention sessions. Respondent I (Tn. E) showed a reduction from 180/90 mmHg at baseline to 151/80 mmHg after the final session. Respondent II (Tn. S) showed a reduction from 170/105mmHg to 158/92mmHg. Both patients reported diminished dizziness, increased physical comfort, and greater relaxation. Conclusion: Foot reflexology can serve as a valuable complementary nursing intervention to support blood pressure control and promote relaxation in older adults. However, it should complement rather than replace standard antihypertensive therapy and regular clinical monitoring.]]>
