As a kind of common disease, hypertension is systemic arterial pressure increased as the main clinical syndrome. The etiology of hypertension includes many aspects, such as age, occupation and environmental and genetic family related factors are likely to be the cause of hypertension. As a kind of common diseases at present, hypertension is a serious threat to people's health, because of hypertension has the characteristics of slow progressive development, blood pressure is not easy to control, so it is easy to cause cardiovascular and cerebrovascular diseases, adverse effects on people's normal life. Especially for the elderly, the elderly poor physical quality, so in the course of treatment of hypertension treatment in many means are not applicable, is crucial in nursing work of hypertension in the elderly in such conditions. This paper will be mainly in the elderly patients with high blood pressure changes and nursing countermeasure analysis as the breakthrough point, introduces and analyzes briefl y the.