Assessment
Nursing Diagnosis
Planning
Nursing Intervention
Rationale
Evaluation
SUBJECTIVE:
“Bakit kaya
madalas sumsaskit ulo ko at
nahihilo?” as verbalized by the patient.

OBJECTIVE:
·         Request for information.
·         Agitated behavior
·         Inaccurate follow through of instructions.
·         V/S taken as follows:
T: 36.3
P: 82
R: 21
BP: 140/90

·         Risk for prone behavior related to lack of knowledge about the disease.
·         After 8 hours of nursing interventions, the patient will verbalize understanding of the disease process and treatment regimen.
·          
INDEPENDENT:
·         Define and state the limits of desired BP. Explain hypertension and its effect on the heart, blood vessels, kidney, and brain.



·         Assist the patient in identifying modifiable risk factors like diet high in sodium, saturated fats and cholesterol.
·         Reinforce the importance of adhering to treatment regimen and keeping follow up appointments.
·         Suggest frequent position changes, leg exercises when lying down.



·         Help patient identify sources of sodium intake.


·         Encourage patient to decrease or eliminate caffeine like in tea, coffee, cola and chocolates.
·         Stress importance of accomplishing daily rest periods.


DEPENDENT:
·         Give due medications

·         Provides basis for understanding elevations of BP, and clarifies misconceptions and also understanding that high BP can exist without symptom or even when feeling well.
·         These risk factors have been shown to contribute to hypertension.


·         Lack of cooperation is common reason for failure of antihypertensive therapy.
·         Decreases peripheral venous pooling that may be potentiated by vasodilators and prolonged sitting or standing.
·         Two years on moderate low salt diet may be sufficient to control mild hypertension.
·         Caffeine is a cardiac stimulant and may adversely affect cardiac function.
·         Alternating rest and activity increases tolerance to activity progression.


·         Refer to drug study.
After 8 hours of nursing interventions, the patient was able to verbalize understanding of the disease process and treatment regimen.

Categories:

One Response so far.

  1. Nursing care plans give nurses a way to track patients' progress and provide appropriate treatment

Leave a Reply