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:
Nursing Care Plan
Nursing care plans give nurses a way to track patients' progress and provide appropriate treatment