Nursing Care Plan

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NURSING CARE PLAN
ASSESSMENT
SUBJECTIVE: “Bakit kaya madalas ako mahilo?” (Why do I always feel dizzy?) as verbalized by the patient. OBJECTIVE: ♦ Request for information. ♦ Agitated behavior ♦ Inaccurate follow through of instructions. ♦ V/S taken as follows: T: 37.2 P: 84 R: 18 BP: 180/110

DIAGNOSIS
♦ Risk for prone behavior related to lack of knowledge about the disease

INFERENCE
♦ High blood pressure (HBP) or hypertension means high pressure (tension) in the arteries. Arteries are vessels that carry blood from the pumping heart to all the tissues and organs of the body. High blood pressure does not mean excessive emotional tension, although emotional tension and stress can temporarily increase blood pressure. Normal blood pressure is below 120/80; blood pressure between 120/80 and 139/89 is called "prehypertension",

PLANNING
♦ After 8 hours of nursing interventions, the patient will verbalize understanding of the disease process and treatment regimen.

INTERVENTION
INDEPENDENT: ♦ Define and state the limits of desired BP. Explain hypertension and its effect on the heart, blood vessels, kidney, and brain.

RATIONALE

EVALUATION

♦ After 8 hours of ♦ Provides basis nursing for interventions, understanding the patient was elevations of BP, able to and clarifies verbalize misconceptions understanding and also of the disease understanding that high BP can process and exist without treatment regimen. 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

♦ 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....
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