NURSING CARE PLAN ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION INDEPENDENT: SUBJECTIVE: ♦ Risk for ♦ High blood ♦ After 8 hours ♦ Define and state the ♦ Provides basis ♦ After 8 hours of prone pressure (HBP) of nursing limits of desired BP. for nursing “Bakit kaya behavior or hypertension interventions, Explain understanding interventions, madalas ako related to means high the patient hypertension and its elevations of BP, the patient was mahilo?” (Why do I lack of pressure will verbalize effect on the heart, and clarifies able to always feel dizzy?) as knowledge (tension) in the understanding blood vessels, misconceptions verbalize verbalized by the about the arteries. Arteries of the disease kidney, and brain. and also understanding patient. disease are vessels that process and understanding of the disease carry blood from treatment that high BP can process and OBJECTIVE: the pumping regimen. exist without treatment heart to all the symptom or even regimen. ♦ Request for tissues and when feeling information. organs of the well. ♦ Agitated body. High behavior blood pressure ♦ Assist the patient in ♦ These risk ♦ Inaccurate does not mean identifying factors have follow through excessive modifiable risk been shown to of instructions. emotional factors like diet high contribute to ♦ V/S taken as tension, in sodium, saturated hypertension. follows: although fats and cholesterol. emotional T: 37.2 tension and ♦ Reinforce the ♦ Lack of P: 84 stress can importance of cooperation is R: 18 temporarily adhering to common reason BP: 180/110 increase blood treatment regimen for failure of pressure. and keeping follow antihypertensive Normal blood up appointments. therapy. pressure is below 120/80; ♦ Suggest frequent ♦ Decreases blood pressure position changes, peripheral between 120/80 leg exercises when venous pooling and 139/89 is lying down. that may be called "pre- potentiated by hypertension", vasodilators and and a blood prolonged sitting pressure of or standing. 140/90 or above ♦ Help patient identify ♦ Two years on is considered sources of sodium moderate low high. An intake. salt diet may be elevation of the sufficient to systolic and/or control mild diastolic blood hypertension. pressure increases the ♦ Encourage patient ♦ Caffeine is a risk of to decrease or cardiac stimulant developing eliminate caffeine and may heart (cardiac) like in tea, coffee, adversely affect disease, kidney cola and chocolates. cardiac function. (renal) disease, hardening of the arteries ♦ Stress importance of ♦ Alternating rest (atherosclerosis accomplishing daily and activity or rest periods. increases arteriosclerosis), tolerance to eye damage, activity and stroke progression. (brain damage). These COLLABORATIVE: complications of ♦ Provide information ♦ Community hypertension regarding resources like are often community health centers referred to as resources, and programs and end-organ support patients in check ups are damage making lifestyle helpful in because changes. controlling damage to hypertension. these organs is the end result of chronic (long duration) high blood pressure.
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