NCP Hypertension 2

 

CUES Subjective: “Medyo nahihilo lang

DIAGNOSIS Knowledge deficient related to

INFERENCE Absence or deficiency of  cognitive

PLANNING Short Term Goal:

INTERVENTION 1. Define and state the limits of desired BP.

RATIONALE 1. Provides basis for understanding

EVALUATION Short Term Goal:

ako, perokung hindi ko alam bakit.” As verbalized by the patient.

information misinterpretati on.

information related to specific topic; lack of specific information necessary for clients to make informed choices regarding condition/ treatment/ lifestyle changes.

After 1 hour of  nursing interventions, the patient will verbalize understanding of the disease process and treatment regimen.

Explain hypertension and its effect on the heart, blood vessels, kidney, and brain.

Long Term Goal:

2. Assist the patient in identifying modifiable risk factors like diet high in sodium, saturated fats and cholesterol.

elevations of  BP, and clarifies misconception s and also understanding that high BP can exist without symptom or even when feeding well.

After 1 hour of  nursing interventions, the patient was able to verbalize understanding of the disease process and treatment regimen as manifested by decreasing the BP 150/100.

Objective: -weakness -dizziness -loneliness -vital sign taken:  Temp: 36.1 PR: 72 RR: 24 BP: 150/100

After 8 hours of nursing intervention the patient should be manifest decrease of BP from 150/100 to 120/80.

3. Reinforce the importance of  adhering to treatment regimen and keeping follow up appointments.

2. These risk factors have been shown to contribute to hypertension.

Long Term Goal: After 8 hours of nursing intervention

3. Lack of  cooperation cooperatio n is common reason for failures of  antihypertensi ve therapy.

4. Decreases

the waspatient able to BP decrease 130/90.

 

4. Suggest frequent position changes, leg

peripheral venous pooling that may be

exercises when lying down.

potentiated vasodilators by and prolonged sitting and standing.

5. Help patient identify sources of  sodium intake.

5. Two years on moderate low salt diet may be sufficient to control mild hypertension.

6. Stress importance of  accomplishing daily rest periods.

6. Alternating rest and activity increases tolerance to activity progression.

COLLABORATI VE: 7. Provide information regarding community resources and support patient in

7. Community resources like health centers programs and check ups are helpful in controlling hypertension.

 

making lifestyle changes.