High Blood Pressure (HBP) or Hypertension N C P BY BHERU LAL
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NURSING CARE PLAN-1 Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married Medical Diagnoses: High blood pressure (HBP) or hypertension Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007 ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION SUBJECTIVE: 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 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. 1. Define and state the limits of desired BP. Explain hypertension and its effect on the heart, blood vessels, kidney, and brain. 2. Assist the patient in identifying modifiable risk factors like diet high in sodium, saturated fats and cholesterol. 3. Reinforce the importance of adhering to treatment regimen and keeping follow up appointments. 4. Suggest frequent position changes, leg exercises when lying down. 5. Help patient identify sources of sodium intake. 1. 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. 2. These risk factors have been shown to contribute to hypertension. 3. Lack of cooperation is common reason for failure of antihypertensive therapy. 4. Decreases peripheral venous pooling that may be potentiated by vasodilators and prolonged sitting or standing. 5. Two years on moderate low salt diet may be sufficient to control After 8 hours of nursing interventions , the patient was able to verbalize understanding of the disease process and treatment regimen.
Transcript of High Blood Pressure (HBP) or Hypertension N C P BY BHERU LAL
NURSING CARE PLAN-1Patient Name: - Rab Dino S/O Mola Bux Age: 50Y Sex: Male Ward No: 12 Bed No: 12 Marital Status: Married Medical Diagnoses: High blood pressure (HBP) or hypertension Address : SAKRAND OCCUPATION: Farmer Date: 19--03-2007 ASSESSMENT NURSING
DIAGNOSISPLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATION
SUBJECTIVE:Why do I always feel dizzy? asverbalized by thepatient.
OBJECTIVE:Request forinformation.AgitatedbehaviorInaccuratefollow throughof instructions.V/S taken asfollows:T: 37.2P: 84R: 18BP: 180/110
Risk forpronebehaviorrelated tolack ofknowledgeabout thedisease
After 8 hoursof nursinginterventions,the patientwill verbalizeunderstandingof the diseaseprocess andtreatmentregimen.
1. Define and state the limits of desired BP. Explain hypertension and its effect on the heart, blood vessels, kidney, and brain.
2. Assist the patient in identifying modifiable risk factors like diet high in sodium, saturated fats and cholesterol.
3. Reinforce the importance of adhering to treatment regimen and keeping follow up appointments.
4. Suggest frequent position changes, leg exercises when lying down.
5. Help patient identify sources of sodium intake.
6. Encourage patient to decrease or eliminate caffeine like in tea, coffee, cola and chocolates.
7. Stress importance of accomplishing daily rest periods.
1. 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.
2. These risk factors have been shown to contribute to hypertension.
3. Lack of cooperation is common reason for failure of antihypertensive therapy.
4. Decreases peripheral venous pooling that may be potentiated by vasodilators andprolonged sitting or standing.
5. Two years on moderate low salt diet may be sufficient to control mild hypertension.
6. Caffeine is a cardiac stimulant and may adversely affect cardiac function.
7. Alternating rest and activity increases tolerance to activity progression.
After 8 hours ofnursinginterventions,the patient wasable to verbalizeunderstandingof the diseaseprocess andtreatmentregimen.
Reference: Carpenito. L .J. (1995). Nursing Diagnosis (6th Ed.), New Jersey J.B.Lippincott Company. Student name: Akbar Ali Arain Discipline B.Sc. N-1(2007-9)
