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High Blood Pressure (HBP) or Hypertension N C P BY BHERU LAL

High Blood Pressure (HBP) or Hypertension N C P BY BHERU LAL

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Published by Bheru Lal

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Published by: Bheru Lal on Aug 28, 2010
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01/13/2013

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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 NURSINGDIAGNOSISPLANNING INTERVENTION SCIENTIFIC RATIONALE EVALUATIONSUBJECTIVE:
Why do Ialways feeldizzy? asverbalized bythepatient.
OBJECTIVE:
Request forinformation.
Agitatedbehavior
Inaccuratefollow throughof instructions.
V/S taken asfollows: T: 37.2P: 84R: 18BP: 180/110
Risk forpronebehaviorrelated tolack of knowledgeabout thedisease
After 8 hoursof nursinginterventions,the patientwill verbalizeunderstandingof the diseaseprocess andtreatmentregimen.
1.
Define and state thelimits of desired BP.Explain hypertensionand its effect on theheart, blood vessels,kidney, and brain.
2.
Assist the patient inidentifying modifiablerisk factors like diet highin sodium, saturatedfats and cholesterol.
3.
Reinforce theimportance of adheringto treatment regimenand keeping follow upappointments.
4.
Suggest frequentposition changes, legexercises when lyingdown.
5.
Help patient identifysources of sodiumintake.
6.
Encourage patient todecrease or eliminatecaffeine like in tea,coffee, cola andchocolates.
7.
 
Stress importance of accomplishing daily restperiods.
1.
Provides basis forunderstandingelevations of BP, andclarifies misconceptionsand also understandingthat high BP can existwithout symptom oreven when feeling well.
2.
 These risk factors havebeen shown tocontribute tohypertension.
3.
Lack of cooperation iscommon reason forfailure oantihypertensivetherapy. 
4.
Decreases peripheralvenous pooling thatmay be potentiated byvasodilators and
 
prolonged sitting orstanding.
5.
 Two years on moderatelow salt diet may besufficient to control mildhypertension.
6.
Caffeine is a cardiacstimulant and mayadversely affect cardiacfunction.
7.
Alternating rest andactivity increasestolerance to activityprogression.
After 8 hoursof nursinginterventions,the patient wasable toverbalizeunderstandingof the diseaseprocess andtreatmentregimen.

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