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.