NAME: Jan Christian Dayto YR/SEC: BSN III-A

DATE: September 3, 2011 AREA: Guiwan Health Center CLINICAL INSTRUCTOR: John Leofel Narvaez, RN

NURSING CARE PLAN Assessment Subjective Cues:

Hypertensive ako pero wala akong maintenance kasi hindi naman ako nakakaramdam ng kung ano as verbalized by the client.

Objective of Care
At the end of 1 hour nursing intervention, the client will verbalize understanding on the importance of the disease process and treatment regimen. 1.

Nursing Intervention
Monitor BP at least once a week when S/S of HTN occur 1.

Rationale
Changes in BP may indicate changes in patient status requiring prompt attention May decrease peripheral venous pooling that may be potentiated by vasodilators and prolonged sitting or standing Caffeine is a cardiac stimulant and may adversely affect cardiac function Hypertension, if left untreated may cause complication and aggravation

Implementation

Evaluation

2.

Suggest for simple exercise/ ROM like brisk walking, jogging or any physical activity

2.

3. 3.

Objective Cues:
Age: BP: 140/90 Patient History: Diabetes until present, Hypertension 4.

Encourage patient to decrease intake of caffeine, cola and chocolates Encourage patient to consult a physician to identify what medication is to be taken in case S/S of HTN occurs and as for maintenance 4.

Nursing Diagnosis:
Hypertension