NURSING CARE PLAN NCP 1 POTENTIAL NURSING DIAGNOSIS SUBJECTIVE Risk for prone CUES: behavior “Mataas baang

bp related to lack ko? Ok lng ba iyon? of knowledge Minsan about the kasi napapasarap disease ang kain ko.” As verbalized by the patient. OBJECTIVE CUES: Temp: 36.5 ⁰ c Pulse Rate: 88 bpm Respiratory Rate: 19 bpm Blood Pressure: 130/80 mmHg CUES: OBJECTIVE OF CARE After 8 hours of nursing interventions, the patient will be able to verbalize understanding of the disease process and treatment regimen. NURSING INTERVENTIONS INDEPENDENT: 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 RATIONALE 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 anti hypertensive 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 mild hypertension. 6. Caffeine is a cardiac stimulant and may adversely affect cardiac function. EVALUATION

After 8 hours of nursing interventions, the patient was able to verbalized understanding of the disease process and treatment regimen.

chocolates. 7. Stress importance of accomplishing daily rest periods. DEPENDENT: 1. Give due medications

7. Alternating rest and activity increases tolerance to activity progression. 1. Refer to drug study

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