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NURSING CARE PLAN for MS.

AVANCEÑA REMEDIOS

CUES/EVIDENCES NURSING OBJECTIVES NURSING RATIONALE EVALUATION


DIAGNOSIS INTERVENTIONS
Subjective: Deficient At the end of my 8 Define and state the normal Provides basis for Goal Met: client and
(secondary as supplied knowledge of the hour nursing limits of BP. Explain understanding elevations of SO verbalized
by the SO) risk factors for intervention, patient hypertension and its effect BP, and clarifies understanding of the
-“maaram man hi nanay developing CVD. and SO will verbalize on the heart and other misconceptions that high importance of diet
na hataas iya BP pero understanding of the organs of the body. BP can exist without modification and
waray ito hiya pili ha disease process and symptoms or even when medication
pagkaun, bisan anu its treatment regimen. feeling well. compliance to avoid
kinakaun dire mapili”; further aggravation of
Identify modifiable risk These risk factors the client’s condition.
-“ginresetahan na gad factors like diet high in have been shown to
hiya hadto bulong na sodium, saturated fats and contribute to
maintenance para iya cholesterol. hypertension.
highblood pero waray
uminom bisan maka-usa Reinforce the importance Lack of cooperation is
kay maupay man kuno of adhering to treatment common reason for
iya panlawas” as regimen and keeping failure of
verbalized by the follow up appointments. antihypertensive
patient’s daughter. therapy.

Suggest frequent To prevent pooling of


Objective: position changes such blood at the
as turning to sides, peripheries and
Aug 14: passive leg exercises prevent dependent
BP = 240/120mmHg; when lying down. edema

Aug 16: Help patient identify To control


BP = 160/80mmHg; sources of sodium hypertension
intake.
Aug 17:
BP = 150/80mmHg. Encourage patient to Caffeine is a cardiac
decrease or eliminate stimulant and may
caffeine in the diet adversely affect
Medications for HPN: cardiac function.

Captopril, Furosemide DEPENDENT:


and Amlodipine, Give due medications