SAINT PAUL UNIVERSITY DUMAGUTE

COLLEGE OF NURSING
DUMAGUETE CITY

In partial fulfillment of the requirements in

NCM 106

REFLECTION

Submitted to:
Ms. Ma. Lourdes Agustin, RN

Submitted by:
Ms. Loshelle Lily B. Yap

Date Submitted:
October 10, 2020
 SAINT PAUL UNIVERSITY DUMAGUTE
COLLEGE OF NURSING
DUMAGUETE CITY

SCENARIO:

Carl Shapiro, who was diagnosed with hypertension and hyperlipidimia during a
routine visit to his primary provider. He arrives in the ED with a blood pressure of
210/110. The nurse discovers that he stopped his antihypertensive medication due to
erectile dysfunction. How does the nurse maintain patient privacy in the ED during
discussion of personal issues? What topics should be included in an individualized
discharge plan to address his emotional concerns, educational needs, and continuity of
care when the nurse receives orders for an ACE inhibitor, Captoril ( Capoten), and
discharge home?

ANSWER:

The setting of Emergency Department is often not conducive in maintaining privacy.

But curtains are provided in each beds for some hospitals. For me, I’m going to close
the curtain and speak in a way that only the both of us can hear especially in this
matter that he’s having an erectile dysfunction as a side effect of his antihypertensive
medication. I’ll tell the patient that I appreciate his honesty and because of that his
concerns about his ED will get treated such as using an alternative. ACE inhibitors
will not cause erectile dysfunction. I’ll also tell him that there is a hope in this because
hearing these words will help ease their burden. In taking ACe inhibitor I’ll instruct
him and the family to rise slowly in order to avoid postural hypotension.

I’ll also discuss with him the following:

MEDICATION

 Continue taking Captopril

EXERCISE

 Begin an exercise program. Simple activities such as walking or gardening can

help.

TREATMENT

 Captopril
 Never take stimulants such as amphetamines or cocaine. These drugs can be
deadly for someone with high blood pressure.
 SAINT PAUL UNIVERSITY DUMAGUTE
COLLEGE OF NURSING
DUMAGUETE CITY

HEALTH TEACHING

 Learn to measure your own blood pressure. Keep a record of your results. Ask
your doctor which readings mean that you need medical attention.
 Take your blood pressure medicine exactly as directed. Don't skip doses. Missing
doses can cause your blood pressure to get out of control.
 If you do miss a dose (or doses) check with your healthcare provider about what
to do.
 Control your stress. Learn ways to manage stress.

OPD FOLLOW-UP

 Return after 1 week for follow-up care

DIET

 Stay at a healthy weight. Get help to lose any extra pounds (kilograms). .
 Cut back on salt.
 Limit canned, dried, packaged, and fast foods.
 Don't add salt to your food at the table.
 Season foods with herbs instead of salt when you cook.
 Request no added salt when you go to a restaurant.
 Eat food rich in potassium.
 Break the smoking habit.
 Limit drinks that contain caffeine such as coffee, black or green tea, and cola to 2
per day.
 Limit alcohol to no more than 2 drinks a day

SPIRITUAL

 Always pray to God and depending on his religion.