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Asessment Diagnosis Planning Intervention Rationale Evaluation

The patient presented with dizziness and a blood pressure reading of 180/110. A diagnosis of risk for prone behavior related to lack of knowledge about hypertension was made. The nurse planned to provide interventions over 8 hours to increase the patient's understanding of hypertension, treatment, and lifestyle modifications. These included explaining the effects of high blood pressure, identifying risk factors like diet and stressing the importance of rest. After 8 hours, the patient was able to demonstrate understanding of hypertension and their treatment plan.

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Chelsea Mae Bagalay Gonzales
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218 views

Asessment Diagnosis Planning Intervention Rationale Evaluation

The patient presented with dizziness and a blood pressure reading of 180/110. A diagnosis of risk for prone behavior related to lack of knowledge about hypertension was made. The nurse planned to provide interventions over 8 hours to increase the patient's understanding of hypertension, treatment, and lifestyle modifications. These included explaining the effects of high blood pressure, identifying risk factors like diet and stressing the importance of rest. After 8 hours, the patient was able to demonstrate understanding of hypertension and their treatment plan.

Uploaded by

Chelsea Mae Bagalay Gonzales
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Asessment

SUBJECTIVE: Bakit kaya madalas ako mahilo? (Why do I always feel dizzy?) as verbalized by the patient. OBJECTIVE: Request for information. Agitated behavior Inaccurate follow through of instructions. V/S taken as follows: T: 37.2 P: 84 R: 18 BP: 180/110

Diagnosis
Risk for prone behavior related to lack of knowledge about the disease

Planning
After 8 hours of nursing interventions, the patient will verbalize understanding of the disease process and treatment regimen.

Intervention
INDEPENDENT: Define and state the limits of desired BP. Explain hypertension and its effect on the heart, blood vessels, kidney, and brain. Assist the patient in identifying modifiable risk factors like diet high in sodium, saturated fats and cholesterol. Encourage patient to decrease or eliminate caffeine like in tea, coffee, cola and chocolates. Stress importance of accomplishing daily rest periods. COLLABORATIVE: Provide information regarding community resources, and support patients in making lifestyle changes

Rationale
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. These risk factors have been shown to contribute to hypertension. Caffeine is a cardiac stimulant and may adversely affect cardiac function. Alternating rest and activity increases tolerance to activity progression. Community resources like health centers programs and check ups are helpful in controlling hypertension

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

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