SOUTHEAST ASIAN COLLEGE

No. 2 E. Rodriguez Avenue

COLLEGE OF NURSING
Quezon City

ASSESSMENT

DIAGNOSIS
Altered health maintenance r/t High Blood Pressure

PLANNING
Within 6-8 hours of nursing intervention, patients BP will be within normal limits.

INTERVENTION
Monitor the following to detect organ involvement: Fluid intake and output

EVALUATION
The patients BP is no higher than 140/80 mmHg.

(To reveal noncompliance to the therapy or longstanding hypertension) Measure the clients blood pressure and involve the patient with the measurement. Record the reading. (To promote understanding and participation in self-care) Evaluate lifestyle factors that may increase the risk of hypertension

HYPERTENSION STAGE 2 | Ospital ng Sampaloc | MED. WARD

SOUTHEAST ASIAN COLLEGE

No. 2 E. Rodriguez Avenue

COLLEGE OF NURSING
Quezon City

(To promote a change in lifestyle behavior and acceptance of the treatment regimen.) Instruct patient about antihypertensives, and begin patient participation in administering. (To promote verbal communication of questions and concerns, which will lead to greater knowledge and skills)

HYPERTENSION STAGE 2 | Ospital ng Sampaloc | MED. WARD

SOUTHEAST ASIAN COLLEGE

No. 2 E. Rodriguez Avenue

COLLEGE OF NURSING
Quezon City

ASSESSMENT

DIAGNOSIS Noncompliance R/T Inadequate Knowledge

PLANNING After2-3 hours of nursing intervention, the patient will be able to understand the treatment plan and take responsibility for controlling BP.

INTERVENTION Assess the patients understanding of the treatment regimen (To determine the patient is not following the regimen because of lack of understanding) Review cardiac risk behaviors, and clarify misconceptions. (To show the patient that he or she is vulnerable to disease). Engage the patient in discovering factors that may interfere with his or her adherence to the regimen. (To uncover personal

EVALUATION The patient verbalizes his feelings of frustrations about taking the medication and the changes in his lifestyle and demonstrates efforts to accept the treatment plan.

HYPERTENSION STAGE 2 | Ospital ng Sampaloc | MED. WARD

SOUTHEAST ASIAN COLLEGE

No. 2 E. Rodriguez Avenue

COLLEGE OF NURSING
Quezon City

factors that may be interfering with the patients compliance or contributing to lack of motivation.) Discuss ways of increasing compliance. (To involve the patient in makingchoices and, thus, promoting a sense of control.)

HYPERTENSION STAGE 2 | Ospital ng Sampaloc | MED. WARD