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f. Educate the patient regarding hypertension and how she can help
The top number, the systolic blood pressure, corresponds to the pressure in
the arteries as the heart contracts and pumps blood forward into the
arteries. The bottom number, the diastolic pressure, represents the
pressure in the arteries as the heart relaxes after the contraction. The
diastolic pressure reflects the lowest pressure to which the arteries are
exposed.
-History
Chief complaint
“Nahihilo ako. High blood na naman yata ako.” As verbalized by the
patient. Mrs. Candelario was complaining of:
- Dizziness
- Fatigue
- Nape pain
- Hypertension
Social History
According to the patient, she spent mostly her time with her children,
guiding them with their studies and performs her responsibility as a good
mother. After her retirement as a teacher, she turned as catechist as her
hobby. As a volunteer in their community she also does neighboring.
Health Management
The patient stated that she maintains her personal hygiene by taking
a bath everyday, brushing her teeth twice a day. The patient also said that
she was taking some food supplements like vitamins. She also takes some
medication for her blood pressure maintenance and also for her arthritis.
In the hospital she is not prohibited to do her routine hygiene.
She is ordered to take and bathroom privileges.
Nutritional Metabolic
The patient stated that she eats 3 times a day, but on the first
confinement on San Lorenzo hospital, she was put on a nothing per orem
(NPO), for her blood screening.
Elimination
According to the patient, her bowel movement was normal, she
defecate once a day and urinates 5 to 6 times a day.
Intra-operative Phase
The patient was on her bed, accompanied by a healthcare provider.
She was put on diet as tolerated. She was still on her intravenous fluid. Her
vital signs were continuously monitored by the nurse. Around 12 pm. The
patient refused to undergo CT scan.
Post-operative Phase
On the same day, around 4:25 of the afternoon the patient has been
discharged from the hospital.
Discharged order
August 15, 2008 at around 4:15 of the afternoon, Mrs. Candelario
requested for HAMA. The attending physician, Dr. Calderon requested her
for CT scan but the patient refused. The patient received the original copies
of her laboratory results and ECG result.
The NOD provided information for her health improvement. The NOD
educated the patient about health teaching:
-good hygiene
- Proper diet (DASH diet, healthy low-fat diet rich in natural sources
of vitamins and minerals, reduce salt intake)
- taking her food supplements and her medication as ordered
- Exercise and maintaining healthy weight
Diagnostic Procedure