Nursing

Cues Nursing Diagnosis Inference Objective Rationale Evaluation

Intervention

Subjective ◊ Impaired Inability to modify Short Term Goal Independent ◊ After 4 days of
adjustment r/t lifestyle in a manner nursing intervention,
◊ “Ayoko kumain ng health status consistent with a change ◊ After 4 days of ◊ Vital signs monitored ◊ For baseline the goal is met
walang lasa na requiring change in in status. The objective nursing intervention, and recorded. BP comparison. through participation
pagkain,” as lifestyle of nursing care for there will be an monitored regularly. and demonstration of
verbalized. hypertensive patients increase interest and lifestyle changes.
focuses on lowering and participation on the
Objective controlling the blood demonstration of self- ◊ Instructed and ◊This will promote
pressure without adverse care and will initiate emphasized necessary trust and will on the
◊ c pale to pinkish affects and without lifestyle changes that care and lifestyle patient to adhere to
lips & conjunctiva undue cost. To achieve will permit adaptation changes that will such activities that will
these goals, the nurse to present medical enhance her recovery. enhance fast recover.
◊ weak looking must support and teach situation.
the patient to adhere to ◊ Planned necessary ◊ Planning with the
◊ c fair appetite, the treatment regimenby care and assistance in parents will add more
selective c food implementing necessary ADLs with the parents. cooperation in the part
preference lifestyle changes and of the patient.
taking medications as
◊ V/S taken as prescribed. ◊ Emphasized the ◊ This will lower the
follows: importance of patient’s BP.
T = 36.7 °C adequate rest in
P = 76bpm relation to BP
R = 24cpm elevation.
BP =130/100 mmHg
◊ Hypertension needs
◊ Emphasized the
medications to
importance of
maintain the BP in its
adherence to medical
normal range.
management such as
medications.