ASSESSTMENT

NURSING DIAGNOSIS

PLAN

INTERVENTION & RATIONALE

EVALUATION

Subjective: Nagiging mahihiluhin nako pati madali akong mapagod, hindi ko alam kung bakit, nitong mga nakaraang buwan lng to, di naman ako dating ganito as verbalized by the patient Objective: Inquiry regarding the experienced symptom Agitated

Pain Knowledge deficit related to lack of information

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

1. Asses the patients knowledge regarding the disease. This enables the nurse to assess the level of knowledge of the patient. 2. Discuss to the patient all about the disease process and his condition (preceded by the doctors diagnosis). This enables the patient to gain information regarding the existing condition and to clarify misconceptions. 3. Define and state the limits of desired BP. This provides basis for understanding elevations of BP 4. Assist the patient in identifying modifiable risk factors like diet, high in sodium, saturated fats and cholesterol. This enables the nurse and the patient to identify food being consumed by the patient that contributes to hypertension. 5. Reinforce the importance of adhering to treatment regimen and keeping follow up appointments. Lack of cooperation is common reason for failure in antihypertensive therapy. 6. Suggest frequent position changes, leg exercises when lying down. This decreases peripheral venous pooling that maybe potentiated by vasodilators and prolonged sitting or standing. 7. Help patient identify sources of sodium intake. Two years of moderately low intake of sodium diet may be sufficient to control mild hypertension. 8. Encourage patient to decrease or caffeine, like in tea, coffee, cola and chocolates. Caffeine is a cardiac stimulant and may adversely affect cardiac function. 9. Stress the importance of accomplishing daily rest

After 8 hours of nursing intervention, the patient was able to voice out understanding of the disease process and treatment regimen.

V/S taken as follows: PR: 80 RR: 18 BP: 180/110