Nursing Outcome And Nursing Interventions Nursing Care Plans For Hypertension

lifenurses — Mon, 23 Nov 2009 16:43:02 +0000

Common nursing diagnosis found in Nursing care plans for Hypertension; Deficient Knowledge, Ineffective Therapeutic Regimen Management, Deficient knowledge (lifestyle modifications), Fatigue, Ineffective coping, Ineffective tissue perfusion: Cardiopulmonary, Noncompliance: Therapeutic regimen, Risk for injury

Key outcomes nursing care plans for Hypertension Patient will:

Remain free from complications.
Identify appropriate food choices.
Express that he has more energy.
Maintain adequate cardiac output and hemodynamic stability.
Demonstrate adaptive coping behaviors
Comply with his therapy regimen.
Demonstrates increased knowledge about high blood pressure , medication effects, and prescribed therapeutic activities
Takes medications, keeps follow-up appointments

Nursing Interventions nursing care plans for Hypertension

Nursing Interventions nursing care plans for Hypertension with nursing diagnosis; Deficient Knowledge regarding the relationship between the treatment regimen and control of the disease process

Nursing Interventions Providing Basic Education:

Explain the meaning of high blood pressure, risk factors, and
Explain the influences of high blood pressure on the cardiovascular, cerebral, and renal systems.
Stresses that Hypertension can never be total cure, only control, of essential hypertension; emphasize the consequences of uncontrolled hypertension.
Stress the fact that there may be no correlation between high blood pressure and symptoms; the patient cannot tell by the way he feels whether blood pressure is normal or elevated.
Have the patient recognize that hypertension is chronic and requires persistent therapy and periodic evaluation.
Present a coordinated and complementary plan of guidance.
- Inform the patient of the meaning of the various diagnostic and therapeutic activities to minimize anxiety and to obtain cooperation.
- Solicit the assistance of the patient’s spouse, family, and friends provide information regarding the total treatment plan.
- Be aware of the dietary plan developed for this particular patient.
Explain the pharmacologic control of hypertension.
- Explain that the drugs used for effective control of elevated blood pressure will likely produce adverse effects.
- Warn the patient of the possibility that orthostatic hypotension may occur initially with some drug therapy: Instruct the patient to get up slowly to offset the feeling of dizziness, Encourage the patient to sit or lie down immediately if he feels faint
- Alert the patient to expect initial effects, such as anorexia, light-headedness, and fatigue, with many medications.
- Inform the patient that the goal of treatment is to control blood pressure, reduce the possibility of complications, and use the minimum number of drugs with the lowest dosage necessary to accomplish this.

Educate the patient to be aware of serious adverse effects and report them immediately so that adjustments can be made in individual pharmacotherapy.
Note that dosages are individualized; therefore, they may need to be adjusted because it is often impossible to predict reactions.
Warn the patient on vasodilating drugs to use caution in certain circumstances that produce vasodilation a hot bath, hot weather, febrile illness, consumption of alcohol which may exacerbate blood pressure reduction.
Warn patients that blood pressure is often decreased when circulating blood volume is reduced as in dehydration, diarrhea, and hemorrhage so blood pressure should be monitored closely and treatment adjusted.

Nursing Intervention Nursing Care Plans for Stroke

lifenurses — Sat, 07 Nov 2009 14:14:37 +0000

Common Nursing diagnosis found in nursing care plans for stroke is; Impaired verbal communication, Impaired physical Mobility, Anxiety [specify level], Deficient knowledge regarding diagnosis prognosis and treatment options, Risk for disturbed Body Image, Risk for ineffective Sexual Pattern, Self-Care Deficit [specify], Disturbed Sensory Perception (specify), Disturbed Thought Processes, Risk for Injury/Trauma

Below is sample of Nursing Outcome, Nursing interventions and evaluation nursing care plans for Stroke

Nursing Diagnose

Nursing Outcomes

Nursing Interventions

Evaluation

Impaired verbal communication

Verbalize or indicate an understanding of the communication difficulty and plans for ways of handling.

Establish method of communication in which needs can be expressed.

Participate in therapeutic communication (e.g., using silence, acceptance, restating reflecting, Active-listening).

Demonstrate congruent verbal and nonverbal communication.

Use resources appropriately.

Review history for neurological conditions that could affect speech, such as CVA, tumor, multiple sclerosis, hearing loss.

Note results of neurological testing such as electroencephalogram (EEG), computed tomography (CT) scan.

Note whether aphasia is motor (expressive: loss of images for articulated speech), sensory (receptive: unable to understand words and does not recognize the defect), conduction (slow comprehension, uses words inappropriately but knows the error), and/or global (total loss of ability to comprehend and speak). Evaluate the degree of impairment.

Evaluate mental status, note presence of psychotic conditions (e.g., manic-depressive, schizoid/affective behavior). Assess psychological response to communication impairment, willingness to find alternate of communication.

Note presence of ET tube/tracheotomy or other physical blocks to speech (e.g., cleft palate, jaws wired). Determine ability to read/write. Evaluate musculoskeletal states, including manual dexterity (e.g., ability to hold a pen and write).

Obtain a translator/written translation or picture chart when writing is not possible.

Facilitate hearing and vision examinations/obtaining necessary aids when needed/desired for improving communication. Assist client to learn to use and adjust to aids.

Establish relationship with the client, listening carefully and attending to client’s verbal/nonverbal expressions.

Keep communication simple, using all modes for accessing information: visual, auditory, and kinesthetic

Determine meaning of words used by the client and congruency of communication and nonverbal messages.

Validate meaning of nonverbal communication; do not make assumptions, because they may be wrong. Be honest; if you do not understand, seek assistance from others.

Individualize techniques using breathing for relaxation of the vocal cords, rote tasks (such as counting), and singing or melodic intonation to assist aphasic clients in relearning speech.

Anticipate needs until effective communication is reestablished.

Plan for alternative methods of communication (e.g., slate board, letter/picture board, hand/eye signals, typewriter/computer) incorporating information about type of disability present.

Provide environmental stimuli as needed to maintain contact with reality; or reduce stimuli to lessen anxiety that may worsen problem.

Use confrontation skills, when appropriate, within an established nurse-client relationship to clarify discrepancies between verbal and nonverbal cues.

Involve family/SO(s) in plan of care as much as possible. Enhances participation and commitment to plan.

Response to interventions/teaching and actions performed.

Response to interventions/teaching and actions performed.

Attainment / progress toward desired outcome(s).

Modifications to plan of care.

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Nursing Outcome And Nursing Interventions Nursing Care Plans For Hypertension

Nursing Intervention Nursing Care Plans for Stroke