Assessment Diagnosis Inference Planning Intervention Rationale Evaluation

Subjective: Risk for falls Hypotension is After 8 hours of Independent After 8

”Nanlalabo ang mata related to abnormally low nursing - Observe -noticing factors hours of
ko at medyo na hihilo hypostatic blood pressure. intervention, the individual’s that might affect nursing
ako“as verbalized by hypotension as This is best patient will be general health safety, such as intervention,
the patient evidenced by able to be free of status, chronic or the patient
understood as a
headache, injury. debilitating con- was able to
physiologic
Objective: fainting when ditions, use of be free of
-dizziness standing, state, rather than multiple injury.
-headache dizziness a disease. It is medications,
Fainting when often associated recent trauma.
standing or extending with shock, -altering
neck, though not coordina-
-blurred vision necessarily tion, gait, and
indicative of it. balance.
Hypotension is -Affects ability
the opposite of to perceive
own
hypertension,
Limitations or
which is high recognize
blood pressure. danger.
Blood pressure
is the force of
blood pushing -Individual’s
against the walls - Assess muscle temperament,
strength, gross typical
of the arteries as
and fine motor behavior,
the heart pumps coordination.
out blood. If it is stressors, and
-Evaluate client’s level of self-
lower than cognitive status esteem can
normal then it is (e.g., brain injury, affect attitude
called low blood neurolog- toward safety
pressure or ical disorders; issues, resulting
hypotension. depression). in
Hypotension is -Assess mood, carelessness or
generally coping abilities, increased risk-
personality styles.
considered as taking without
systolic blood consideration
pressure less Of
than 90 consequences.
millimeters of
mercury (mm
Hg) or diastolic
less than 60 mm
Hg. However in
practice, blood
pressure is
considered too
low only if
noticeable
symptoms are
present.

It is true that for

some people,
those who
exercise and are
in top physical
condition, low
blood pressure is
a sign of good
health and
fitness. But
that's not always
the case.

For many
people, low
blood pressure
can cause
dizziness and
fainting or
indicate serious
heart, endocrine
or neurological
disorders.
Severely low
blood pressure
can deprive the
brain and other
vital organs of
oxygen and
nutrients,
leading to a life
threatening
condition called
shock