Cues Nursing Diagnosis Rationale Objectives of Care Nursing Rationale Evaluation

Interventions
Subjective: Knowledge Deficit Prolonged elevation Short Term Goal: Independent:
related to lack of of blood pressure Short Term Goal
“Pinacheck up ako exposure as eventually damages After 30 mins – 1 1. Use some -In order for the was met.
nung nakaraan ng manifested by BP blood vessels hour of nursing visuals, pictures, client to understand The patient was
anak ko nung last reading of 160/100 throughout the body, interventions, the diagrams & easy to it easily and clearly. able to gain
month lang. Sabi and 160/110 for 2 most notably in the patient will be able to: understand knowledge of her
nga ng doctor consecutive days, eyes, heart, kidneys 1. Understand languages while disease and
lumaki daw ang verbalizations of the and brain. hypertension, some showed positive
puso ko.” client stating Therefore, the usual its signs and teaching/giving response.
consequences of symptoms, some information
“pinapacheck up prolonged complications about Hypertension.
“Hindi naman ako nung nakaraan uncontrolled HPN and Long Term Goal
namamana yang ng anak ko nung are failing vision, management 2. Discuss healthy -This will help avoid attainment was not
highblood. Siguro last month lang. coronary occlusion, techniques. lifestyle changes the increase of ISP measured because
sa sobrang pagod Sabi nga ng doctor renal failure and 2. Participate in that might help her to the client. the time spent with
lang kaya tumaas lumalaki daw ang stroke. In addition, the learning reduce attacks of the client was
yung presyon ko. puso ko.” the heart becomes process while hypertension. insufficient of the
Nanlalabo lang ang And enlarged as it is giving some long term nursing
paningin ko. “Hindi namamana forced to increase information 3. Educate the -Understanding the intervention.
Ipapahinga ko lang yang high blood. workload in about the patient about disease. Process
naman yun, ilan Siguro sobrang pumping against the 3. Verbalize. hypertension. may help encourage
oras lang, okay na pagod lang kaya sustained high Understanding compliance
ako. Kaya hindi ko tumaas yung pressure. This of her
na kailangan ng presyon ko. hypertrophy is noted condition, 4. Encourage the -Bawang is widely
gamot.” Nanlalabo lang ang on ECG and chest process & use of bawang for available and
paningin ko. X-ray. Increased treatment. managing affordable herbal
Ipapahinga ko lang workload in hypertensive medicine
 naman yun, ilan pumping against Long Term Goals: attacks.
oras lang, okay na sustained high
Objective: ako. Kaya hindi ko pressure. This After 1-2 weeks of 5. Encourage -This is to promote
na kailangan ng hypertrophy is noted nursing interventions, consultations and proper monitoring
BP reading of gamot.” on ECG and chest the patient will be visits to the health and assistance.
160/100 and X-ray. Increased able to: care center.
160/110 peripheral 1. Have stable
mmHg for 2 resistance vitals signs, 6.Encourage the -It helps to eliminate
consecutive days controlled esp. a BP use of sambong excess sodium and
At the anterior level reading within Herbal medicine that maintaining fluids
is the basic causes normal range serves as a diuretics balance thus
of increased (90/60- and anti edema. preventing the HPN.
resistance are 140/90mmHg)
poorly understood. 2. Initiate
Medication therapy necessary
is aimed at lifestyle
decreasing changes &
peripheral participate in
resistance to lower treatment
the blood pressure 3. Exhibit
and reduce the interest/assum
stresses on the e resp. for own
vascular system. learning &
Reference: begin to look
Brunner and for information
Suddhart’s & ask some
Textbook of Medical questions.
Surgical Nursing, 8th
ed