NAME: HOSPITAL: DATE OF ADMISSION:

AGE: CHIEF COMPLAINT: PHYSICIAN:

SEX: ROOM – BED no.:

DATE/ CUES NEED NURSING OBJECTIVES NURSING INTERVENTIONS EVALUATION

TIME DIAGNOSIS OF CARE

J SUBJECTIVE: C Risk for After 8 hours INDEPENDENT: After 8 hours of

U “Bakit kaya O prone of nursing Define and state the nursing
L madalas ako G behavior interventions, limits of desired BP. interventions,
Y mahilo?” N related to the patient Explain the patient was
as I lack of will verbalize hypertension and its able to
7, verbalized by T knowledge understanding effect on the heart, verbalize
the I about the of the disease blood vessels, understanding
2 patient. V disease process and kidney, and brain. of the disease
0 E treatment Assist the patient in process and
1 OBJECTIVE: - R: High blood regimen. identifying treatment
Request for pressure (HBP) modifiable risk regimen.
0 P
information. or hypertension factors like diet high
E
Agitated means high in sodium, saturated
@ R
behavior pressure fats and cholesterol.
C
Inaccurate (tension) in the Reinforce the
11 E arteries. Arteries
follow through importance of
P P are vessels that
of instructions. adhering to
M V/S taken as
T carry blood from treatment regimen
follows: U the pumping and keeping follow
T: 37.2 A heart to all the up appointments.
P: 84 L tissues and Suggest frequent
R: 18 organs of the position changes,
BP: P body. High leg exercises when lying down.
180/110 A blood pressure Help patient identify
T does not mean sources of sodium
T excessive intake.
E emotional Encourage patient
R tension, to decrease or
N although eliminate caffeine
emotional like in tea, coffee,
tension and cola and chocolates.
stress can Stress importance of
temporarily accomplishing daily
increase blood rest periods.
pressure. COLLABORATIVE:
Normal blood Provide information
pressure is regarding
below 120/80; community
blood pressure resources, and
between 120/80 support patients in
and 139/89 is making lifestyle
called changes.
"prehypertension"
,
and a blood
pressure of
140/90 or above
is considered
high. An
elevation of the
systolic and/or
diastolic blood
pressure
increases the
risk of
developing
heart (cardiac)
disease, kidney
(renal) disease,
hardening of the
arteries
(atherosclerosis
or
arteriosclerosis),
eye damage,
and stroke
(brain damage).
These
complications of
hypertension
are often
referred to as
end-organ
damage
because
damage to
these organs is
the end result of
chronic (long
duration) high
blood pressure.