ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Nursing Care Plan for Hypertension

Updated on April 13, 2012

Hypertension is sometimes termed "the silent killer" because those people who have it are symptom free. However, once it is diagnosed, part of the nursing care plan for hypertension is to monitor it regularly because it is already a lifelong condition. Consistent elevation of blood pressure will lead to a higher risk for health problems such as diabetes mellitus and dyslipidemia (abnormal blood fat levels that may cause atherosclerotic heart disease). Being one of the prevalent and dangerous diseases, it is very essential that you know the proper assessment and management for hypertensive patients.


Proper Assessment


Documentation of past medical history and physical examination should be done as a reference. Laboratory studies are also needed to determine if there is any possible target organ damage. Symptoms of hypertension may include shortness of breath, anginal pain, epistaxis, headache, dizziness, alteration in speech, vision, or balance, and nocturia.


In order to have a good start in nursing care plan for hypertension, those symptoms should be assessed carefully. During physical examination, you should also monitor the character, rhythm, and rate of peripheral and apical pulses. Doing so will help you detect the effects of hypertension on the heart and blood vessels. Another part of nursing assessment and also the most essential step in this case is the careful monitoring of the patient's blood pressure.


Nursing Diagnosis


Your diagnosis should be based on your assessment (objective and subjective data). Probable nursing diagnoses may be the following:Deficient knowledge regarding the relation between the treatment regimen and control of the disease processNoncompliance with the therapeutic regimen related to side effects of prescribed therapyRisk for decreased cardiac outputAcute pain may be related to increased cerebrovascular pressureImpaired adjustment may be related to condition requiring change in lifestyle


Planning


Before you begin in implementing different nursing interventions, you have to determine what your goals are. In nursing care plan for hypertension, the major goals may include increased interest in participation in a self-care program, initiate lifestyle changes that will permit adaptation to present life situations, display hemodynamic ability (such as decrease in blood pressure level), absence of complications, and understanding of the disease process.


Nursing Interventions


The main objective of nursing care plan for hypertension is lowering and controlling your patient's blood pressure. To be able to attain that goal, you have to do specific nursing interventions that will support and teach the patient to follow the particular treatment regimen. Taking medications as prescribed by the doctor is also essential so as a healthcare provider, you have to monitor it closely.


As stated on the planning, the patient has to understand the disease process and the importance of lifestyle changes and medications to control the blood pressure. How are you going to attain that goal? You have to emphasize the concept of controlling hypertension rather than curing it. Encourage the patient to develop a plan for weight loss. The foods that the patient should eat are the foods with low salt and low fat content. Increased fruits and vegetables intake is also recommended. Explain to the patient that it usually takes two to three months before our taste buds adapt to changes.


You should also advise the patient to limit alcohol intake and avoid cigarette smoking, as those will vastly trigger an increase risk in acquiring heart disease. Support groups are also very beneficial during the treatment regimen, specifically support from family and friends. Encourage the family members to do their part by preparing meals according to the patient's diet, and by ensuring that the patient is taking the prescribed medications on time.


You can also assist the patient in developing exercise regimen that will lead to regular activity. Exercises will aid in weight loss and further activity tolerance. Regarding medications, the patient should be aware of the possible side effects and the importance of reporting them. Regular follow up care should also be emphasized.


Expected Outcome of Nursing Care Plan for Hypertension


When all of the nursing interventions are implemented, together with the medication therapy, it is expected that the patient will be able to control the blood pressure. No symptoms of angina, palpitations and vision changes will be demonstrated and the patient will report increased wellness. If the patient cooperates and complies with the therapeutic regimen, further health problems will be avoided.

Comments

    0 of 8192 characters used
    Post Comment

    No comments yet.

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)