NRSNG Hypertension Care Plan Lecture Notes

Introduction

• Presented by Susan from NRSNG.
• Resources:
  • Free database of nursing care plans: NRSNG.com/nursingcareplans
  • Editable PDF care plan template: NRSNG.com/careplantemplate
• Note: "HTN" is an approved charting abbreviation for hypertension.

National Nursing Diagnoses for Hypertension

1. Risk for Impaired Cardiovascular Function

• Characteristics:
  • Risk is present in all patients with hypertension.
  • Related to impaired perfusion.
  • Evidenced by continual hypertensive readings.
• Diagnosis Writing:
  • Example: "Impaired cardiovascular function related to impaired perfusion as evidenced by continual hypertensive readings."

2. Risk for Ineffective Peripheral Tissue Perfusion

• Characteristics:
  • Related to impaired circulation.
  • Evidenced by consecutive high blood pressure readings.
• Diagnosis Writing:
  • Example: "Ineffective peripheral tissue perfusion related to impaired circulation as evidenced by consecutive high blood pressure readings."

3. Knowledge Deficit

• Characteristics:
  • Related to ineffective health management.
  • Evidenced by hypertension.
• Implications:
  • Not all patients have a knowledge deficit, but some fail to manage their condition effectively.
  • Failures include improper medication adherence, poor diet, and inadequate monitoring.

Patient Goals

1. Monitor Blood Pressure

• Objective: Educate on proper blood pressure technique, record-keeping, and interpretation.
• Implementation:
  • Teach patients how to measure blood pressure correctly.
  • Explain systolic/diastolic readings and desired ranges.
  • Customize frequency of monitoring (daily or weekly).
• Evaluation:
  • Check patient readings during follow-up.
  • Assess improvements and adherence.

2. Dietary Changes

• Objective: Manage blood pressure through dietary adjustments.
• Implementation:
  • Educate on dietary restrictions beneficial for hypertension.
  • Encourage keeping a food diary to monitor salt intake.
• Evaluation:
  • Review food diaries at check-ups.
  • Discuss challenges and improvements.

3. Medication Adherence

• Objective: Ensure all medications are taken as prescribed.
• Implementation:
  • Stress the importance of medication compliance.
  • Use medication dispensers labeled with days of the week.
• Evaluation:
  • Confirm patients know their medication schedule.
  • Patients should be able to articulate their regimen or refer to written documentation.

Conclusion

• Encouragement to be proactive and informed.
• Further resources are available at NRSNG.com.
• Reminder to "be your best self today."