Hypertension Care Plan Overview

Hey everyone this is Susan with NRSNG. Today we will be working through a care plan on hypertension. To see our massive free database of nursing care plans just visit NRSNG.com backslash nursing care plans. You can also download our free editable PDF care plan template that I'm using. at nursingcare, I'm sorry, at nrsng.com backslash care plan template. So I just want to note that for hypertension, we don't say HTN, which is the abbreviation that I have up there, but it is approved. charting abbreviation that you can use. So let's get into our first national diagnosis. Risk for impaired cardiovascular function. All patients with hypertension are going to have a risk for this. Whether or not they have it or not would depend on the rest of the diagnosis. So the reasons that they are at risk for it is related to impaired perfusion as evidenced by continual hypersensitivity. hypertensive readings. If you are writing out a nursing diagnosis, you don't do the related to and the as evidenced by unless are on risk for kind of diagnoses. So you would have written impaired cardiovascular function related to impaired perfusion as evidenced by continual hypertensive readings. I just wanted you guys to see the related to and the as evidenced by and I the same I did the same for the second nursing diagnosis. So my second nursing diagnosis is risk for an effective peripheral tissue perfusion related to impaired circulation as evidenced by consecutive high blood pressure readings. And the same thing, so it would be ineffective peripheral tissue perfusion related to impaired circulation as evidenced by consecutive high blood pressure readings. My third nursing diagnosis is knowledge deficit related to ineffective health management as evidenced by hypertension. So I'm not trying to say that every patient with hypertension has a knowledge deficit. Quite a few of them are fairly knowledgeable about their situation. However, many of them... don't do what they're supposed to do to improve their situation. So when you continually have an effective health management, you are going to continue to have hypertension. And this could even mean that they're not taking their medications properly, that they aren't changing their diet, that they're not monitoring their hypertension. So for our patient goals, the first patient goal I have is monitor the blood pressure and show how to take a proper blood pressure, record it, and interpret it. We're going to do this by educating the patient on the proper way to take a blood pressure, have them demonstrate it, and talk about the readings and the meanings. I don't know that it's necessary to talk about like a mean arterial pressure. to these patients, but you wanna talk about the systolic and the diastolic, what those numbers are meaning, what range we want for that particular patient, and how often they need to be doing this. Sometimes people take it every morning and every evening. Sometimes people take it once a week. So just depending on their care plan. Try and talk to them about what it means and when they should take it. Yes, we are going to implement this. And we will evaluate it by when they come to check up. We'll get their readings. We'll ask them how they feel they've been doing with monitoring their own blood pressure. And we'll see an improvement with their blood pressure because when they're monitoring it so closely, it'll help remind them to do the things that they're supposed to be doing, like taking their medications or changing their diet. saying no to the extra salt on their meal or whatever that might be. The second patient goal. is to make dietary changes to help manage their blood pressure. This is a pretty important one because it can't just be done by medications alone. And it could also potentially be managed just by diet. So the more that they are able to control their diet, potentially the less medications that they will be taking. So we want to educate the patient on dietary restrictions and changes that are helpful to manage hypertension. Teach the patient to record a food diary. So along with a blood pressure diary that we're asking them to keep, we're also going to have them keep a food diary so that we can watch their salt intake. Once they become proficient in this skill, we won't need to be doing that, but especially in the early stages, you want to really have them write it out because it makes them or it forces them to look at what they're eating. It's the same concept with dieting. Once you start to write out every little thing that you eat, you're going to have a lot of people that are going to be interested in that. you really start to see how much you are eating. So yeah, we're going to implement that and we'll evaluate it during checkup. Reading their food log through with them, assess for improvements in their blood pressure, talk about their food log and the things that they struggled with, things like that. They're not going to be perfect. It's going to take time for them to learn, you know, so giving them leeway and encouraging them to continue on. Our third patient goal is to take all prescribed medications exactly as they're prescribed. This is pretty important for these patients because we don't want them to fluctuate on their blood pressure. We want to keep it as maintained as possible. Educate the patient on the importance of medication compliance and have them use a dispenser with the days of the week on it. This is so vital. because then they know if they've taken their blood pressure medication or if they have not. Doubling up on a blood pressure medication can be deadly to them or it could be very harmful to them. Missing it entirely is also harmful to them. So we want to make sure that they have, you know, one of those days of the week medication dispensers and that they are taking it and they can... visually see that they have taken it. Yes, we're going to implement this and we will evaluate it during checkup. Again, they should have blood pressures within normal limits. They should also know when you ask them what medications that they take and when they take them. If you have them written out, have them put within their dispenser and have them on this set. course where they know exactly what it is they're taking, when they're taking it, why they're taking it, they should be able to repeat this back to you. So during your evaluation of this, you want to ask them about this. And even if they pull out a piece of paper, that's fine as long as they have that. But if they're like, oh, I don't have paper. I don't know what medications I take. That's it. not a very good of a well it's not a very good meeting of their goal so we want to make sure that that's super taken care of for that patient all right that is our hypertension care plan visit nrsng.com slash nursing care plans for our huge free care plan database and nrsng.com slash care plan template for our editable care plan template pdf This has been another episode of the NRSNG podcast. Thank you for joining us and thanks for being a part of the NRSNG family. Now, go out and be your best self today.

So I just want to note that for hypertension, we don't say HTN, which is the abbreviation that I have up there, but it is approved. charting abbreviation that you can use. So let's get into our first national diagnosis.

Risk for impaired cardiovascular function. All patients with hypertension are going to have a risk for this. Whether or not they have it or not would depend on the rest of the diagnosis. So the reasons that they are at risk for it is related to impaired perfusion as evidenced by continual hypersensitivity.

hypertensive readings. If you are writing out a nursing diagnosis, you don't do the related to and the as evidenced by unless are on risk for kind of diagnoses. So you would have written impaired cardiovascular function related to impaired perfusion as evidenced by continual hypertensive readings.

I just wanted you guys to see the related to and the as evidenced by and I the same I did the same for the second nursing diagnosis. So my second nursing diagnosis is risk for an effective peripheral tissue perfusion related to impaired circulation as evidenced by consecutive high blood pressure readings. And the same thing, so it would be ineffective peripheral tissue perfusion related to impaired circulation as evidenced by consecutive high blood pressure readings. My third nursing diagnosis is knowledge deficit related to ineffective health management as evidenced by hypertension.

So I'm not trying to say that every patient with hypertension has a knowledge deficit. Quite a few of them are fairly knowledgeable about their situation. However, many of them...

don't do what they're supposed to do to improve their situation. So when you continually have an effective health management, you are going to continue to have hypertension. And this could even mean that they're not taking their medications properly, that they aren't changing their diet, that they're not monitoring their hypertension.

So for our patient goals, the first patient goal I have is monitor the blood pressure and show how to take a proper blood pressure, record it, and interpret it. We're going to do this by educating the patient on the proper way to take a blood pressure, have them demonstrate it, and talk about the readings and the meanings. I don't know that it's necessary to talk about like a mean arterial pressure. to these patients, but you wanna talk about the systolic and the diastolic, what those numbers are meaning, what range we want for that particular patient, and how often they need to be doing this. Sometimes people take it every morning and every evening.

Sometimes people take it once a week. So just depending on their care plan. Try and talk to them about what it means and when they should take it. Yes, we are going to implement this. And we will evaluate it by when they come to check up.

We'll get their readings. We'll ask them how they feel they've been doing with monitoring their own blood pressure. And we'll see an improvement with their blood pressure because when they're monitoring it so closely, it'll help remind them to do the things that they're supposed to be doing, like taking their medications or changing their diet. saying no to the extra salt on their meal or whatever that might be.

The second patient goal. is to make dietary changes to help manage their blood pressure. This is a pretty important one because it can't just be done by medications alone.

And it could also potentially be managed just by diet. So the more that they are able to control their diet, potentially the less medications that they will be taking. So we want to educate the patient on dietary restrictions and changes that are helpful to manage hypertension.

Teach the patient to record a food diary. So along with a blood pressure diary that we're asking them to keep, we're also going to have them keep a food diary so that we can watch their salt intake. Once they become proficient in this skill, we won't need to be doing that, but especially in the early stages, you want to really have them write it out because it makes them or it forces them to look at what they're eating.

It's the same concept with dieting. Once you start to write out every little thing that you eat, you're going to have a lot of people that are going to be interested in that. you really start to see how much you are eating. So yeah, we're going to implement that and we'll evaluate it during checkup.

Reading their food log through with them, assess for improvements in their blood pressure, talk about their food log and the things that they struggled with, things like that. They're not going to be perfect. It's going to take time for them to learn, you know, so giving them leeway and encouraging them to continue on. Our third patient goal is to take all prescribed medications exactly as they're prescribed. This is pretty important for these patients because we don't want them to fluctuate on their blood pressure.

We want to keep it as maintained as possible. Educate the patient on the importance of medication compliance and have them use a dispenser with the days of the week on it. This is so vital.

because then they know if they've taken their blood pressure medication or if they have not. Doubling up on a blood pressure medication can be deadly to them or it could be very harmful to them. Missing it entirely is also harmful to them. So we want to make sure that they have, you know, one of those days of the week medication dispensers and that they are taking it and they can...

visually see that they have taken it. Yes, we're going to implement this and we will evaluate it during checkup. Again, they should have blood pressures within normal limits.

They should also know when you ask them what medications that they take and when they take them. If you have them written out, have them put within their dispenser and have them on this set. course where they know exactly what it is they're taking, when they're taking it, why they're taking it, they should be able to repeat this back to you.

So during your evaluation of this, you want to ask them about this. And even if they pull out a piece of paper, that's fine as long as they have that. But if they're like, oh, I don't have paper. I don't know what medications I take. That's it.

not a very good of a well it's not a very good meeting of their goal so we want to make sure that that's super taken care of for that patient all right that is our hypertension care plan visit nrsng.com slash nursing care plans for our huge free care plan database and nrsng.com slash care plan template for our editable care plan template pdf This has been another episode of the NRSNG podcast. Thank you for joining us and thanks for being a part of the NRSNG family. Now, go out and be your best self today.

Transcript for:Hypertension Care Plan Overview

Transcript for:
Hypertension Care Plan Overview