NURSING CARE PLAN

Patients Name: M Sex: Age: Diagnosis:

Date Assessment Needs Nursing Diagnosis Background Knowledge Sudden upright movement lke form lying on bed to sitting position or from sittig position to standing position causes a sudden drop in blood pressure. When there is no enough blodd going on brain, dizziness occur which alters the comfort of the patient. Planning

Date of Admission: Physician:

Interventions with Rationale

Evaluation

Subjective: Galingin pa akong ulo pero kis a man lang P H Y S I O L O G I C Altered comfort r/t dizziness

Will verbalize relief from dizziness with in shift. Specific: Will increase mobility Will be out of bed most of the time for a short walk Able to perform ADL

Encourage verbalization of the discomfort for accurate assement as prescribed by the attending physian for pharmacologic treatment for dizziness. Provide preventive measures like raising of side reails and environment modification ti avoid possible falls. Maintain good and well-ventilated environment to promote rest

Objectives: -Received awake sitting on bed s IV. -Conscious and coherent. -Weak looking -Well-groomed -Facial grimace

Source: Linda J. Vorvick May 2, 2009 www.healthcentral.com

Monitor ad record v/s for baseline data and monitoring Encourage to have an adequate time for rest to promte relaxation. Instruct/assist in changing position slowly form lying to sitting and from sitting to standing to prevent/reduce feeling of dizziness. ssment of the degree of discomforts.. Insyruct to void sudden upright movment. This is to prevent static hypotension which causes dizziness.. Place to position of comfort to facilitate rest and reduce feeling of dizziness. Provide assistance during ambulation to prevent possible falls.

N E E D S

Give medication