ASSESSMENT NURSING PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS

Subjective: Deficit After rendering ●Monitored vital ●Provides basis for After
“Bakit kaya madalas knowledge nursing care sign especially understanding rendering
ako mahilo?” as related to lack interventions, blood pressure. elevations of BP, nursing care
verbalized by the of the patient will ●Explained and clarifies interventions,
patient. understanding verbalize hypertension and misconceptions the patient
and information understanding of its effect on the and also was able to
Objective: about the the disease heart,blood understanding that verbalize
Request for disease. process and vessels,kidney, and high BP can exist understanding
information treatment the brain. without symptom of the disease
Confuse regimen. ●Reinforced the or even when process and
V/S: importance of feeling well. treatment
T: 37.2 adhering to ●Lack of regimen.
PR: 84bmp treatment regimen cooperation is
RR: 18 and keeping follow common reason for
BP: 180/110 up appointments. failure of
●Encouraged antihypertensive
patient to decrease therapy.
or eliminate ●Decreases
caffeine like in peripheral venous
tea,coffee,cola and pooling that may
chocolates. be potentiated by
●Provide basis for vasodilators and
understanding prolonged sitting or
elevations of BP, standing.
and clarifies ●Caffeine is a
misconceptions cardiac stimulant
and also and may adversely
understanding that affect cardiac
high BP can exist function.
without symptom
or even when
feeling well.