Here's a basic nursing care plan for hypertension, including assessment, diagnosis, planning, implementation, and evaluation:
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### Nursing Care Plan for Hypertension
**Patient Information:**
- Patient Name: [Patient's Name]
- Age: [Patient's Age]
- Gender: [Patient's Gender]
- Date: [Date]
**Assessment:**
- **Vital Signs:** Monitor blood pessure regularly (e.g., before and after medications).
- **Health History:** Assess for history of hypertension, cardiovascular disease, diabetes, or stroke.
- **Symptoms:** Look for symptoms such as headache, dizziness, or blurred vision.
- **Lifestyle Factors:** Evaluate dietary habits, physical activity, smoking status, and alcohol use.
**Nursing Diagnosis:**
- **Ineffective Health Maintenance** related to lack of knowledge regarding hypertension management as evidenced by non-adherence to medication and dietary recommendations.
- **Risk for Decreased Cardiac Output** related to increased workload on the heart due to high blood pressure.
**Planning:**
- **Short-term goals:**
- Patient will verbalize understanding of hypertension and its management within 2 days.
- Patient will demonstrate proper technique for measuring blood pressure by the end of the shift.
- **Long-term goals:**
- Patient's blood pressure will be within target range (e.g., <130/80 mmHg) within 3 months of intervention.
**Implementation:**
- **Education:** Teach the patient about hypertension, its implications, and the importance of medication adherence.
- **Dietary Modifications:** Advise on a low-sodium diet, rich in fruits, vegetables, and whole grains.
- **Exercise Plan:** Encourage at least 150 minutes of moderate aerobic activity per week.
- **Medication Management:** Ensure the patient understands their prescribed medications, dosages, and potential side effects.
- **Regular Monitoring:** Schedule regular follow-up appointments for blood pressure monitoring and adjustments in the care plan as needed.
**Evaluation:**
- Assess the patient's blood pressure readings to determine if goals are met.
- Evaluate the patient's understanding of their condition and management plan through teach-back methods.
- Adjust the nursing care plan as necessary based on patient compliance and health status.
Feel free to adjust any sections to better fit the individual needs of your patient!
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