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Nursing Care Plan for Dizziness and Hypertension

This nursing care plan summarizes the care for a patient experiencing dizziness and weakness related to hypertension. The plan includes an assessment noting the patient's subjective report of dizziness and objective vital signs. The nursing diagnosis identifies a risk for injury related to hypertension. Short term goals include monitoring the patient's status and limiting activities to prevent injury. Long term goals are for the patient to be free from dizziness and able to perform activities of daily living without fear of injury. Planned interventions include monitoring vital signs, positioning the patient in Trendelenburg position, providing safety measures like raising bed rails, and advising the patient and significant other on preventing sudden movements and having assistance available.
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0% found this document useful (0 votes)
18K views2 pages

Nursing Care Plan for Dizziness and Hypertension

This nursing care plan summarizes the care for a patient experiencing dizziness and weakness related to hypertension. The plan includes an assessment noting the patient's subjective report of dizziness and objective vital signs. The nursing diagnosis identifies a risk for injury related to hypertension. Short term goals include monitoring the patient's status and limiting activities to prevent injury. Long term goals are for the patient to be free from dizziness and able to perform activities of daily living without fear of injury. Planned interventions include monitoring vital signs, positioning the patient in Trendelenburg position, providing safety measures like raising bed rails, and advising the patient and significant other on preventing sudden movements and having assistance available.
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
  • Nursing Care Plan
  • Intervention Continuation & Evaluation

URDANETA CITY UNIVERSITY

San Vicente West, Urdaneta City, Pangasinan 2428

COLLEGE OF HEALTH SCIENCES


Bachelor of Science in Nursing

NURSING CARE PLAN (NCP)


Name of Student: MERCADO, CHRISTINE JOY E. Year Level and Group: BSN-3 BLK 7 B1

Affiliating Agency/Area: TAYUG FAMILY HOSPITAL Month/Year of Exposure: APRIL 2023

Assessment Nursing Diagnosis Planning Intervention Rationale Evaluation


(at least 10)

Subjective: Problem, Etiology, Signs Short Term Goal: Short Term Goal Evaluation
(P.E.S.) format S.M.A.R.T. + Evidence Assess for general status To determine what causes the
“NAHIHILO SYA dizziness and what health After 8 hours of nursing
AT NANGHHINA” Risk for injury related After 8 hours of nursing teaching to provide intervention the patient
AS VERBALIZED to hypertension as intervention the patient remain safe from injury
BY THE manifested by dizziness was able to remain safe
SIGNIFICANT and body weakness from any possible
OTHER injury Monitor vital signs especially To monitor patients status
blood pressure increase in BP indicates
increased in cerebrovascular
pressure

Monitor for the side effect of To determine if this drugs has


drugs given something to do with the
patients dizziness

Limit activities and maintain This may help alleviate


quite, non-stressful dizziness by letting the client
environment have peaceful rest

Objective: INFERENCE Long Term Goal: Long term Goal Evaluation


Scientific Explanation S.M.A.R.T.+ Evidence Position patient in Trendelenburg position
 FATIGUE (Diagram Form) trendelenburg position facilitates easy back flow of After 3 days of nursing
 WEAKNESS blood from the heart interventions the patient is
 RESTLESS Stimulation of After 8 hours of now free from dizziness and
 DIZZINESS vasomotorcenter (loc in nursing intervention the able to do ADL’s without any
medulla) sendimpulses patient was able to Provide safety by raising the To prevent the patient from fear from being injured
BP: 150/80 to CNS remain safe from any side rails falling down in the bed
O2:97 possible injury
PR:87
RR:17 Encouraged to avoid sudden Sudden movement aggravate
TEMP:35.8 Acethylcoline released movement the dizziness
by prosta preganglionic
neurons
Advised SO to always To have somebody to help her
accompany the patient whenever the dizziness will
occur
Preganglionic fiber
releases

Norepinephrine
(constriction of blood
vessel thereby
increasing blood
pressure

Adrenal medulla secrets


epinephrine

Increased blood
pressure causing it to
increase blood supply in
the brain causing
occipital headache

Checked by: Mr. Jerome Glenn Ortiz Date: April 13, 2023
Clinical Instructor’s Name and Signature

URDANETA CITY UNIVERSITY
San Vicente West, Urdaneta City, Pangasinan 2428
COLLEGE OF HEALTH SCIENCES
Bachelor of Science in N

FATIGUE

WEAKNESS

RESTLESS

DIZZINESS
BP: 150/80
O2:97
PR:87
RR:17
TEMP:35.8
(Diagram Form)
              Stimulation o

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