Nursingcrib.com Nursing Care Plan Impaired Adjustment

Cues

Subjective ◊ “Ayoko kumain ng walang lasa na pagkain,” as verbalized.

Objective ◊ c pale to pinkish lips & conjunctiva ◊ weak looking ◊ c fair appetite, selective c food preference ◊ V/S taken as follows: T = 36.7 °C P = 76bpm R = 24cpm BP =130/100 mmHg

Nursing Diagnosis

Inference

◊ Impaired adjustment r/t health status requiring change in lifestyle

Inability to modify lifestyle in a manner consistent with a change in status. The objective of nursing care for hypertensive patients focuses on lowering and controlling the blood pressure without adverse affects and without undue cost. To achieve these goals, the nurse must support and teach the patient to adhere to the treatment regimenby implementing necessary lifestyle changes and taking medications as prescribed.

Objective

Nursing Intervention

Rationale

Short Term Goal

Independent

◊ After 4 days of nursing intervention, there will be an increase interest and participation on the demonstration of selfcare and will initiate lifestyle changes that will permit adaptation to present medical situation.

◊ Vital signs monitored and recorded. BP monitored regularly.

◊ For baseline comparison.

◊ Instructed and emphasized necessary care and lifestyle changes that will enhance her recovery.

◊This will promote trust and will on the patient to adhere to such activities that will enhance fast recover.

◊ Planned necessary care and assistance in ADLs with the parents.

◊ Planning with the parents will add more cooperation in the part of the patient.

◊ Emphasized the importance of adequate rest in relation to BP elevation.

◊ This will lower the patient’s BP.

◊ Emphasized the importance of adherence to medical management such as medications.

◊ Hypertension needs medications to maintain the BP in its normal range.

Evaluation

◊ After 4 days of nursing intervention, the goal is met through participation and demonstration of lifestyle changes.