Hypertension Nursing Diagnosis and Care Plan

Introduction – Hypertension

Hypertension, also known as high blood pressure, is a common health condition affecting millions of people worldwide. The condition is characterized by the consistent elevation of blood pressure above normal levels, which can lead to serious health complications if left uncontrolled. As a result, nurses play an important role in the management and care of patients with hypertension. In this article, we will discuss the nursing diagnosis and care plan for hypertension.

Hypertension Nursing Diagnosis

The nursing diagnosis for hypertension involves assessing the patient’s signs and symptoms, risk factors, and associated complications. Based on this assessment, the following nursing diagnoses may be made:

1. Risk for ineffective health maintenance
2. Risk for decreased cardiac output
3. Impaired tissue perfusion
4. Knowledge deficit

Hypertension Care Plan

A care plan is a written plan of care that outlines the nursing interventions, goals, and expected outcomes for patients with hypertension. The care plan is based on the nursing diagnosis and should be individualized to the patient’s specific needs.

Example of a care plan for hypertension

The following is an example of a care plan for hypertension:

Patient Information

Name: John Doe Age: 60 Gender: Male Medical History: Hypertension, type 2 diabetes, obesity

Hypertension Nursing Diagnosis -Risk for ineffective health maintenance

Risk for ineffective health maintenance related to lack of knowledge about hypertension management and lack of access to healthcare resources.

Goals

1. A patient will demonstrate an understanding of hypertension management by the end of the hospital stay.
2. A patient will report decreased blood pressure readings by the end of the hospital stay.
3. The patient will be able to identify and manage potential complications of hypertension.

Interventions

1. Assess the patient’s knowledge and understanding of hypertension management.
2. Provide education on hypertension management, including dietary changes, medication management, and lifestyle modifications.
3. Encourage the patient to take medications as prescribed and explain the importance of adherence to the medication regimen.
4. Monitor the patient’s blood pressure readings and adjust medications as needed.
5. Monitor for potential complications of hypertension, including cardiovascular events and renal failure.
6. Refer the patient to appropriate healthcare resources for ongoing management of hypertension.

Evaluation

1. The patient is able to demonstrate an understanding of hypertension management.
2. Blood pressure readings have decreased since admission.
3. The patient is able to identify potential complications of hypertension and ways to manage them.

Nursing Diagnosis -Risk for decreased cardiac output

Hypertension Nursing Diagnosis – Risk for decreased cardiac output related to hypertension.

Goals

1. The patient will have a blood pressure reading within normal limits by the end of the hospital stay.
2. A patient will report improved cardiovascular function by the end of the hospital stay.

Interventions

1. Monitor the patient’s blood pressure readings and adjust medications as needed.
2. Assess the patient’s cardiovascular function, including heart rate, rhythm, and strength of pulse.
3. Encourage the patient to engage in physical activity as tolerated.
4. Provide education on dietary changes to improve cardiovascular health.
5. Administer medications as prescribed to improve cardiac output and decrease blood pressure.
6. Monitor for potential complications of hypertension, including cardiovascular events.

Evaluation

1. The blood pressure reading is within normal limits.
2. The cardiovascular function has improved from admission.

Nursing Diagnosis -Impaired tissue perfusion

Hypertension Nursing Diagnosis- Impaired tissue perfusion related to hypertension.

Goals

1. The patient will report improved peripheral circulation by the end of the hospital stay.
2. The patient will have normal skin color and temperature by the end of the hospital stay.

Interventions

1. Monitor the patient’s blood pressure readings and adjust medications as needed.
2. Assess the patient’s peripheral circulation, including capillary refill and temperature.
3. Encourage the patient to engage in physical activity as tolerated.
4. Provide education on dietary changes to improve peripheral circulation.
5. Administer medications as prescribed to improve tissue perfusion and decrease blood pressure.