Hypertension or high blood pressure is a cardiac chronic medical condition in which the systemic arterial blood pressure is elevated. It is the opposite of hypotension. Hypertension is classified as either primary (essential) hypertension or secondary hypertension; About 90–95% of cases are categorized as "primary hypertension," which means high blood pressure with no obvious medical cause. The remaining 5–10% of cases (Secondary hypertension) are caused by other conditions that affect the kidneys, arteries, heart or endocrine system.
Nursing Diagnosis for Hypertension
Activity intolerance related to general weakness, imbalance between supply and demand oxygenation.
Most activity intolerance is related to generalized weakness and debilitation secondary to acute or chronic illness and disease. Activity intolerance may also be related to factors such as obesity, malnourishment, side effects of medications, or emotional states such as depression or lack of confidence to exert one’s self. Nursing goals are to reduce the effects of inactivity, promote optimal physical activity, and assist the patient to maintain a satisfactory lifestyle.
Activity patients fulfilled
Expected Result:
Clients can participate in activities at the desired / required, reported an increase in tolerance activity can be measured.
Nursing Intervention and Rational :
Nursing Diagnosis for Hypertension
Activity intolerance related to general weakness, imbalance between supply and demand oxygenation.
Activity Intolerance is used when a patient has insufficient physiological or psychological energy to endure or complete required or desired daily activities.
Most activity intolerance is related to generalized weakness and debilitation secondary to acute or chronic illness and disease. Activity intolerance may also be related to factors such as obesity, malnourishment, side effects of medications, or emotional states such as depression or lack of confidence to exert one’s self. Nursing goals are to reduce the effects of inactivity, promote optimal physical activity, and assist the patient to maintain a satisfactory lifestyle.
Goal:
Activity patients fulfilled
Expected Result:
Clients can participate in activities at the desired / required, reported an increase in tolerance activity can be measured.
Nursing Intervention and Rational :
- Assess the patient's tolerance to activity by using the parameters: pulse frequency 20 per minute above the resting frequency, noted an increase in blood pressure, dipsnea, or chest pain, severe fatigue and weakness, sweating, dizziness or fainting.
R: / Parameter patients showed physiological response to stress, activities and indicators of the degree of influence of the excess of work / heart. - Assess readiness to increase the activity of an example: a decrease weakness / fatigue, unstable blood pressure, pulse frequency, increased attention to activity and self-care.
R: / physiological stability at rest is important to advance the level of individual activity. - Push to promote the activity / tolerance of self-care.
R: / myocardial oxygen consumption during the various activities can increase the amount of oxygen available. Progress of activity gradually to prevent sudden increase in cardiac work. - Provide assistance as needed and encourage the use of bath seats, brushing teeth / hair by sitting and so on.
R: / energy-conservation techniques reduce energy use and thus help balance supply and oxygen demand. - Encourage the patient to partisifasi in choosing the period of activity.
R: / Like the schedule increases the tolerance to the progress of activities danmencegah weakness.
