Nursing Diagnosis and Interventions for HHD Hypertensive Heart Disease
1. Acute Pain: Chest pain related to tissue ischemia due to decreased oxygen supply.
Goal:
Interventions :
2. Ineffective Tissue Perfusion: cerebral related to decreased supply of oxygen and nutrients in the brain due to hypertension.
Goal:
Interventions :
3. Ineffective Breathing Pattern related to increased compensation body to increase oxygen supply to the tissues.
Goal:
Interventions :
4. Disturbed Sleep Pattern related to the feeling of dizziness.
Goal:
Interventions :
5. Anxiety related to lack of knowledge about the disease, treatment program and maintenance actions to be performed and experienced.
Goal:
Interventions :
1. Acute Pain: Chest pain related to tissue ischemia due to decreased oxygen supply.
Goal:
- Chest pain is gone.
- Calm face expression.
- Vital signs within normal limits.
Interventions :
- Adjust the position of the patient semi-fowler
- Collaboration with a physician for treatment
- Give analgesics according to the medical program
- Assess chest pain after a given action
- Observation of vital signs
2. Ineffective Tissue Perfusion: cerebral related to decreased supply of oxygen and nutrients in the brain due to hypertension.
Goal:
- The patient does not feel dizzy
- The patient does not look uneasy
- There is no sign of change in mental status are lacking.
- Normal vital signs
Interventions :
- Observation of vital signs
- Assess history of hypertension
- Observation of changes in sensory and motor
- Instruct the patient to bedrest
- Collaboration of anti-hypertensive therapy
3. Ineffective Breathing Pattern related to increased compensation body to increase oxygen supply to the tissues.
Goal:
- Patient does not feel shortness of breath
- Normal breathing frequency
- Regular breathing rhythm
- No increase in chest retraction
Interventions :
- Assess the patient's level of anxiety
- Observation of vital signs
- Give oxygen as needed
- Atue sitting with semi-Fowler position
4. Disturbed Sleep Pattern related to the feeling of dizziness.
Goal:
- Patient can sleep as needed
- Patient does not look lethargic
- Normal vital signs
- Normal blood pressure within 3 days of treatment
Interventions :
- Assess the patient's ability to adapt to headache
- Assess the patient's ability to rest and sleep needs
- Teach relaxation techniques
- Create a calm atmosphere
- Limit visitors
- Collaboration with physicians for the provision of medicines
5. Anxiety related to lack of knowledge about the disease, treatment program and maintenance actions to be performed and experienced.
Goal:
- Patient look calm
- Patients cooperative in care and treatment programs
- Increase patients' knowledge about the disease, the signs and the conditions experienced, as well as the complications that may occur.
Interventions :
- Assess the patient's anxiety
- Provide an opportunity for patients to express anxiety
- Provide a description of the information about: disease condition, food on abstinence and the reason, care and treatment programs will be carried out, break relations with the condition of the disease
- Provide an opportunity for patients to explain the re-explanation.
