In this nursing care planning guide are six (6) NANDA nursing diagnosis for hypertension or high-blood pressure. Learn about the assessment, nursing interventions, teaching, and goals for hypertension nursing care plans.
What is Hypertension?
Hypertension is the term used to describe high blood pressure. Hypertension is repeatedly elevated blood pressure exceeding 140 over 90 mmHg. It is categorized as primary or essential (approximately 90% of all cases) or secondary, which occurs as a result of an identifiable, sometimes correctable pathological condition, such as renal disease or primary aldosteronism.
Nursing Care Plans
Nursing care planning goals for hypertension includes focus on lowering or controlling blood pressure, adherence to the therapeutic regimen, lifestyle modifications, and prevention of complications.
Here are six (6) nursing diagnosis for hypertension nursing care plans:
- Risk for Decreased Cardiac Output
- Activity Intolerance
- Acute Pain
- Ineffective Coping
- Imbalanced Nutrition: More Than Body Requirements
- Deficient Knowledge
- Other Nursing Care Plans
The nursing diagnosis Activity Intolerance frequently occurs are a result of alterations in cardiac output and side effects of medication
- Activity Intolerance: Insufficient physiologic or physiological energy to endure or complete required or desired activity.
The following are the common related factors for the nursing diagnosis activity intolerance:
- Generalized weakness
- Sedentary lifestyle
- Imbalance between oxygen supply and demand
The common assessment cues that could serve as defining characteristics or part of your “as evidenced by” in your diagnostic statement.
- Verbal report of fatigue or weakness
- Abnormal heart rate or BP response to activity
- Exertional discomfort or dyspnea
- Electrocardiogram (ECG) changes reflecting ischemia; dysrhythmias
Common goals and outcomes for activity intolerance:
- Patient will participate in necessary/desired activities.
- Patient will use identified techniques to enhance activity tolerance.
- Patient will report a measurable increase in activity tolerance.
- Patient will demonstrate a decrease in physiological signs of intolerance.
Nursing Interventions and Rationales
The following nursing interventions are to address activity intolerance related to generalized weakness.
|Note presence of factors contributing to fatigue (age, frail, acute or chronic illness, heart failure, hypothyroidism, cancer and cancer therapies).||Fatigue affects both the client’s actual and perceived ability to participate in activities.|
|Evaluate client’s actual and perceived limitations or degree of deficit in light of usual status.||Provides comparative baseline and provides information about needed education and interventions regarding quality of life.|
|Assess the patient’s response to activity, noting pulse rate more than 20 beats per min faster than resting rate; marked increase in BP during and after activity (systolic pressure increase of 40 mm Hg or diastolic pressure increase of 20 mm Hg); dyspnea or chest pain; excessive fatigue and weakness; diaphoresis; dizziness or syncope.||The stated parameters are helpful in assessing physiological responses to the stress of activity and, if present, are indicators of overexertion.|
|Assess emotional and psychological factors affecting the current situation.||Stress or depression may be increasing the effects of an illness, or depression might be the result of being forced into inactivity.|
|Instruct patient in energy-conserving techniques (using chair when showering, sitting to brush teeth or comb hair, carrying out activities at a slower pace).||Energy-saving techniques reduce the energy expenditure, thereby assisting in equalization of oxygen supply and demand.|
|Encourage progressive activity and self-care when tolerated. Provide assistance as needed.||Gradual activity progression prevents a sudden increase in cardiac workload. Providing assistance only as needed encourages independence in performing activities.|
References and Sources
Recommended references and sources for this hypertension nursing care plan guide:
- Arbour, R. (2004). Intracranial hypertension monitoring and nursing assessment. Critical Care Nurse, 24(5), 19-32. [Link]
- Black, J. M., & Hawks, J. H. (2009). Medical-surgical nursing: Clinical management for positive outcomes (Vol. 1). A. M. Keene (Ed.). Saunders Elsevier. [Link]
- Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2016). Nurse’s pocket guide: Diagnoses, prioritized interventions, and rationales. FA Davis. [Link]
- Gulanick, M., & Myers, J. L. (2016). Nursing Care Plans: Diagnoses, Interventions, and Outcomes. Elsevier Health Sciences. [Link]
- Hamilton, G. A. (2003). Measuring adherence in a hypertension clinical trial. European Journal of Cardiovascular Nursing, 2(3), 219-228. [Link]
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Cardiac Care Plans
Nursing care plans about the different diseases of the cardiovascular system:
- Angina Pectoris (Coronary Artery Disease) | 4 Care Plans
- Cardiac Arrhythmia (Digitalis Toxicity) | 3 Care Plans
- Cardiac Catheterization | 4 Care Plans
- Cardiogenic Shock | 5 Care Plans
- Congenital Heart Disease | 5 Care Plans
- Heart Failure | 16+ Care Plans
- Hypertension | 6 Care Plans
- Hypovolemic Shock | 4 Care Plans
- Myocardial Infarction | 7 Care Plans
- Pacemaker Therapy | 7 Care Plans