Assessment Diagnosis Planning Intervention Evaluation

INDEPENDENT: After 8 hours of nursing

Risk for prone behavior After 6 hours of nursing interventions, the patient
Subjective related to lack of interventions, the patient will - Define and state the limits was able to verbalize
“madalas ako mahilo” knowledge about the verbalize understanding of the of desired BP. Explain understanding of the
as verbalized by the patient disease disease process and treatment hypertension and its effect disease process and
regimen. on the heart, blood vessels, treatment regimen.
objective kidney, and brain. and a blood pressure of
- Request for information. - Assist the patient in 140/90 or above is
- Agitated behavior identifying modifiable risk considered high.
- Inaccurate follow through factors like diet high in
of instructions. sodium, saturated fats and
cholesterol.
Vital sign: - Reinforce the importance
T: 37.2 of adhering to treatment
P: 84 regimen and keeping
R: 18 follow up appointments.
BP: 180/110 - Suggest frequent position
changes, leg exercises
when lying down.

Collaborative
- Provides basis for
understanding elevations of
BP, and clarifies
misconceptions and also
understanding that high BP
can exist without
symptom or even
when feeling well.