CUES Subjective: Medyo nahihilo lang ako, pero hindi ko alam kung bakit. As verbalized by the patient.

Objective: -weakness -dizziness -loneliness -vital sign taken: Temp: 36.1 PR: 72 RR: 24 BP: 150/100

DIAGNOSIS Knowledge deficient related to information misinterpretati on.

INFERENCE Absence or deficiency of cognitive information related to specific topic; lack of specific information necessary for clients to make informed choices regarding condition/ treatment/ lifestyle changes.

PLANNING Short Term Goal: After 1 hour of nursing interventions, the patient will verbalize understanding of the disease process and treatment regimen. Long Term Goal: After 8 hours of nursing intervention the patient should be manifest decrease of BP from 150/100 to 120/80.

INTERVENTION 1. Define and state the limits of desired BP. Explain hypertension and its effect on the heart, blood vessels, kidney, and brain.

2. Assist the patient in identifying modifiable risk factors like diet high in sodium, saturated fats and cholesterol. 3. Reinforce the importance of adhering to treatment regimen and keeping follow up appointments.

RATIONALE 1. Provides basis for understanding elevations of BP, and clarifies misconception s and also understanding that high BP can exist without symptom or even when feeding well. 2. These risk factors have been shown to contribute to hypertension.

EVALUATION Short Term Goal: After 1 hour of nursing interventions, the patient was able to verbalize understanding of the disease process and treatment regimen as manifested by decreasing the BP 150/100. Long Term Goal: After 8 hours of nursing intervention the patient BP was able to decrease 130/90.

3. Lack of cooperation is common reason for failures of antihypertensi ve therapy. 4. Decreases

4. Suggest frequent position changes, leg exercises when lying down.

peripheral venous pooling that may be potentiated by vasodilators and prolonged sitting and standing. 5. Two years on moderate low salt diet may be sufficient to control mild hypertension. 6. Alternating rest and activity increases tolerance to activity progression.

5. Help patient identify sources of sodium intake.

6. Stress importance of accomplishing daily rest periods.

COLLABORATI VE: 7. Provide information regarding community resources and support patient in

7. Community resources like health centers programs and check ups are helpful in controlling hypertension.

making lifestyle changes.