Nursing Care Plan

Assessment/ Nursing Diagnosis Nursing Objectives Nursing Rationale Evaluation

Cues: Intervention
Long term: 1. Effectiveness:
Subjective: Was the client able
- Deficient After 1 week of -Problem-solve -Changing to state at least 3
The Patient's Knowledge(Learning nursing intervention with client to “comfortable/ reasons of his blood
verbalized that, “Bakit Need)regarding condition the client will identify ways usual” pressure increase?
kaya palaging mataas related to lack of verbalize in which behavior Yes__ No__
ang Presyon ng Dugo knowledge. understanding of
appropriate patterns can If not, Why?
ko,at pabago-bago disease process and
pa?” treatment regimen. lifestyle be very _________________
changes can difficult and _
be made to stressful.
Objective: reduce Support, Efficiency: Were the
− increase in modifiable risk guidance, and resources, effort,
blood pressure Short term: factors. empathy can manpower and
above normal enhance materials used
range. After 1 hour of client’s economically and
− unstable nursing intervention
success in efficiently?
Blood the client will discuss
accomplishin Yes__ No__
pressure. about therapeutic
actions. g these tasks. If not, Why?
− Flushed skin.
_________________
− BP: 170/80
_
-Reinforce the -Lack of
importance of engagement Appropriateness:
adhering to in the Are the interventions
treatment treatment according to the
regimen and plan is a situation of the
keeping follow- common client?
up reason for Yes__ No__
appointments. failure of If not, Why?
antihyperten _________________
_
 sive therapy.
Therefore, Adequacy: Were the
ongoing resources available/
evaluation adequate?
for client Yes__ No__
-Help client cooperation If not, Why?
develop a is critical to _________________
simple, successful _
convenient treatment.
schedule for
taking
medications. -Adequate
information
and
understandin
g that side
effects (e.g.,
mood
changes,
initial weight
gain, dry
mouth) are
common and
often subside
with time can
enhance
cooperation
with
treatment
plan.