Hypertension Nursing Care Plan

Prepared by: [YOUR NAME]
Email: [YOUR EMAIL]
Date: November 12, 2050

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Patient Information

• Patient Name: Maxwell Mante

• Age: 56

• Sex: Male

• Diagnosis: Hypertension, Stage 2

• Medical Record Number: 00123456

• Date of Admission: November 10, 2050

• Care Plan Review Date: November 17, 2050

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Nursing Diagnosis

• Primary Diagnosis: Ineffective Health Maintenance related to non-adherence to lifestyle changes and hypertension management as evidenced by elevated blood pressure readings (160/110 mmHg) and poor dietary habits.

• Secondary Diagnosis: Risk for Stroke related to uncontrolled hypertension.

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Goal(s)

1. Short-term Goal:

   • The patient will demonstrate correct blood pressure self-monitoring techniques by November 17, 2050.

2. Long-term Goal:

   • The patient will achieve a blood pressure reading within the target range of 130/80 mmHg by January 10, 2051, through adherence to medication and lifestyle modifications.

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Nursing Interventions

Intervention	Rationale	Expected Outcome
Assess vital signs daily, focusing on blood pressure readings.	To monitor the patient's hypertension status and detect changes in condition early.	Blood pressure monitored regularly; changes are addressed promptly.
Educate patient on proper blood pressure monitoring techniques.	Ensures the patient understands how to monitor their own blood pressure effectively.	Patient will demonstrate accurate blood pressure readings.
Encourage dietary changes, including low-sodium foods, and educate about DASH diet.	Dietary changes can help reduce blood pressure and improve cardiovascular health.	Patient adheres to low-sodium, DASH diet plan.
Promote regular physical activity, such as 30 minutes of walking per day.	Regular exercise lowers blood pressure and improves heart health.	Patient begins regular physical activity routine.
Monitor and assist with medication adherence, specifically antihypertensive medications.	Ensures the patient takes prescribed medications correctly to maintain blood pressure control.	Patient adheres to prescribed medication regimen.

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Patient Education

1. Medication Management: Explain the importance of adhering to prescribed antihypertensive medications (e.g., Lisinopril 10 mg daily) to control blood pressure.

2. Dietary Changes: Educate about the DASH diet, emphasizing the importance of reducing sodium intake and increasing potassium-rich foods like bananas and leafy greens.

3. Physical Activity: Recommend regular exercise, such as walking, cycling, or swimming, for at least 30 minutes, five days a week.

4. Stress Management: Introduce relaxation techniques like deep breathing exercises, yoga, and mindfulness to reduce stress.

5. Self-monitoring: Teach the patient how to measure blood pressure using a home blood pressure monitor, ensuring they understand the target range.

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Evaluation and Outcome

Goal	Progress/Outcome	Date of Evaluation
Achieve a blood pressure of 130/80 mmHg	Patient's blood pressure improved to 138/88 mmHg after 4 weeks of medication adherence and lifestyle changes.	December 10, 2050
Demonstrate self-monitoring of blood pressure	Patient successfully demonstrated accurate blood pressure measurement.	November 17, 2050
Adherence to dietary changes	Patient reports following a low-sodium diet and increased consumption of fruits and vegetables.	December 10, 2050
Engagement in physical activity	Patient began walking for 30 minutes daily, five days per week.	December 10, 2050

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