Thursday, November 7, 2013

Activity Intolerance - Hypertensive Heart Disease Care Plan

Hypertensive heart disease refers to heart conditions caused by high blood pressure.

These problems include:
  • Coronary artery disease and angina
  • Heart failure
  • Thickening of the heart muscle (called hypertrophy)
Hypertensive heart disease includes, among other conditions, heart failure, thickening of the heart muscle, and coronary artery disease. Coronary heart disease, for example, occurs when high blood pressure causes narrowing of the blood vessels that supply your heart with blood and oxygen.

Nursing Care Plan for Hypertensive Heart Disease

Nursing Diagnosis : Activity Intolerance related to general weakness, imbalance between supply and oxygen demand.

Goal:
  • Clients are able to do activities that are tolerated
Outcomes:
  • Clients participate in activities desired / required.
  • Reported an increase in tolerance activity can be measured.
  • Showed a decrease in physiological signs of intolerance.

Interventions and Rationale:

Interventions:
1. Assess the client's response to the activity, the attention of more than 20 pulse / min above the break frequency; significant increase in BP during / after activity, dyspnea, chest pain; excessive fatigue and weakness; diaphoresis; dizziness or fainting.

2. Instruct patients about energy saving techniques, eg, using a chair in the shower, sitting as combing hair or brushing teeth, doing activities slowly.

3. Encourage daily activity / self-care gradually if tolerated. Provide assistance as needed.

Rationale:

1. Mentioned parameters help in assessing physiological responses to stress and activity when there is an indicator of excess work-related activity levels.

2. Energy saving techniques reduce energy reduction also helps balance between supply and oxygen demand.

3. Progress activity increased gradually to prevent sudden cardiac work. Provide only limited assistance needs will encourage independence in their daily activities.

Nursing Care Plan for Congestive Heart Failure - CHF

Nursing Diagnosis for Ischemic Heart Disease

Nursing Interventions for Ischemic Heart Disease - Acute Pain

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