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Nursing Care Plan for Hypertension Patient

The nurse maintains patient privacy in the ED by closing the curtain around the patient's bed and speaking quietly so that only the patient can hear the discussion. The nurse acknowledges the patient's concern about erectile dysfunction from medication and reassures him that alternative treatment options are available. The individualized discharge plan includes continuing an ACE inhibitor medication, starting an exercise program, following up with the doctor in one week, controlling diet and stress, and maintaining spiritual health.

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Dinarkram Rabreca Ecul
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14 views3 pages

Nursing Care Plan for Hypertension Patient

The nurse maintains patient privacy in the ED by closing the curtain around the patient's bed and speaking quietly so that only the patient can hear the discussion. The nurse acknowledges the patient's concern about erectile dysfunction from medication and reassures him that alternative treatment options are available. The individualized discharge plan includes continuing an ACE inhibitor medication, starting an exercise program, following up with the doctor in one week, controlling diet and stress, and maintaining spiritual health.

Uploaded by

Dinarkram Rabreca Ecul
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

SAINT PAUL UNIVERSITY DUMAGUTE

COLLEGE OF NURSING
DUMAGUETE CITY

In partial fulfillment of the requirements in

NCM 106

REFLECTION

Submitted to:
Ms. Ma. Lourdes Agustin, RN

Submitted by:
Ms. Loshelle Lily B. Yap

Date Submitted:
October 10, 2020
SAINT PAUL UNIVERSITY DUMAGUTE
COLLEGE OF NURSING
DUMAGUETE CITY

SCENARIO:

Carl Shapiro, who was diagnosed with hypertension and hyperlipidimia during a
routine visit to his primary provider. He arrives in the ED with a blood pressure of
210/110. The nurse discovers that he stopped his antihypertensive medication due to
erectile dysfunction. How does the nurse maintain patient privacy in the ED during
discussion of personal issues? What topics should be included in an individualized
discharge plan to address his emotional concerns, educational needs, and continuity of
care when the nurse receives orders for an ACE inhibitor, Captoril ( Capoten), and
discharge home?

ANSWER:

The setting of Emergency Department is often not conducive in maintaining privacy.


But curtains are provided in each beds for some hospitals. For me, I’m going to close
the curtain and speak in a way that only the both of us can hear especially in this
matter that he’s having an erectile dysfunction as a side effect of his antihypertensive
medication. I’ll tell the patient that I appreciate his honesty and because of that his
concerns about his ED will get treated such as using an alternative. ACE inhibitors
will not cause erectile dysfunction. I’ll also tell him that there is a hope in this because
hearing these words will help ease their burden. In taking ACe inhibitor I’ll instruct
him and the family to rise slowly in order to avoid postural hypotension.

I’ll also discuss with him the following:

MEDICATION

 Continue taking Captopril

EXERCISE

 Begin an exercise program. Simple activities such as walking or gardening can


help.

TREATMENT

 Captopril
 Never take stimulants such as amphetamines or cocaine. These drugs can be
deadly for someone with high blood pressure.
SAINT PAUL UNIVERSITY DUMAGUTE
COLLEGE OF NURSING
DUMAGUETE CITY

HEALTH TEACHING

 Learn to measure your own blood pressure. Keep a record of your results. Ask
your doctor which readings mean that you need medical attention.
 Take your blood pressure medicine exactly as directed. Don't skip doses. Missing
doses can cause your blood pressure to get out of control.
 If you do miss a dose (or doses) check with your healthcare provider about what
to do.
 Control your stress. Learn ways to manage stress.

OPD FOLLOW-UP

 Return after 1 week for follow-up care

DIET

 Stay at a healthy weight. Get help to lose any extra pounds (kilograms). .
 Cut back on salt.
 Limit canned, dried, packaged, and fast foods.
 Don't add salt to your food at the table.
 Season foods with herbs instead of salt when you cook.
 Request no added salt when you go to a restaurant.
 Eat food rich in potassium.
 Break the smoking habit.
 Limit drinks that contain caffeine such as coffee, black or green tea, and cola to 2
per day.
 Limit alcohol to no more than 2 drinks a day

SPIRITUAL

 Always pray to God and depending on his religion.

Common questions

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Incorporating psychological and emotional support in the discharge plan is crucial for holistic chronic illness management. Coping with the stress of a long-term condition can affect treatment adherence and health outcomes. Providing support helps address emotional concerns, reinforces positive attitudes toward health management, and prevents mental health issues like anxiety and depression, which could impair recovery and compliance .

ACE inhibitors like Captopril are used as they do not typically cause erectile dysfunction, which can be a side effect of other antihypertensive medications. This choice helps address the patient's concern by managing his blood pressure effectively without compromising sexual function, thereby improving adherence to treatment .

Addressing educational needs in discharge planning is critical for effective long-term management of conditions like hypertension. When patients understand their condition and the rationale behind treatment plans, including medication management and lifestyle modifications, they are more likely to adhere to prescribed regimens. This informed approach can lead to sustained blood pressure control and prevent complications such as cardiovascular disease .

Spiritual support can play a significant role in the holistic management of chronic diseases such as hypertension by providing patients with emotional and psychological resilience. Engaging in spiritual practices, such as praying according to one's faith, can promote a sense of peace, hope, and motivation, potentially enhancing adherence to treatment and lifestyle changes .

The discharge plan for a patient with hypertension and hyperlipidemia should include lifestyle modifications such as engaging in regular exercise, avoiding stimulants like amphetamines, controlling dietary salt intake, eating foods rich in potassium, limiting caffeine intake, controlling alcohol consumption, and quitting smoking. It is also important for patients to learn to monitor their own blood pressure and manage stress effectively .

The setting of the Emergency Department often does not naturally support privacy due to its open nature. However, nurses can close curtains around the patient's bed and modulate their voice so that only the patient can hear, especially when discussing sensitive issues such as side effects related to erectile dysfunction. These actions demonstrate respect for patient privacy and confidentiality .

Learning to measure their own blood pressure empowers patients to take an active role in managing their health. It helps them track their condition and understand the impact of lifestyle changes and medications, facilitating timely adjustments in consultation with healthcare providers. This proactive approach can lead to better blood pressure control and reduced risk of complications .

Regular follow-up care is essential after initiating new medication regimens for hypertension to ensure the efficacy of the treatment, monitor for adverse effects, and make necessary adjustments. It provides an opportunity for healthcare providers to assess the patient’s adherence to the prescribed regimen and educate them further, ensuring optimal blood pressure control and long-term health maintenance .

Communication in high-stress environments can be optimized by using approaches that ensure privacy, such as speaking softly and using clear, empathetic language. Active listening and allowing the patient to express concerns without interruptions enhance trust. Educating the patient on available alternatives that directly address their issues also reassures them and encourages open dialogue and adherence to treatment .

Ignoring non-pharmacological recommendations such as dietary changes can lead to poor blood pressure control and increased risk of complications like stroke, heart attack, and kidney damage. These recommendations, including reducing salt intake and ensuring adequate potassium, are integral to effective hypertension management and can significantly reduce cardiovascular risks when adhered to .

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