Hypertension nursing diagnosis

Hypertension, or high blood pressure, is a silent but dangerous condition affecting millions of people worldwide. As a nurse, understanding the complexity of hypertension and its management is crucial to ensuring the well-being of your patients. This comprehensive guide will walk you through the nursing care plan approach, a method that empowers healthcare professionals to provide the highest level of care, including the nursing diagnosis for hypertension. In this guide, we’ll delve into the causes, risk factors, symptoms, and complications of hypertension, explore the importance of nursing assessment and diagnosis, discuss how to develop care plans with a focus on nursing diagnosis for hypertension, and share valuable resources and tools to help you create effective care plans for your patients. Together, we can make a difference in the lives of those affected by hypertension. • • • • • • • • • • • • • • Short Summary • Understanding the causes, symptoms and complications of hypertension is essential for healthcare professionals to provide optimal care. • Nurses play an important role in assessing risk factors, developing personalized care plans, and providing interventions to improve patient health outcomes. • Patient education and support are key components of successful management of hypertension through lifestyle modifications such as diet changes, exercise regimens or quitting smoking. Understanding Hypertension Hypertension, commonly known as high blood pressure, is...

Table of contents • • • • • • • • • • • • • • • • What is Hypertension? Hypertensionis the term used to describe high Classification of blood pressure for adults. The American College of Cardiology and American Heart Association published new guidelines (as of 2018) and ways to categorize blood pressure. Blood pressure is determined by the interaction of cardiac output and peripheral resistance. Hypertension can result from increased cardiac output, increased peripheral resistance, or both. Various factors contribute to hypertension, including increased sympathetic Hypertension often presents with no physical abnormalities except for elevated blood pressure. However, retinal changes like hemorrhages, fluid accumulation, and narrowing of blood vessels may occur. In severe cases, Nursing Care Plans & Management Nursing care management and care plans are essential for patients with hypertension as they provide structured guidance for nurses to assess, plan, implement, and evaluate interventions tailored to the patient’s needs. These plans help monitor blood pressure, promote medication adherence, and provide education on lifestyle modifications, ultimately improving patient outcomes. Nursing Problem Priorities The following are the nursing priorities for patients with hypertension: • Prevent complications and • Weight reduction and lifestyle & dietary modifications. • Promoting adherence to therapeutic regimen. Nursing Assessment Thorough health history, physical examination,...

Hypertension, or high blood pressure, is an issue that affects millions of people around the world. If not properly treated, hypertension can lead to serious issues, including heart attack or stroke. That means it’s imperative to have an accurate nursing diagnosis for hypertension as well as an effective care plan. After explaining what hypertension is, what causes it, and what common symptoms are, this guide explains six key hypertension nursing diagnoses. For each diagnosis, the NANDA definition, potential evidence, and desired outcomes are explained, as well as steps to take for the nursing intervention. Nursing Diagnosis for Hypertension: What Is It? Normal blood pressure is when blood pressure is lower than 120/80 mmHg most of the time. A patient is diagnosed with hypertension, the medical term for high blood pressure, when their blood pressure is 140/90 mmHg most of the time. There are several levels of hypertension: • Normal Blood Pressure: Lower than 120/ 80 • Prehypertension: 120-139/80-89 • Stage 1 Hypertension: 140-159/90-99 • Stage 2 Hypertension: 160+/100+ Hypertension can be dangerous because it can make the heart work harder to pump blood to the body, which can increase the risk of heart failure, stroke, and hardening of the arteries. What Causes Hypertension? The exact cause of hypertension is not often known. Primary (or essential) hypertension is when hypertension has no known cause, or there is no evidence to link it to a specific cause. Primary hyperten...

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• • • • • • • • • • • • • • • • • • • • • • • What is Hypertension? Hypertension is one of the most common lifestyle diseases to date. It affects people from all walks of life. Let us get to know hypertension more by its definitions. • Hypertension is defined as a systolic greater than 140 mmHg and a diastolic pressure of more than 90 mmHg. • This is based on the average of two or more accurate blood pressure measurements during two or more consultations with the healthcare provider. • The definition is taken from the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Classification In 2017, the American College of Cardiology and the American Heart Association • Normal. The normal range for blood pressure is between, less than 120 mmHg and less than 80 mmHg. • Elevated. Elevated stage starts from 120 mmHg to 129 mmHg for systolic blood pressure and less than 80 mmHg for diastolic pressure. • Stage 1 hypertension. Stage 1 starts when the patient has a systolic pressure of 130 to 139 mmHg and a diastolic pressure of 80 to 89 mmHg. • Stage 2 hypertension. Stage 2 starts when the systolic pressure is already more than or equal than 140 mmHg and the diastolic is more than or equal than 90 mmHg. Pathophysiology In a normal circulation, pressure is transferred from the heart The pathophysiology of hypertension follows. • Hypertension is a multifactorial • When there is excess • Obesity is also a factor in hyp...

Hypertension is high blood pressure. The guidelines were updated by the American College of Cardiology in 2017, and a blood pressure (BP) of less than 120/80 mmHg is now considered normal. Anything above this is considered elevated, and stage 1 hypertension is diagnosed at 130/80 mmHg. BP of less than 90/60 mmHg is considered Hypertension is the most common preventable risk factor for cardiovascular disease and places unnecessary stress on the arteries increasing the risk for In this article: • • • • • • • • Nursing Process Almost 50% of adults in the United States have hypertension. As a nurse, it is one of the most common comorbidities that require management and treatment. Patients cannot change risk factors such as family history or ethnicity, but can change lifestyle behaviors. Nurses can assist patients in recognizing risk factors such as Nursing Care Plans Once the nurse identifies Decreased Cardiac Output Vasoconstriction from chronic hypertension and vessel resistance can result in decreased cardiac output. Nursing Diagnosis: Related to: • Impaired cardiac muscle contraction • Conditions that compromise blood flow • Structural impairment of the heart • Difficulty of the heart muscle to pump • Increased exertion in workload • Alteration in stroke volume • Plaque formation • High blood viscosity • Atherosclerosis • Sedentary lifestyle As evidenced by: • Increased central venous pressure (CVP) • Increased pulmonary artery pressure (PAP) • • Dysrhythmias • Ejection fr...

Table of Contents • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • What is Hypertension and what are the Types of Hypertension According to Hypertension is diagnosed if, when it is measured on two different days, the systolic blood pressure readings on both days are ≥140 mmHg and/or the diastolic blood pressure readings on both days is ≥90 mmHg Type of Hypertension Description Primary Hypertension The most common form of high blood pressure occurs without any identifiable underlying cause. It develops gradually over time and is often associated with factors such as age, family history, obesity, lack of physical activity, and poor dietary choices. Secondary Hypertension High blood pressure is caused by an underlying medical condition, such as kidney disease, hormonal disorders, obstructive sleep apnea, or the use of certain medications. Secondary hypertension is less common than primary hypertension, but it tends to be more severe and can develop suddenly. What are the risk factors of Hypertension? The contributing factors or risk factors of hypertension are mainly divided into two; modifiable risk factors and non-modifiable risk factors Unhealthy diets (excessive salt consumption, a diet high in saturated fat and trans fats, a poor intake of fruits and vegetables), physical inactivity, cigarette and alcohol use, and being overweight or obese are all modifiable risk factors. A family history of hypertension, age over 65, and co-existing disorders such as di...

Hypertension is one of the leading causes of death globally each year, accounting for up to 30% of myocardial infarctions. Although the prevalence of hypertension is increasing, many patients are underdiagnosed and undertreated. The International Society of Hypertension (ISH) has published summary guidelines based on major international guidelines published between 2017 and 2020 on the control of hypertension. These summary guidelines include essential recommendations and suggestions for optimal care. The ISH recommends categorizing grade 1 hypertension for BP levels less than 160/100 mm Hg and grade 2 hypertension for any higher BP levels. Hypertension should only be diagnosed from a single BP reading if the measurement is 180/110 mm Hg or higher with evidence of cardiovascular disease requiring immediate treatment. Otherwise, the patient should be reassessed every one to four weeks to confirm BP elevations. Although outpatient office measurements continue to be the most common means of diagnosing hypertension, home and ambulatory readings are more consistent and better reflect hypertension-mediated organ damage risk. Out-of-office readings can differentiate white coat hypertension, with elevated office measurements, and masked hypertension, where measurements are lower in the office. When BP is measured at home, hypertension is diagnosed if readings are consistently 135/85 mm Hg or greater. With 24-hour ambulatory monitoring, hypertension is diagnosed based on one of thr...

Pathophysiology The pathophysiology of HTN is quite complex. Blood pressure is essentially the amount of blood the heart pumps, as well as the resistance to blood flow in the actual arteries. If there is more blood and/or smaller arteries, naturally the pressure will be higher. When someone has higher pressure for an extended period of time, it begins to cause problems. HTN is called the silent killer because it can begin to cause problems without any symptoms. Some don’t realize this is happening until end-organ damage occurs, like kidney failure. Many times it has been happening for years undetected. The way it is detected is with a simple blood pressure screening, hopefully, done at an annual physical. However, if someone does not regularly visit a physician and get checkups, then this may go undetected for a long period of time. There is primary and secondary HTN. Primary HTN is caused by a combination of genetic and environmental factors. Secondary HTN comes from an identifiable cause (for example, sleep apnea or hyperthyroidism). Keep in mind, higher blood pressure for a short period of time is normal. Your blood pressure will naturally increase during times of stress or pain, but the HTN we are discussing is chronically elevated even during times of relaxation. Etiology Primary HTN can be caused by many different factors. Certain ethnicities have a higher incidence of HTN (African Americans). The older a person is, the higher the likelihood of HTN. Family history, b...