Nursing Diagnosis for Hypertension: Types & Key Steps to Follow

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Hypertension is another name for high blood pressure. It can lead to severe complications and increases the risk of heart disease, stroke and death.

Hypertension and Heart Disease are global health concerns which the world is facing today. The World Health Organization has stated that the consumption of salt in diet is usually going high, and thus leading to Hypertension.

Blood Pressure forces the blood to push against to your arteries and each time your heart beats, the blood is pumped into the arteries, when the flow is blood is higher than the usual rate then it eventually leads to the cause of hypertension.

To get this fixed there are many diagnosis that are brought out to bring down the rate of high blood pressure and get in to a normal rate of pumping blood.

There are care plans which are developed in various formats, in regard to decrease the hyper tension that is caused by the excessive consumption of salt or due to unhealthy diet.

The nursing diagnoses are considered to be one of the most important ways to prevent the person from getting into a high rate of danger.

Categories of Hypertension

  1. Normal blood pressure- 120/80 mmHg and lower
  2. Prehypertension- 120-139 / 80-89 mmHg
  3. Stage 1 hypertension- 140-159 / 90-99 mmHg
  4. Stage 2 hypertension- 160 / 100 mmHg or higher.

Nursing Diagnosis for Hypertension

1. Make sure that you monitor blood pressure, both the arms/thighs should be measured three times, the cuff size should be correct and the technique should be accurate.

Rationale- the comparison of the pressures provides a clear understanding of the vascular involvement and the scope of the problem is known. There is also systolic hypertension which raises the risk factor for cerebrovascular disease and ischemic heart disease.

2. The dependent/general edema should be noted.

Rationale- This indicates the failure of heart, renal or vascular impairment.

3. The quality of the central, peripheral pulses, presence should be noted.

Rationale- Pulses in legs/feet may be diminished, which is reflecting effects of vasoconstriction

4. The moisture, temperature, skin color should be observed.

Rationale- Presence of pallor; cool, moist skin; and delayed capillary refill time may be due to peripheral vasoconstriction or reflect cardiac decompensating/decreased output.

5. Auscultate the breathe sounds and the heart tones.

Rationale- S4 sound is considered to be very common in hypertensive patients, due to the presence of atrial hypertrophy. And the development of S3 indicates impaired functioning.

6. Have calm, restful surroundings, minimize environment activity and also noise. Make sure that there are a limited number of visitors and the length of the stay is bounded.

Rationale- Helps lessen sympathetic stimulation and that leads to the promotion of relaxation.

7. There should be maintenance of activity restrictions, there must be uninterrupted rest which should be scheduled and also assist the patient with self-care activities that are necessary.

Rationale- It reduces the stress level and tension that affect the blood pressure.

8. There should be relaxation technique, distraction from the routine burden, guided imagery.

Rationale- it reduces the stimuli, and produces a calming effect, which gradually gives a decrease in the blood pressure.

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