ASSESSMENT                  DIAGNOSIS                    SCIENTIFIC                   PLANNING                  INTERVENTION                    RATIONALE                  EVALUATION
EXPLANATION
SUBJECTIVE:                Hypertension related to           The values for blood    SHORT TERM:                 INDEPENDENT:                  1.To decrease the risk of
                           faulty eating habits as       pressure are affected by                                                              hypertension.               After 30 minutes of
“Tumataas presyon ko       evidence     my     blood     factors such as physical         After 30 minutes of    1.By teaching the client                                  intervention the client
lalo na pag kumakain aq”                                 activity and emotions. A    nursing intervention the    to do some ways to avoid                                  verbalized     ways  to
                           pressure of 130/80.
                                                         standard blood pressure     client will be able to      stress and anger.             2.To            minimize    manage      stress  and
                                                         for a young adult male is   verbalize some ways on                                    hypertension.               anger.
OBJECTIVES:                                              120/80mmHg.                 how he will be able to      2.Explain the importance
                                                                                     manage his stress and       of avoiding eating foods                                  After 8 hours of nursing
∙RR: 23cpm                                                  Hypertension requires    anger.                      that can affect his blood                                 intervention the clients
                                                         a heart to perform a                                    pressure like:                                            blood     pressure  was
∙PR: 96bpm                                               greater-than-normal         After 8 hours of nursing    ∙foods that is rich in                                    normal.
                                                         amount of work because      intervention the client’s   cholesterol.
∙Temp: 36 c                                              of the increased after      blood pressure will be      ∙pork                                                     After a week of nursing
                                                         load of the heart.          normal.                     ∙egg                                                      intervention the client
∙Bp1: 120/80mmHg                                                                                                 ∙beef fats                                                had    not   experienced
                                                         -kozier, 1189               LONG TERM:
                                                                                                                                                                           hypertension.
∙Bp2: 130/80mmHg
                                                                                     After a week of nursing     DEPENDENT:
∙77 year old                                                                         intervention the client
                                                                                     will   not    experience    3.Administering               3.To manage the clients
                                                                                     hypertension.               medications as ordered        blood pressure.
                                                                                                                 by the doctor
     ASSESSMENT                  DIAGNOSIS                     SCIENTIFIC                  PLANNING                  INTERVENTION                    RATIONALE                  EVALUATION
                                                              EXPLANAION
SUBJECTIVE:                Impaired           physical   Body weakness is the        SHORT TERM:                 1.Patient will perform        1.Reduce fatigue            After 1 hour of nursing
                           motility related to pain or   limitation in independent                               activities with adequate                                  intervention the client
“Nanghihina ako palagi,    discomfort as evidence        physical movement of        After 1 hour of nursing     rest periods during the                                   had     been    able   to
kailangan ko pa ng         by disability.                the     body    or  more    intervention the client     day.                                                      enhance     his  physical
katulong pag tumayo at                                   extremities.                will be able to enhance                                                               mobility when he used
kumilos sa lahat ng                                                                  his physical mobility by    2.Instract   me   of   side
bagay”                      using enough activity like   rails, overhead trapeze,    2.Proper         position   activity like exercise.
                            exercise.                    roller pads.                changes transfers.
                                                                                                                 After 1 week of nursing
                            LONG TERM:                   3.Consult with physical                                 intervention the client
OBJECTIVE:                                               occupational  therapist.                                had been able to increase
                            After 1 week of nursing      And    give   prescribe     3.To develop individual     strength of function of
∙RR: 23cpm                  intervention the client      medicine.                   expenses and to reduce      affected body part.
∙PR: 96bpm                  will be able to increase                                 fratigue.
∙Temp: 36 c                 strength of function of
∙Bp1: 130/80mmHg
                            affected body part.
∙Limited range of motion
∙slowed movement
∙engages               in
substitutional movement
                                                         4.Adequate     food   and
                                                         fluid intake indicated by   4.Mobility program and
                                                         the physician.              identity      appropriate
                                                                                     mobility devices.