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NCP

The document outlines a care plan for Juan Dela Cruz who presented with elevated blood pressure associated with neck pain and respiratory distress, with assessments noting hypertension, neck pain, nausea, dizziness, and secretions as well as an elevated blood pressure and respiratory rate. The care plan diagnoses Juan with hypertension and outlines interventions such as assessing vital signs, providing comfort measures, diet and lifestyle changes, and administering medications to manage his hypertension, maintain normal blood pressure, and control his pulmonary and systemic circulation.

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dimple caspillo
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485 views2 pages

NCP

The document outlines a care plan for Juan Dela Cruz who presented with elevated blood pressure associated with neck pain and respiratory distress, with assessments noting hypertension, neck pain, nausea, dizziness, and secretions as well as an elevated blood pressure and respiratory rate. The care plan diagnoses Juan with hypertension and outlines interventions such as assessing vital signs, providing comfort measures, diet and lifestyle changes, and administering medications to manage his hypertension, maintain normal blood pressure, and control his pulmonary and systemic circulation.

Uploaded by

dimple caspillo
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
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Client: Juan Dela Cruz

Care Plan by: Coby Jay Ronquillo, Constancio Coma III, Aubrey Nicole Rodriguez, Crislyn Gultiano, April Caspillo
Date Initiated: 09-09-2021

ASSESSMENT DIAGNOSIS OUTCOMES INTERVENTIONS RATIONALE EVALUATIONS


Subjective: -Elevated blood - Patient’s -Assess the vital -Baseline data Juan’s
Juan Dela Cruz pressure due to hypertension will signs of the client hypertension is
verbalize “Ma’am neck pain be managed, -Provide comfort -To lessen the pain in controlled and
taas usahay akong associated with maintain normal measures (back and the back of his neck properly maintained
neck massage, the
blood pressure” respiratory distress blood pressure his pulmonary
elevation of head)
circulation and
-Eating a heart- -In order to prevent
Objective: healthy diet with less hypertensive systemic
-Hypertension salt, getting regular outcomes and circulation.
-looks red in colour, physical activity, maintain proper
back neck pain, maintaining a healthy healthy lifestyle
nausea, dizziness, weight, or losing
and have vomited weight if your
secretions. overweight or obese
- Blood pressure of -Lowering or -To prevent
160/120. controlling blood complications
pressure, adherence
-Respiratory rate of
to the therapeutic
25bpm (abnormal) regimen and lifestyle
-Heart rate of modifications
82bpm (normal) -Administer -Independent
-Hyperventilation medication as function
-Tachypnea prescribed

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