pressure ulcer prevention
Diseases Process
Patient has Dx of hypertensive heart disease without heart failure. Hypertensive heart disease refers to heart conditions caused by high blood pressure. The heart working under increased pressure causes some different heart disorders. Hypertensive heart disease can cause thickening of the heart muscle, coronary artery disease, and other conditions such as heart failure if not controlled. Follow your MD's orders for diet and medications closely
Instructed patient that Hypertensive heart disease refers to heart conditions caused by high blood pressure. The heart working under increased pressure causes some different heart disorders. Hypertensive heart disease can lead to complications such as : thickening of the heart muscle, coronary artery disease, chronic kidney disease and other conditions such as heart failure if not controlled. Follow your MD's orders for Heart Healthy diet, exercise as tolerated and take medications as prescribed.
SN instructed patient how identify any signs and symptoms of impaired cardiovascular function, symptoms will vary depending on the specific condition. Some conditions, such as type 2 diabetes or hypertension, may initially cause no symptoms at all symptoms will vary depending on the specific condition. However, typical symptoms of an underlying cardiovascular issue include: pain or pressure in the chest, which may indicate angina, pain or discomfort in the arms, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweat or pressure in the chest, which may indicate angina, pain or discomfort in the arms, left shoulder, elbows, jaw, or back, shortness of breath, nausea and fatigue, lightheadedness or dizziness, cold sweats. Call your doctor if your present these symptoms. Patient verbalized. Patient is stable need take medication on time follow medication regimen.
Instructed in visiting an ophthalmologist, an MD who specializes in eye care inmediately if there are any of these symptoms of eye damage: blurred or double vision, narrowed field of vision, seeing dark spots, feeling of pressure or pain in the eyes and difficulty seeing in dim light.
Instructed in measures to prevent a stroke: prevent atherosclerosis, exercise regularly, avoid smoking, monitor and control diabetes, high blood pressure, or other diseases, etc.
Instructed in S/S of high blood pressure such as fatige, palpitation, dizziness, headaches, nosebleeds, blurring of vision.
Instructed to keep pressure off wound area to promote circulation which is essential to healing.
Instructed in measures to manage chronic renal failure, such as, following prescribed information closely, following activity as instructed, avoiding stress, monitoring blood pressure closely and reporting any signs of bleeding tendencies.
Instructed in materials used in wound care. However, even with proper treatment, a wound infection may occur. Check the wound daily for signs of infection like increased drainage or bleeding from the wound that won’t stop with direct pressure, redness in or around the wound, foul odor or pus coming from the wound, increased swelling around the wound and ever above 101.0°F or shaking chills.
Instructed in the use of NTG for chest pain/pressure. To take at onset of pain, 1 tablet every 5 minutes, up to 3 tablets over 15 minutes. If not complete relief of pain after the 3rd tablet, call 911.