Skilled nurse educated patient and caregiver on HTN disease process. HTN also known as high
blood
pressure is a chronic condition where the blood
pressure in the arteries is elevated. It is important to seek medical attention for uncontrolled HTN and develop a plan of care with your PCP. It is recommended to check your blood
pressure and pulse daily before taking blood
pressure medications and logging in a journal. If your blood
pressure is elevated wait 1-2 hours and recheck. Contact your doctor or home health agency if problems with blood
pressure continue . Patient and caregiver verbalized understanding.
Instructed patient about the damage that high
blood
pressure can cause to the vessels walls. Fat and cholesterol collect in the damage spots forming a plaque. Blood
cells stick to the plaque, forming a mass called a clot. A clot can block blood
flow in the vessel.
Instructed patient about how a stroke can result from the damage that ongoing high
blood
pressure causes in the body vessels. If the affected vessel stops supplying blood
to the brain, as a result a stroke occurs.
Instructed patient that every day his/her blood
pressure is too high
, the chances of having a stroke increases.
SN instructed patient / caregiver on factors that increase risk of HTN, such as: age, race, family history, stress, high
sodium intake, high
cholesterol intake, obesity and sedentary lifestyle. SN instructed patient / caregiver on measures to control/manage HTN, such as: exercise as tolerated, achieve/maintain healthy/ideal weight, decrease sodium intake to decrease fluid retention and the workload of the heart. SN Instructed importance of eating foods rich in calcium, protein and fiber.
Instructed patient on how sometimes blood
flows with enough force to weaken a vessel wall. If the vessel is small or damaged, the wall can break. When this happens blood
leaks into nearby tissue and kills cells. Other cells may die because blood
cannot reach them.
Instructed patient on how when blood
presses against a vessel wall with too much force, muscles in the wall lose their stretch. This causes the wall to thicken, which narrows the vessel passage and reduces blood
flow.
Instructed patient on how during a stroke blood
supply to the brain is cut off. Prompt medical help ensures a likely recovery with better chances of survival. Think of a stroke as a brain attack. Don't wait. Get help right away.
Instructed patient about the causes of a stroke: a lack of blood
flow to the brain leading to loss of brain function.
Patient was instructed on HTN and how it affects the heart and it's function. Over time HTN if uncontrolled can damage the vessels of the heart, leaving it unable to pump blood
efficiently. This causes what is known as heart failure. Symptoms you may experience and should report to your MD are swelling in your feet or hands, crackles in your chest when breathing, increased shortness of breath.