Actual:
Acute pain related to hypertension as evidenced by angina and dizziness upon standing Short term goal:
Patient will be free from chest discomfort within 15 min
Long term goal:
Patient will return home and perform ADLs with no chest pain within 1 week
1. Periodically assess patient’s pain Rationale: Pain is subjective; as nurses, we cannot know how the patient is feeling and it is important to periodically reassess the patient’s pain to ensure treatment is effective (Ackley, Ladwig, & Makic, 2017)
2. Place patient in semi-Fowlers position Rationale: Elevating the patient’s head may help to relieve some chest pain and allow for deeper breathing, increasing the patient’s level of comfort (Ackley, Ladwig, & Makic, 2017)
3. Review the patient’s …show more content…
In conjunction with patient, develop a daily meal plan to reduce calorie intake while maintaining a healthy nutritional status Rationale: By providing the patient with an easy-to-follow meal plan, the nurse is facilitating the patient’s weight loss, which may help to reduce the severity of some of the patient’s other symptoms (Ackley, Ladwig, & Makic, 2017)
2. Encourage patient to understand her own thoughts and behavior about her diet Rationale: Having the patient self-identify certain behaviors that must be changed to encourage a healthier lifestyle reinforces the newly learned knowledge regarding a healthier diet (Ackley, Ladwig, & Makic, 2017)
3. While creating a healthy diet and lifestyle plan for patient, consider patient’s extrinsic and intrinsic factors that may positively or negatively influence her ability to change her eating habits, such as finances, food availability, and culture Rationale: It is not just what the patient eats or how the patient thinks about food that influences her diet; economic, cultural, and social factors also guide a patient’s diet and lifestyle, so it is important to offer the patient a holistic diet and lifestyle modification plan (Ackley, Ladwig, & Makic,
Acute pain related to hypertension as evidenced by angina and dizziness upon standing Short term goal:
Patient will be free from chest discomfort within 15 min
Long term goal:
Patient will return home and perform ADLs with no chest pain within 1 week
1. Periodically assess patient’s pain Rationale: Pain is subjective; as nurses, we cannot know how the patient is feeling and it is important to periodically reassess the patient’s pain to ensure treatment is effective (Ackley, Ladwig, & Makic, 2017)
2. Place patient in semi-Fowlers position Rationale: Elevating the patient’s head may help to relieve some chest pain and allow for deeper breathing, increasing the patient’s level of comfort (Ackley, Ladwig, & Makic, 2017)
3. Review the patient’s …show more content…
In conjunction with patient, develop a daily meal plan to reduce calorie intake while maintaining a healthy nutritional status Rationale: By providing the patient with an easy-to-follow meal plan, the nurse is facilitating the patient’s weight loss, which may help to reduce the severity of some of the patient’s other symptoms (Ackley, Ladwig, & Makic, 2017)
2. Encourage patient to understand her own thoughts and behavior about her diet Rationale: Having the patient self-identify certain behaviors that must be changed to encourage a healthier lifestyle reinforces the newly learned knowledge regarding a healthier diet (Ackley, Ladwig, & Makic, 2017)
3. While creating a healthy diet and lifestyle plan for patient, consider patient’s extrinsic and intrinsic factors that may positively or negatively influence her ability to change her eating habits, such as finances, food availability, and culture Rationale: It is not just what the patient eats or how the patient thinks about food that influences her diet; economic, cultural, and social factors also guide a patient’s diet and lifestyle, so it is important to offer the patient a holistic diet and lifestyle modification plan (Ackley, Ladwig, & Makic,